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Outpatient Palliative Care and Aggressiveness of End-of-Life Care in Patients with Metastatic Colorectal Cancer

Authors
 Si Won Lee  ;  Hyun Jung Jho  ;  Ji Yeon Baek  ;  Eun Kyung Shim  ;  Hyun Mi Kim  ;  Ji Yeon Ku  ;  Eun Jung Nam  ;  Yoon-Jung Chang  ;  Hye Jin Choi  ;  Sun Young Kim 
Citation
 AMERICAN JOURNAL OF HOSPICE & PALLIATIVE MEDICINE, Vol.35(1) : 166-172, 2018 
Journal Title
 AMERICAN JOURNAL OF HOSPICE & PALLIATIVE MEDICINE 
ISSN
 1049-9091 
Issue Date
2018
Keywords
colorectal neoplasms ; outpatient clinics ; palliative care ; palliative medicine ; palliative treatment ; terminal care
Abstract
BACKGROUND: Palliative care in outpatient setting has been shown to promote better symptom management and transition to hospice care among patients with advanced cancer. Nevertheless, specialized palliative care is rarely provided at cancer centers in Korea. Herein, we aimed to assess aggressiveness of end-of-life care for patients with metastatic colorectal cancer according to the use of outpatient palliative care (OPC) at a single cancer center in Korea. METHODS: We performed a retrospective medical record review for 132 patients with metastatic colorectal cancer who died between 2011 and 2014. Fifty patients used OPC (OPC group), while 82 patients did not (non-OPC group). Indicators of aggressiveness of end-of-life care including chemotherapy use, emergency department visits, hospitalization, and utilization of hospice care were analyzed according to the use of OPC. RESULTS: More patients in the OPC group were admitted to hospice than those in the non-OPC group (32% vs 17%, P = .047). The mean of inpatient days within 30 days of death was shorter for the OPC group than the non-OPC group (4.02 days vs 7.77 days, respectively, P = .032). There were no differences in the proportions of patients who received chemotherapy and visited the emergency department within 30 days from death. CONCLUSION: Among patients with metastatic colorectal cancer, OPC was associated with shorter inpatient days near death and greater hospice utilization. Further prospective studies are needed to evaluate the impact of OPC on end-of-life care in Korea.
Full Text
http://journals.sagepub.com/doi/10.1177/1049909116689459
DOI
10.1177/1049909116689459
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Choi, Hye Jin(최혜진) ORCID logo https://orcid.org/0000-0001-5917-1400
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/161928
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