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Chemotherapy use and associated factors among cancer patients near the end of life

 Young Ho Yun  ;  Miyoung Kwak  ;  Dae Seog Heo  ;  Si-Young Kim  ;  Young Seon Hong  ;  Youn Seon Choi  ;  Chang Geol Lee  ;  Ho-Yeong Lim  ;  Jong Soo Choi  ;  Samyong Kim  ;  Sang Min Park 
 ONCOLOGY, Vol.72(3-4) : 164-171, 2007 
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OBJECTIVES: We investigated the frequency of chemotherapy use and its associated factors in patients in all age groups in the last year of life. METHODS: We identified cancer patients who died in 2004 in any of 17 hospitals. We used demographic and treatment characteristics by computerized hospital information systems and by linking the identification numbers to the 2004 death registry. RESULTS: 48.7% of patients in the last 6 months of life, 43.9% in the last 3 months, and 30.9% in the last month of life received chemotherapy. The frequency of chemotherapy use was lower for older patients. In those > or =65 years old, there was no difference between women and men in the proportion that received chemotherapy. For patients <65 years of age, a larger proportion of women than men received chemotherapy, and chemotherapy use was significantly less frequent for patients with refractory disease than for those with responsive disease. Patients dying at a relatively small hospital without a hospice inpatient unit were significantly more likely to receive chemotherapy. CONCLUSIONS: Despite the fact that most cancer patients are resistant to chemotherapy at the end of life, it was administered often to all age groups.
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1. College of Medicine (의과대학) > Dept. of Radiation Oncology (방사선종양학교실) > 1. Journal Papers
Yonsei Authors
Lee, Chang Geol(이창걸) ORCID logo https://orcid.org/0000-0002-8702-881X
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