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Use of artificial nutrition near the end of life: Results from a French national population‐based study of hospitalized cancer patients
BACKGROUND: The use of artificial nutrition, defined as a medical treatment that allows a non‐oral mechanical feeding, for cancer patients with limited life expectancy is deemed nonbeneficial. High‐quality evidence about the use of artificial nutrition near the end of life is lacking. This study aim...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6970047/ https://www.ncbi.nlm.nih.gov/pubmed/31773922 http://dx.doi.org/10.1002/cam4.2731 |
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author | Baumstarck, Karine Boyer, Laurent Pauly, Vanessa Orleans, Veronica Marin, Anthony Fond, Guillaume Morin, Lucas Auquier, Pascal Salas, Sébastien |
author_facet | Baumstarck, Karine Boyer, Laurent Pauly, Vanessa Orleans, Veronica Marin, Anthony Fond, Guillaume Morin, Lucas Auquier, Pascal Salas, Sébastien |
author_sort | Baumstarck, Karine |
collection | PubMed |
description | BACKGROUND: The use of artificial nutrition, defined as a medical treatment that allows a non‐oral mechanical feeding, for cancer patients with limited life expectancy is deemed nonbeneficial. High‐quality evidence about the use of artificial nutrition near the end of life is lacking. This study aimed (a) to quantify the use of artificial nutrition near the end‐of‐life, and (b) to identify the factors associated with the use of artificial nutrition. METHODS: This was a retrospective cohort study of decedents based on data from the French national hospital database. The study population included adult cancer patients who died in hospitals in France between 2013 and 2016 and defined to be in a palliative condition. Use of artificial nutrition during the last 7 days before death was the primary endpoint. RESULTS: A total of 398 822 patients were included. The median duration of the last hospital stay was 10 (interquartile range, 4‐21) days. The artificial nutrition was used for 11 723 (2.9%) during the last 7 days before death. Being a man, younger, having digestive cancers, metastasis, comorbidities, malnutrition, absence of dementia, and palliative care use were the main factors associated to the use of artificial nutrition. CONCLUSION: This study indicates that the use of artificial nutrition near the end of life is in keeping with current clinical guidelines. The identification of factors associated with the use of artificial nutrition, such as cancer localization, presence of comorbidities or specific symptoms, may help to better manage its use. |
format | Online Article Text |
id | pubmed-6970047 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-69700472020-01-27 Use of artificial nutrition near the end of life: Results from a French national population‐based study of hospitalized cancer patients Baumstarck, Karine Boyer, Laurent Pauly, Vanessa Orleans, Veronica Marin, Anthony Fond, Guillaume Morin, Lucas Auquier, Pascal Salas, Sébastien Cancer Med Clinical Cancer Research BACKGROUND: The use of artificial nutrition, defined as a medical treatment that allows a non‐oral mechanical feeding, for cancer patients with limited life expectancy is deemed nonbeneficial. High‐quality evidence about the use of artificial nutrition near the end of life is lacking. This study aimed (a) to quantify the use of artificial nutrition near the end‐of‐life, and (b) to identify the factors associated with the use of artificial nutrition. METHODS: This was a retrospective cohort study of decedents based on data from the French national hospital database. The study population included adult cancer patients who died in hospitals in France between 2013 and 2016 and defined to be in a palliative condition. Use of artificial nutrition during the last 7 days before death was the primary endpoint. RESULTS: A total of 398 822 patients were included. The median duration of the last hospital stay was 10 (interquartile range, 4‐21) days. The artificial nutrition was used for 11 723 (2.9%) during the last 7 days before death. Being a man, younger, having digestive cancers, metastasis, comorbidities, malnutrition, absence of dementia, and palliative care use were the main factors associated to the use of artificial nutrition. CONCLUSION: This study indicates that the use of artificial nutrition near the end of life is in keeping with current clinical guidelines. The identification of factors associated with the use of artificial nutrition, such as cancer localization, presence of comorbidities or specific symptoms, may help to better manage its use. John Wiley and Sons Inc. 2019-11-26 /pmc/articles/PMC6970047/ /pubmed/31773922 http://dx.doi.org/10.1002/cam4.2731 Text en © 2019 The Authors. Cancer Medicine published by John Wiley & Sons Ltd. This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Clinical Cancer Research Baumstarck, Karine Boyer, Laurent Pauly, Vanessa Orleans, Veronica Marin, Anthony Fond, Guillaume Morin, Lucas Auquier, Pascal Salas, Sébastien Use of artificial nutrition near the end of life: Results from a French national population‐based study of hospitalized cancer patients |
title | Use of artificial nutrition near the end of life: Results from a French national population‐based study of hospitalized cancer patients |
title_full | Use of artificial nutrition near the end of life: Results from a French national population‐based study of hospitalized cancer patients |
title_fullStr | Use of artificial nutrition near the end of life: Results from a French national population‐based study of hospitalized cancer patients |
title_full_unstemmed | Use of artificial nutrition near the end of life: Results from a French national population‐based study of hospitalized cancer patients |
title_short | Use of artificial nutrition near the end of life: Results from a French national population‐based study of hospitalized cancer patients |
title_sort | use of artificial nutrition near the end of life: results from a french national population‐based study of hospitalized cancer patients |
topic | Clinical Cancer Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6970047/ https://www.ncbi.nlm.nih.gov/pubmed/31773922 http://dx.doi.org/10.1002/cam4.2731 |
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