Cargando…

Burden of in-hospital care in oesophageal cancer: national population-based study

BACKGROUND: Oesophageal cancer management requires extensive in-hospital care. This cohort study aimed to quantify in-hospital care for patients with oesophageal cancer in relation to intended treatment, and to analyse factors associated with risk of spending a large proportion of survival time in h...

Descripción completa

Detalles Bibliográficos
Autores principales: Linder, G, Klevebro, F, Edholm, D, Johansson, J, Lindblad, M, Hedberg, J
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8103496/
https://www.ncbi.nlm.nih.gov/pubmed/33960365
http://dx.doi.org/10.1093/bjsopen/zrab037
_version_ 1783689318619938816
author Linder, G
Klevebro, F
Edholm, D
Johansson, J
Lindblad, M
Hedberg, J
author_facet Linder, G
Klevebro, F
Edholm, D
Johansson, J
Lindblad, M
Hedberg, J
author_sort Linder, G
collection PubMed
description BACKGROUND: Oesophageal cancer management requires extensive in-hospital care. This cohort study aimed to quantify in-hospital care for patients with oesophageal cancer in relation to intended treatment, and to analyse factors associated with risk of spending a large proportion of survival time in hospital. METHODS: All patients with oesophageal cancer in three nationwide registers over a 10-year period were included. In-hospital care during the first year after diagnosis was evaluated, and the proportion of survival time spent in hospital, stratified by intended treatment (curative, palliative or best supportive care), was calculated. Associations between relevant factors and a greater proportion of survival time in hospital were analysed by multivariable logistic regression. RESULTS: In-hospital care was provided for a median of 39, 26, and 15 days in the first year after diagnosis of oesophageal cancer in curative, palliative, and best supportive care groups respectively. Patients receiving curatively intended treatment spent a median of 12 per cent of their survival time in hospital during the first year after diagnosis, whereas those receiving palliative or best supportive care spent 19 and 23 per cent respectively. Factors associated with more in-hospital care included older age, female sex, being unmarried, and chronic obstructive pulmonary disease. CONCLUSION: The burden of in-hospital care during the first year after diagnosis of oesophageal cancer was substantial. Important clinical and socioeconomic factors were identified that predisposed to a greater proportion of survival time spent in hospital.
format Online
Article
Text
id pubmed-8103496
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Oxford University Press
record_format MEDLINE/PubMed
spelling pubmed-81034962021-05-11 Burden of in-hospital care in oesophageal cancer: national population-based study Linder, G Klevebro, F Edholm, D Johansson, J Lindblad, M Hedberg, J BJS Open Original Article BACKGROUND: Oesophageal cancer management requires extensive in-hospital care. This cohort study aimed to quantify in-hospital care for patients with oesophageal cancer in relation to intended treatment, and to analyse factors associated with risk of spending a large proportion of survival time in hospital. METHODS: All patients with oesophageal cancer in three nationwide registers over a 10-year period were included. In-hospital care during the first year after diagnosis was evaluated, and the proportion of survival time spent in hospital, stratified by intended treatment (curative, palliative or best supportive care), was calculated. Associations between relevant factors and a greater proportion of survival time in hospital were analysed by multivariable logistic regression. RESULTS: In-hospital care was provided for a median of 39, 26, and 15 days in the first year after diagnosis of oesophageal cancer in curative, palliative, and best supportive care groups respectively. Patients receiving curatively intended treatment spent a median of 12 per cent of their survival time in hospital during the first year after diagnosis, whereas those receiving palliative or best supportive care spent 19 and 23 per cent respectively. Factors associated with more in-hospital care included older age, female sex, being unmarried, and chronic obstructive pulmonary disease. CONCLUSION: The burden of in-hospital care during the first year after diagnosis of oesophageal cancer was substantial. Important clinical and socioeconomic factors were identified that predisposed to a greater proportion of survival time spent in hospital. Oxford University Press 2021-05-07 /pmc/articles/PMC8103496/ /pubmed/33960365 http://dx.doi.org/10.1093/bjsopen/zrab037 Text en © The Author(s) 2021. Published by Oxford University Press on behalf of BJS Society Ltd. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Linder, G
Klevebro, F
Edholm, D
Johansson, J
Lindblad, M
Hedberg, J
Burden of in-hospital care in oesophageal cancer: national population-based study
title Burden of in-hospital care in oesophageal cancer: national population-based study
title_full Burden of in-hospital care in oesophageal cancer: national population-based study
title_fullStr Burden of in-hospital care in oesophageal cancer: national population-based study
title_full_unstemmed Burden of in-hospital care in oesophageal cancer: national population-based study
title_short Burden of in-hospital care in oesophageal cancer: national population-based study
title_sort burden of in-hospital care in oesophageal cancer: national population-based study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8103496/
https://www.ncbi.nlm.nih.gov/pubmed/33960365
http://dx.doi.org/10.1093/bjsopen/zrab037
work_keys_str_mv AT linderg burdenofinhospitalcareinoesophagealcancernationalpopulationbasedstudy
AT klevebrof burdenofinhospitalcareinoesophagealcancernationalpopulationbasedstudy
AT edholmd burdenofinhospitalcareinoesophagealcancernationalpopulationbasedstudy
AT johanssonj burdenofinhospitalcareinoesophagealcancernationalpopulationbasedstudy
AT lindbladm burdenofinhospitalcareinoesophagealcancernationalpopulationbasedstudy
AT hedbergj burdenofinhospitalcareinoesophagealcancernationalpopulationbasedstudy