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Healthcare Use during the Last Six Months of Life in Patients with Advanced Breast Cancer
SIMPLE SUMMARY: In the last decades, new treatment options for advanced (breast) cancer have resulted in increased use of health care resources near the end of life. We assessed health care use near the end of life of patients with advanced breast cancer (ABC). In this study, we have shown that ICU...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8582356/ https://www.ncbi.nlm.nih.gov/pubmed/34771434 http://dx.doi.org/10.3390/cancers13215271 |
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author | Schmitz, Renée. S. J. M. Geurts, Sandra. M. E. Ibragimova, Khava. I. E. Tilli, Dominique. J. P. Tjan-Heijnen, Vivianne. C. G. de Boer, Maaike |
author_facet | Schmitz, Renée. S. J. M. Geurts, Sandra. M. E. Ibragimova, Khava. I. E. Tilli, Dominique. J. P. Tjan-Heijnen, Vivianne. C. G. de Boer, Maaike |
author_sort | Schmitz, Renée. S. J. M. |
collection | PubMed |
description | SIMPLE SUMMARY: In the last decades, new treatment options for advanced (breast) cancer have resulted in increased use of health care resources near the end of life. We assessed health care use near the end of life of patients with advanced breast cancer (ABC). In this study, we have shown that ICU admission, and CPR occurred rarely during the last six months of life of ABC patients. However, hospital admissions occurred often, especially in patients who received new chemotherapy within 30 days of end of life. Those patients were also more likely to die in the hospital. However, death was most often due to disease progression. To improve quality of life near the end of life of advanced breast cancer patients, it is vital to develop tools to help clinicians identify those patients who will benefit from chemotherapy at the end of life. ABSTRACT: New treatment options in cancer have resulted in increased use of health care resources near the end of life. We assessed health care use near the end of life of patients with advanced breast cancer (ABC). From the Southeast Netherlands Breast cancer (SONABRE) registry, we selected all deceased patients diagnosed with ABC in Maastricht University Medical Center between January 2007 and October 2017. Frequency of health care use in the last six months of life was described and predictors for health care use were assessed. Of 203 patients, 76% were admitted during the last six months, 6% to the intensive care unit (ICU) and 2% underwent cardiopulmonary resuscitation (CPR). Death in hospital occurred in 25%. Nine percent of patients received a new line of chemotherapy ≤30 days before death, which was associated with age <65 years and <1 year survival since diagnosis of metastases. In these patients, the hospital admission rate was 95%, of which 79% died in the hospital, mostly due to progressive disease (80%). In conclusion, the frequency of ICU-admission, CPR or a new line of chemotherapy ≤30 days before death was low. Most patients receiving a new line of chemotherapy ≤30 days before death, died in the hospital. |
format | Online Article Text |
id | pubmed-8582356 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-85823562021-11-12 Healthcare Use during the Last Six Months of Life in Patients with Advanced Breast Cancer Schmitz, Renée. S. J. M. Geurts, Sandra. M. E. Ibragimova, Khava. I. E. Tilli, Dominique. J. P. Tjan-Heijnen, Vivianne. C. G. de Boer, Maaike Cancers (Basel) Article SIMPLE SUMMARY: In the last decades, new treatment options for advanced (breast) cancer have resulted in increased use of health care resources near the end of life. We assessed health care use near the end of life of patients with advanced breast cancer (ABC). In this study, we have shown that ICU admission, and CPR occurred rarely during the last six months of life of ABC patients. However, hospital admissions occurred often, especially in patients who received new chemotherapy within 30 days of end of life. Those patients were also more likely to die in the hospital. However, death was most often due to disease progression. To improve quality of life near the end of life of advanced breast cancer patients, it is vital to develop tools to help clinicians identify those patients who will benefit from chemotherapy at the end of life. ABSTRACT: New treatment options in cancer have resulted in increased use of health care resources near the end of life. We assessed health care use near the end of life of patients with advanced breast cancer (ABC). From the Southeast Netherlands Breast cancer (SONABRE) registry, we selected all deceased patients diagnosed with ABC in Maastricht University Medical Center between January 2007 and October 2017. Frequency of health care use in the last six months of life was described and predictors for health care use were assessed. Of 203 patients, 76% were admitted during the last six months, 6% to the intensive care unit (ICU) and 2% underwent cardiopulmonary resuscitation (CPR). Death in hospital occurred in 25%. Nine percent of patients received a new line of chemotherapy ≤30 days before death, which was associated with age <65 years and <1 year survival since diagnosis of metastases. In these patients, the hospital admission rate was 95%, of which 79% died in the hospital, mostly due to progressive disease (80%). In conclusion, the frequency of ICU-admission, CPR or a new line of chemotherapy ≤30 days before death was low. Most patients receiving a new line of chemotherapy ≤30 days before death, died in the hospital. MDPI 2021-10-20 /pmc/articles/PMC8582356/ /pubmed/34771434 http://dx.doi.org/10.3390/cancers13215271 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Schmitz, Renée. S. J. M. Geurts, Sandra. M. E. Ibragimova, Khava. I. E. Tilli, Dominique. J. P. Tjan-Heijnen, Vivianne. C. G. de Boer, Maaike Healthcare Use during the Last Six Months of Life in Patients with Advanced Breast Cancer |
title | Healthcare Use during the Last Six Months of Life in Patients with Advanced Breast Cancer |
title_full | Healthcare Use during the Last Six Months of Life in Patients with Advanced Breast Cancer |
title_fullStr | Healthcare Use during the Last Six Months of Life in Patients with Advanced Breast Cancer |
title_full_unstemmed | Healthcare Use during the Last Six Months of Life in Patients with Advanced Breast Cancer |
title_short | Healthcare Use during the Last Six Months of Life in Patients with Advanced Breast Cancer |
title_sort | healthcare use during the last six months of life in patients with advanced breast cancer |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8582356/ https://www.ncbi.nlm.nih.gov/pubmed/34771434 http://dx.doi.org/10.3390/cancers13215271 |
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