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Titolo:
Patients with cancer referred to hospice versus a bridge program: Patient characteristics, needs for care, and survival
Autore:
Casarett, D; Abrahm, JL;
Indirizzi:
Univ Penn, Philadelphia Vet Affairs Med Ctr, Ctr Bioeth, Inst Aging, Philadelphia, PA 19104 USA Univ Penn Philadelphia PA USA 19104 nst Aging, Philadelphia, PA 19104 USA Univ Penn, Philadelphia Vet Affairs Med Ctr, Dept Med, Div Geriatr, Philadelphia, PA 19104 USA Univ Penn Philadelphia PA USA 19104 v Geriatr, Philadelphia, PA 19104 USA Univ Penn, Philadelphia Vet Affairs Med Ctr, Div Hematol Oncol, Philadelphia, PA 19104 USA Univ Penn Philadelphia PA USA 19104 tol Oncol, Philadelphia, PA 19104 USA
Titolo Testata:
JOURNAL OF CLINICAL ONCOLOGY
fascicolo: 7, volume: 19, anno: 2000,
pagine: 2057 - 2063
SICI:
0732-183X(20000401)19:7<2057:PWCRTH>2.0.ZU;2-H
Fonte:
ISI
Lingua:
ENG
Soggetto:
PHYSICIAN-ASSISTED SUICIDE; TERMINALLY ILL PATIENTS; ELDERLY PATIENTS; CONTROLLED TRIAL; PALLIATIVE CARE; PAIN; QUALITY; LIFE; END; CONSULTATION;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
43
Recensione:
Indirizzi per estratti:
Indirizzo: Casarett, D Univ Penn, Philadelphia Vet Affairs Med Ctr, Ctr Bioeth, Inst Aging, 3615 Chestnut St, Philadelphia, PA 19104 USA Univ Penn 3615 ChestnutSt Philadelphia PA USA 19104 19104 USA
Citazione:
D. Casarett e J.L. Abrahm, "Patients with cancer referred to hospice versus a bridge program: Patient characteristics, needs for care, and survival", J CL ONCOL, 19(7), 2000, pp. 2057-2063

Abstract

Purpose: The purpose of this study was to compare the characteristics and needs of patients with advanced cancer who were referred to hospice with those referred to a prehospice "bridge" program that is staffed by hospice nurses. Patients and Methods: Data were gathered through retrospective review of computerized clinical records using preceded data fields of 284 patients with cancer enrolled in a bridge program and 1,000 who enrolled in a hospice program, Patient characteristics, needs for supportive care at the time of enrollment, and survival were assessed. Results: Bridge patients were less likely to have Medicare or Medicaid (43% v 72%; odds ratio, 0.30; P < .001) and were younger (69 v 73 years, rank sum test; P < .001), more likely to be married (59% v 43%; odds ratio, 1.90; P < .001), and more likely to be in the highest income category (14% v 10%; odds ratio, 1.77 P = .009). Bridge patients had at least as many needs for care as did patients in hospice, Bridge patients lived significantly longer (median, 46 v 19 days; log-rank test of survivor functions, P < .001). Conclusion: Patients referred to this bridge program had prognoses that are significantly better than those of patients who enter hospice, but they have needs for supportive care that are at least as great. These findings underscore the importance of initiatives to extend some of the benefits of hospice care to a wider population of patients and should encourage the analysis of similar programs' ability to meet these needs. (C) 2001 by American Society of Clinical Oncology.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 01/04/20 alle ore 20:31:13