Intensity of care in cancer patients in the last year of life: a retrospective data linkage study.
Br J Cancer
; 127(4): 712-719, 2022 09.
Article
em En
| MEDLINE
| ID: mdl-35545681
ABSTRACT
BACKGROUND:
Delivering high-quality palliative and end-of-life care for cancer patients poses major challenges for health services. We examine the intensity of cancer care in England in the last year of life.METHODS:
We included cancer decedents aged 65+ who died between January 1, 2010 and December 31, 2017. We analysed healthcare utilisation and costs in the last 12 months of life including hospital-based activities and primary care.RESULTS:
Healthcare utilisation and costs increased sharply in the last month of life. Hospital costs were the largest cost elements and decreased with age (0.78, 95% CI 0.73-0.72, p < 0.005 for age group 90+ compared to age 65-69 and increased substantially with comorbidity burden (2.2, 95% CI 2.09-2.26, p < 0.005 for those with 7+ comorbidities compared to those with 1-3 comorbidities). The costs were highest for haematological cancers (1.45, 95% CI 1.38-1.52, p < 0.005) and those living in the London region (1.10, 95% CI 1.02-1.19, p < 0.005).CONCLUSIONS:
Healthcare in the last year of life for advanced cancer patients is costly and offers unclear value to patients and the healthcare system. Further research is needed to understand distinct cancer populations' pathways and experiences before recommendations can be made about the most appropriate models of care.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Assistência Terminal
/
Neoplasias
Tipo de estudo:
Observational_studies
Limite:
Humans
/
Newborn
Idioma:
En
Revista:
Br J Cancer
Ano de publicação:
2022
Tipo de documento:
Article
País de afiliação:
Suíça