Timing of referral to outpatient palliative care for patients with haematologic malignancies

被引:5
|
作者
Patel, Sameer [1 ]
Hoge, Geordyn [2 ]
Fellman, Bryan [3 ]
Kaur, Sharanpreet [2 ]
Heung, Yvonne [2 ]
Bruera, Eduardo [2 ]
Hui, David [2 ]
机构
[1] Rochester Gen Hosp, Dept Palliat Care, Rochester, NY 14621 USA
[2] Univ Texas MD Anderson Canc Ctr, Dept Palliat Care Rehabil & Integrat Med, Unit 1414,1515 Holcombe Blvd, Houston, TX 77030 USA
[3] Univ Texas MD Anderson Canc Ctr, Dept Biostat, Houston, TX 77030 USA
基金
美国国家卫生研究院;
关键词
haematologic malignancy; leukaemia; lymphoma; palliative care; referral; supportive care; OF-LIFE CARE; ADVANCED CANCER; SYMPTOM BURDEN; QUALITY;
D O I
10.1111/bjh.18365
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Outpatient palliative-care facilitates timely supportive-care access; however, there is a paucity of studies on the timing of referral in the outpatient setting for patients with haematologic malignancy. We examined the trend in timing of outpatient palliative-care referrals over a 10-year period in patients with haematologic malignancies at our comprehensive cancer centre. We included consecutive patients with a diagnosis of haematologic malignancy who were seen at our outpatient palliative-care clinic between 1 January 2010 and 31 December 2019. We collected data on patient characteristics, symptom burden and supportive-care interventions at outpatient palliative-care consultation. The primary outcome was time from outpatient palliative-care consultation to death or last follow-up. In all, 384 patients were referred by leukaemia (n = 143), lymphoma (n = 213), and stem cell transplant (n = 28) services. The median time from outpatient palliative-care referral to death was 3.4 years (IQR 2.4-5.3) with a significant increase in both the number of referrals per year (p = 0.047) and the timing of referral between 2010 and 2019 (p = 0.001). Patients with haematologic malignancies were referred in a timely fashion to our outpatient palliative-care clinic, with earlier and greater numbers of referrals over time.
引用
收藏
页码:974 / 982
页数:9
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