Timing of palliative care referral and aggressive cancer care toward the end-of-life in pancreatic cancer: a retrospective, single-center observational study
Natasha Michael, Greta Beale, Clare O'Callaghan, Adelaide Melia, William DeSilva, Daniel Costa, David Kissane, Jeremy Shapiro, Richard Hiscock
BMC PALLIATIVE CARE | BMC | Published : 2019
BACKGROUND: Pancreatic cancer is noted for its late presentation at diagnosis, limited prognosis and physical and psychosocial symptom burden. This study examined associations between timing of palliative care referral (PCR) and aggressive cancer care received by pancreatic cancer patients in the last 30 days of life through a single health service. METHOD: A retrospective cohort analysis of end-of-life (EOL) care outcomes of patients with pancreatic cancer who died between 2012 and 2016. Key indicators of aggressive cancer care in the last 30 days of life used were: ≥1 emergency department (ED) presentations, acute inpatient/intensive care unit (ICU) admission, and chemotherapy use. We exam..View full abstract
This study was funded by a grant from Menarini Australia Ltd. The funding body was not involved in the design of the study, collection, analysis or interpretation of the data, or in writing of the manuscript.