P14.56 Pattern of care of Brain Tumor patients in the last months of life: analysis of a cohort of 3045 patients in the Lazio region in the last 10 years
Abstract BACKGROUND The final days of life of Brain Tumor patients (BT) present special challenges and often palliative care approach is underutilyzed. Several studies reported that BT patients in the last months of life receive frequent hospital readmissions and ER accesses as result of bad quality...
Gespeichert in:
Veröffentlicht in: | Neuro-oncology (Charlottesville, Va.) Va.), 2021-09, Vol.23 (Supplement_2), p.ii48-ii48 |
---|---|
Hauptverfasser: | , , , , , , |
Format: | Artikel |
Sprache: | eng |
Online-Zugang: | Volltext |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
container_end_page | ii48 |
---|---|
container_issue | Supplement_2 |
container_start_page | ii48 |
container_title | Neuro-oncology (Charlottesville, Va.) |
container_volume | 23 |
creator | Pace, A Belleudi, V Pinarelli, L Villani, V Poggi, F Benincasa, D Davoli, M |
description | Abstract
BACKGROUND
The final days of life of Brain Tumor patients (BT) present special challenges and often palliative care approach is underutilyzed. Several studies reported that BT patients in the last months of life receive frequent hospital readmissions and ER accesses as result of bad quality of End of Life care. Early integration of pallative care has been demonstrated to improve quality of care in advanced stage of disease and quality of death in cancer patients. With the aim to evaluate pattern of treatment and the rate of hospital readmission in the last months of life, we retrospectively analyzed a consecutive serie of BT patients discharged after a diagnosis of BT.
MATERIAL AND METHODS
Data regarding hospital readmission and treatment received in the last two months of life were collected from the Lazio Region Healthcare database. Adult patients discharged with diagnosis ICD-9 191.* between 1/1/2010 until 31/12/2019, were included in this study.
RESULTS
6672 patients were identified and 3045 who have died before 31/12/2019 were included (median age 67 y;M1700). In the last two month of life 42.6% received hospital reamission (4.6% intensive care unit) and 37.9% had ER accesses. 24.5% received chemotherapy and 12.1% radiotherapy. In the last 30 days 33% were readmitted in hospital and 24.2% were admitted in ER. 11.7% were treated with chemotherapy and 6% with radiotherapy.
CONCLUSION
Strategies to improve quality of care at the end of life and to decrease re-hospitalization and futile treatments are becoming increasingly important to improve quality of death and to reduce costs of Healthcare System. |
doi_str_mv | 10.1093/neuonc/noab180.167 |
format | Article |
fullrecord | <record><control><sourceid>oup_cross</sourceid><recordid>TN_cdi_crossref_primary_10_1093_neuonc_noab180_167</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><oup_id>10.1093/neuonc/noab180.167</oup_id><sourcerecordid>10.1093/neuonc/noab180.167</sourcerecordid><originalsourceid>FETCH-LOGICAL-c1257-4e431049f1163711ac3b44263263e5e0f3509027e5ff9824662bef20cd71f8433</originalsourceid><addsrcrecordid>eNqNkM1KAzEUhYMoWKsv4CovMG1u_mbGnRb_oGAXdT2k442NTJOSpIv6Jr6tM60bcSNcOJfDOWfxEXINbAKsFlOPu-DbqQ9mBVXv6fKEjEBxUahK69PDz4tKQXlOLlL6YIyD0jAiXwuQE6XpwuSM0dNgaWsiDnoXjfN0uduESLcmO_Q50d7Ja6SdSZlugs_rNEQ7Z_GGGm-6fXIHx9A2rEPMwy-YVH8W5ubTBRrx3QX_axUY3aOJ6ZKcWdMlvPrRMXl9uF_Onor5y-Pz7HZetMBVWUiUApisLYAWJYBpxUpKrkV_qJBZoVjNeInK2rriUmu-QstZ-1aCraQQY8KPu20MKUW0zTa6jYn7BlgzwG2OcJsfuE0Pty8Vx1LYbf-T_wZAHH2Y</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype></control><display><type>article</type><title>P14.56 Pattern of care of Brain Tumor patients in the last months of life: analysis of a cohort of 3045 patients in the Lazio region in the last 10 years</title><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>Oxford University Press Journals All Titles (1996-Current)</source><source>PubMed Central</source><creator>Pace, A ; Belleudi, V ; Pinarelli, L ; Villani, V ; Poggi, F ; Benincasa, D ; Davoli, M</creator><creatorcontrib>Pace, A ; Belleudi, V ; Pinarelli, L ; Villani, V ; Poggi, F ; Benincasa, D ; Davoli, M</creatorcontrib><description>Abstract
BACKGROUND
The final days of life of Brain Tumor patients (BT) present special challenges and often palliative care approach is underutilyzed. Several studies reported that BT patients in the last months of life receive frequent hospital readmissions and ER accesses as result of bad quality of End of Life care. Early integration of pallative care has been demonstrated to improve quality of care in advanced stage of disease and quality of death in cancer patients. With the aim to evaluate pattern of treatment and the rate of hospital readmission in the last months of life, we retrospectively analyzed a consecutive serie of BT patients discharged after a diagnosis of BT.
MATERIAL AND METHODS
Data regarding hospital readmission and treatment received in the last two months of life were collected from the Lazio Region Healthcare database. Adult patients discharged with diagnosis ICD-9 191.* between 1/1/2010 until 31/12/2019, were included in this study.
RESULTS
6672 patients were identified and 3045 who have died before 31/12/2019 were included (median age 67 y;M1700). In the last two month of life 42.6% received hospital reamission (4.6% intensive care unit) and 37.9% had ER accesses. 24.5% received chemotherapy and 12.1% radiotherapy. In the last 30 days 33% were readmitted in hospital and 24.2% were admitted in ER. 11.7% were treated with chemotherapy and 6% with radiotherapy.
CONCLUSION
Strategies to improve quality of care at the end of life and to decrease re-hospitalization and futile treatments are becoming increasingly important to improve quality of death and to reduce costs of Healthcare System.</description><identifier>ISSN: 1522-8517</identifier><identifier>EISSN: 1523-5866</identifier><identifier>DOI: 10.1093/neuonc/noab180.167</identifier><language>eng</language><publisher>US: Oxford University Press</publisher><ispartof>Neuro-oncology (Charlottesville, Va.), 2021-09, Vol.23 (Supplement_2), p.ii48-ii48</ispartof><rights>The Author(s) 2021. Published by Oxford University Press on behalf of the Society for Neuro-Oncology. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. 2021</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids></links><search><creatorcontrib>Pace, A</creatorcontrib><creatorcontrib>Belleudi, V</creatorcontrib><creatorcontrib>Pinarelli, L</creatorcontrib><creatorcontrib>Villani, V</creatorcontrib><creatorcontrib>Poggi, F</creatorcontrib><creatorcontrib>Benincasa, D</creatorcontrib><creatorcontrib>Davoli, M</creatorcontrib><title>P14.56 Pattern of care of Brain Tumor patients in the last months of life: analysis of a cohort of 3045 patients in the Lazio region in the last 10 years</title><title>Neuro-oncology (Charlottesville, Va.)</title><description>Abstract
BACKGROUND
The final days of life of Brain Tumor patients (BT) present special challenges and often palliative care approach is underutilyzed. Several studies reported that BT patients in the last months of life receive frequent hospital readmissions and ER accesses as result of bad quality of End of Life care. Early integration of pallative care has been demonstrated to improve quality of care in advanced stage of disease and quality of death in cancer patients. With the aim to evaluate pattern of treatment and the rate of hospital readmission in the last months of life, we retrospectively analyzed a consecutive serie of BT patients discharged after a diagnosis of BT.
MATERIAL AND METHODS
Data regarding hospital readmission and treatment received in the last two months of life were collected from the Lazio Region Healthcare database. Adult patients discharged with diagnosis ICD-9 191.* between 1/1/2010 until 31/12/2019, were included in this study.
RESULTS
6672 patients were identified and 3045 who have died before 31/12/2019 were included (median age 67 y;M1700). In the last two month of life 42.6% received hospital reamission (4.6% intensive care unit) and 37.9% had ER accesses. 24.5% received chemotherapy and 12.1% radiotherapy. In the last 30 days 33% were readmitted in hospital and 24.2% were admitted in ER. 11.7% were treated with chemotherapy and 6% with radiotherapy.
CONCLUSION
Strategies to improve quality of care at the end of life and to decrease re-hospitalization and futile treatments are becoming increasingly important to improve quality of death and to reduce costs of Healthcare System.</description><issn>1522-8517</issn><issn>1523-5866</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNqNkM1KAzEUhYMoWKsv4CovMG1u_mbGnRb_oGAXdT2k442NTJOSpIv6Jr6tM60bcSNcOJfDOWfxEXINbAKsFlOPu-DbqQ9mBVXv6fKEjEBxUahK69PDz4tKQXlOLlL6YIyD0jAiXwuQE6XpwuSM0dNgaWsiDnoXjfN0uduESLcmO_Q50d7Ja6SdSZlugs_rNEQ7Z_GGGm-6fXIHx9A2rEPMwy-YVH8W5ubTBRrx3QX_axUY3aOJ6ZKcWdMlvPrRMXl9uF_Onor5y-Pz7HZetMBVWUiUApisLYAWJYBpxUpKrkV_qJBZoVjNeInK2rriUmu-QstZ-1aCraQQY8KPu20MKUW0zTa6jYn7BlgzwG2OcJsfuE0Pty8Vx1LYbf-T_wZAHH2Y</recordid><startdate>20210909</startdate><enddate>20210909</enddate><creator>Pace, A</creator><creator>Belleudi, V</creator><creator>Pinarelli, L</creator><creator>Villani, V</creator><creator>Poggi, F</creator><creator>Benincasa, D</creator><creator>Davoli, M</creator><general>Oxford University Press</general><scope>AAYXX</scope><scope>CITATION</scope></search><sort><creationdate>20210909</creationdate><title>P14.56 Pattern of care of Brain Tumor patients in the last months of life: analysis of a cohort of 3045 patients in the Lazio region in the last 10 years</title><author>Pace, A ; Belleudi, V ; Pinarelli, L ; Villani, V ; Poggi, F ; Benincasa, D ; Davoli, M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c1257-4e431049f1163711ac3b44263263e5e0f3509027e5ff9824662bef20cd71f8433</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pace, A</creatorcontrib><creatorcontrib>Belleudi, V</creatorcontrib><creatorcontrib>Pinarelli, L</creatorcontrib><creatorcontrib>Villani, V</creatorcontrib><creatorcontrib>Poggi, F</creatorcontrib><creatorcontrib>Benincasa, D</creatorcontrib><creatorcontrib>Davoli, M</creatorcontrib><collection>CrossRef</collection><jtitle>Neuro-oncology (Charlottesville, Va.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pace, A</au><au>Belleudi, V</au><au>Pinarelli, L</au><au>Villani, V</au><au>Poggi, F</au><au>Benincasa, D</au><au>Davoli, M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>P14.56 Pattern of care of Brain Tumor patients in the last months of life: analysis of a cohort of 3045 patients in the Lazio region in the last 10 years</atitle><jtitle>Neuro-oncology (Charlottesville, Va.)</jtitle><date>2021-09-09</date><risdate>2021</risdate><volume>23</volume><issue>Supplement_2</issue><spage>ii48</spage><epage>ii48</epage><pages>ii48-ii48</pages><issn>1522-8517</issn><eissn>1523-5866</eissn><abstract>Abstract
BACKGROUND
The final days of life of Brain Tumor patients (BT) present special challenges and often palliative care approach is underutilyzed. Several studies reported that BT patients in the last months of life receive frequent hospital readmissions and ER accesses as result of bad quality of End of Life care. Early integration of pallative care has been demonstrated to improve quality of care in advanced stage of disease and quality of death in cancer patients. With the aim to evaluate pattern of treatment and the rate of hospital readmission in the last months of life, we retrospectively analyzed a consecutive serie of BT patients discharged after a diagnosis of BT.
MATERIAL AND METHODS
Data regarding hospital readmission and treatment received in the last two months of life were collected from the Lazio Region Healthcare database. Adult patients discharged with diagnosis ICD-9 191.* between 1/1/2010 until 31/12/2019, were included in this study.
RESULTS
6672 patients were identified and 3045 who have died before 31/12/2019 were included (median age 67 y;M1700). In the last two month of life 42.6% received hospital reamission (4.6% intensive care unit) and 37.9% had ER accesses. 24.5% received chemotherapy and 12.1% radiotherapy. In the last 30 days 33% were readmitted in hospital and 24.2% were admitted in ER. 11.7% were treated with chemotherapy and 6% with radiotherapy.
CONCLUSION
Strategies to improve quality of care at the end of life and to decrease re-hospitalization and futile treatments are becoming increasingly important to improve quality of death and to reduce costs of Healthcare System.</abstract><cop>US</cop><pub>Oxford University Press</pub><doi>10.1093/neuonc/noab180.167</doi><oa>free_for_read</oa></addata></record> |
fulltext | fulltext |
identifier | ISSN: 1522-8517 |
ispartof | Neuro-oncology (Charlottesville, Va.), 2021-09, Vol.23 (Supplement_2), p.ii48-ii48 |
issn | 1522-8517 1523-5866 |
language | eng |
recordid | cdi_crossref_primary_10_1093_neuonc_noab180_167 |
source | Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Oxford University Press Journals All Titles (1996-Current); PubMed Central |
title | P14.56 Pattern of care of Brain Tumor patients in the last months of life: analysis of a cohort of 3045 patients in the Lazio region in the last 10 years |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-25T17%3A45%3A50IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-oup_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=P14.56%20Pattern%20of%20care%20of%20Brain%20Tumor%20patients%20in%20the%20last%20months%20of%20life:%20analysis%20of%20a%20cohort%20of%203045%20patients%20in%20the%20Lazio%20region%20in%20the%20last%2010%20years&rft.jtitle=Neuro-oncology%20(Charlottesville,%20Va.)&rft.au=Pace,%20A&rft.date=2021-09-09&rft.volume=23&rft.issue=Supplement_2&rft.spage=ii48&rft.epage=ii48&rft.pages=ii48-ii48&rft.issn=1522-8517&rft.eissn=1523-5866&rft_id=info:doi/10.1093/neuonc/noab180.167&rft_dat=%3Coup_cross%3E10.1093/neuonc/noab180.167%3C/oup_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_id=info:pmid/&rft_oup_id=10.1093/neuonc/noab180.167&rfr_iscdi=true |