The effects of hospice-shared care for gastric cancer patients
Hospice care has been proved to result in changes to the medical behaviors of terminally ill patients. The aim of this study was to evaluate the effects and medical behavior changes of hospice-shared care intervention among terminally ill gastric cancer patients. A total of 174 patients who died of...
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| Veröffentlicht in: | PloS one 2017-02, Vol.12 (2), p.e0171365-e0171365 |
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| creator | Huang, Kun-Siang Wang, Shih-Ho Chuah, Seng-Kee Rau, Kun-Ming Lin, Yu-Hung Hsieh, Meng-Che Shih, Li-Hsueh Chen, Yen-Hao |
| description | Hospice care has been proved to result in changes to the medical behaviors of terminally ill patients. The aim of this study was to evaluate the effects and medical behavior changes of hospice-shared care intervention among terminally ill gastric cancer patients.
A total of 174 patients who died of gastric cancer between 2012 and 2014 were identified. These patients were divided into two groups: a hospice-shared care group (n = 93) and a control group (n = 81).
Among the 174 patients, 84% had advanced stage (stage III or stage IV) cancer. The females and the patients cared by medical oncologists had a higher percentage of hospice-shared care than the males (71% vs 44%, p = 0.001) and those cared by other physicians (63% vs 41%, p = 0.004). Compared to the control group, the hospice-shared care group underwent lower incidence of life sustaining or aggressive medical treatments, including intensive care unit admission (2% vs 26%, p |
| doi_str_mv | 10.1371/journal.pone.0171365 |
| format | Article |
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A total of 174 patients who died of gastric cancer between 2012 and 2014 were identified. These patients were divided into two groups: a hospice-shared care group (n = 93) and a control group (n = 81).
Among the 174 patients, 84% had advanced stage (stage III or stage IV) cancer. The females and the patients cared by medical oncologists had a higher percentage of hospice-shared care than the males (71% vs 44%, p = 0.001) and those cared by other physicians (63% vs 41%, p = 0.004). Compared to the control group, the hospice-shared care group underwent lower incidence of life sustaining or aggressive medical treatments, including intensive care unit admission (2% vs 26%, p<0.001), intubation (1% vs 27%, p<0.001), cardiopulmonary-cerebral resuscitation (0% vs 11%, p = 0.001), ventilator use (1% vs 27%, p<0.001), inotropic agent use (8% vs 46%, p<0.001), total or partial parenteral nutrition use (38% vs. 58%, p = 0.029), and blood transfusion (45% vs 74%, p<0.001). Besides, the hospice-shared care group had a higher percentage of palliative treatments than the control group, including signed Do-Not-Resuscitate (DNR) orders (95% vs 37%, p<0.001), receiving home hospice care (16% vs 1%, p<0.001), and indicating home as the realistically preferred place of death (41% vs 19%, p = 0.001). The hospice ward admission rate in the hospice-shared care group increased from 30% to 53% from 2012 to 2014.
The use of hospice-shared care for gastric cancer patients could increase the rate of signed DNR orders, decrease the use of life sustaining and aggressive/palliative treatments, and improve quality of life.]]></description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0171365</identifier><identifier>PMID: 28158232</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Aged ; Biology and Life Sciences ; Blood transfusion ; Cancer ; Cancer patients ; Cancer therapies ; Care and treatment ; Chemotherapy ; Cost control ; Female ; Females ; Gastric cancer ; Health aspects ; Hematology ; Hospice care ; Hospice Care - statistics & numerical data ; Hospices ; Hospices - statistics & numerical data ; Hospitalization - statistics & numerical data ; Hospitals ; Humans ; Intensive care ; Internal medicine ; Intubation ; Lymphatic system ; Male ; Males ; Management ; Medical personnel ; Medical prognosis ; Medicine ; Medicine and Health Sciences ; Metastasis ; Nutrition ; Oncology ; Palliative care ; Palliative Care - statistics & numerical data ; Parenteral nutrition ; Patients ; People and Places ; Physicians ; Quality of Life ; Resuscitation ; Resuscitation Orders ; Retrospective Studies ; Stomach cancer ; Stomach Neoplasms ; Surgery ; Terminal Care - statistics & numerical data ; Transfusion</subject><ispartof>PloS one, 2017-02, Vol.12 (2), p.e0171365-e0171365</ispartof><rights>COPYRIGHT 2017 Public Library of Science</rights><rights>2017 Huang et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2017 Huang et al 2017 Huang et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c725t-9955e0826222cec1f43b2de91e807733edafcafd97ae8d8059b009cf074259503</citedby><cites>FETCH-LOGICAL-c725t-9955e0826222cec1f43b2de91e807733edafcafd97ae8d8059b009cf074259503</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5291360/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5291360/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2102,2928,23866,27924,27925,53791,53793,79600,79601</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28158232$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>de Mello, Ramon Andrade</contributor><creatorcontrib>Huang, Kun-Siang</creatorcontrib><creatorcontrib>Wang, Shih-Ho</creatorcontrib><creatorcontrib>Chuah, Seng-Kee</creatorcontrib><creatorcontrib>Rau, Kun-Ming</creatorcontrib><creatorcontrib>Lin, Yu-Hung</creatorcontrib><creatorcontrib>Hsieh, Meng-Che</creatorcontrib><creatorcontrib>Shih, Li-Hsueh</creatorcontrib><creatorcontrib>Chen, Yen-Hao</creatorcontrib><title>The effects of hospice-shared care for gastric cancer patients</title><title>PloS one</title><addtitle>PLoS One</addtitle><description><![CDATA[Hospice care has been proved to result in changes to the medical behaviors of terminally ill patients. The aim of this study was to evaluate the effects and medical behavior changes of hospice-shared care intervention among terminally ill gastric cancer patients.
A total of 174 patients who died of gastric cancer between 2012 and 2014 were identified. These patients were divided into two groups: a hospice-shared care group (n = 93) and a control group (n = 81).
Among the 174 patients, 84% had advanced stage (stage III or stage IV) cancer. The females and the patients cared by medical oncologists had a higher percentage of hospice-shared care than the males (71% vs 44%, p = 0.001) and those cared by other physicians (63% vs 41%, p = 0.004). Compared to the control group, the hospice-shared care group underwent lower incidence of life sustaining or aggressive medical treatments, including intensive care unit admission (2% vs 26%, p<0.001), intubation (1% vs 27%, p<0.001), cardiopulmonary-cerebral resuscitation (0% vs 11%, p = 0.001), ventilator use (1% vs 27%, p<0.001), inotropic agent use (8% vs 46%, p<0.001), total or partial parenteral nutrition use (38% vs. 58%, p = 0.029), and blood transfusion (45% vs 74%, p<0.001). Besides, the hospice-shared care group had a higher percentage of palliative treatments than the control group, including signed Do-Not-Resuscitate (DNR) orders (95% vs 37%, p<0.001), receiving home hospice care (16% vs 1%, p<0.001), and indicating home as the realistically preferred place of death (41% vs 19%, p = 0.001). The hospice ward admission rate in the hospice-shared care group increased from 30% to 53% from 2012 to 2014.
The use of hospice-shared care for gastric cancer patients could increase the rate of signed DNR orders, decrease the use of life sustaining and aggressive/palliative treatments, and improve quality of life.]]></description><subject>Aged</subject><subject>Biology and Life Sciences</subject><subject>Blood transfusion</subject><subject>Cancer</subject><subject>Cancer patients</subject><subject>Cancer therapies</subject><subject>Care and treatment</subject><subject>Chemotherapy</subject><subject>Cost control</subject><subject>Female</subject><subject>Females</subject><subject>Gastric cancer</subject><subject>Health aspects</subject><subject>Hematology</subject><subject>Hospice care</subject><subject>Hospice Care - statistics & numerical data</subject><subject>Hospices</subject><subject>Hospices - statistics & numerical data</subject><subject>Hospitalization - statistics & numerical data</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Intensive care</subject><subject>Internal medicine</subject><subject>Intubation</subject><subject>Lymphatic system</subject><subject>Male</subject><subject>Males</subject><subject>Management</subject><subject>Medical personnel</subject><subject>Medical prognosis</subject><subject>Medicine</subject><subject>Medicine and Health Sciences</subject><subject>Metastasis</subject><subject>Nutrition</subject><subject>Oncology</subject><subject>Palliative care</subject><subject>Palliative Care - statistics & numerical data</subject><subject>Parenteral nutrition</subject><subject>Patients</subject><subject>People and Places</subject><subject>Physicians</subject><subject>Quality of Life</subject><subject>Resuscitation</subject><subject>Resuscitation Orders</subject><subject>Retrospective Studies</subject><subject>Stomach cancer</subject><subject>Stomach Neoplasms</subject><subject>Surgery</subject><subject>Terminal Care - statistics & numerical data</subject><subject>Transfusion</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>DOA</sourceid><recordid>eNqNk9tq3DAQhk1paQ7tG5TWUAjtxW51tKWbQAg9LAQCbdpboZVHay1eayPJpX37arNOWJdcRAJZjL75NaPxFMUbjOaY1vjT2g-h191863uYI1xjWvFnxTGWlMwqgujzg_1RcRLjGiFORVW9LI6IwFwQSo6L85sWSrAWTIqlt2Xr49YZmMVWB2hKk9fS-lCudEzBmWzoDYRyq5ODPsVXxQuruwivx-9p8fPL55vLb7Or66-Ly4urmakJTzMpOQckSEUIMWCwZXRJGpAYBKprSqHR1mjbyFqDaATicomQNBbVjHDJET0t3u11t52Pakw9KiwqJrFkmGRisScar9dqG9xGh7_Ka6fuDD6slA7JmQ4UZrzWiFrJloIhaERjEbJWG6mtoBZnrfPxtmG5gcbkTIPuJqLTk961auV_K05kLsMu3A-jQPC3A8SkNi4a6Drdgx_u4haUMi6qp6A8D8xZRt__hz7-ECO10jlX11ufQzQ7UXXBaiklQ6TO1PwRKs8GNs7kX8q6bJ84fJw4ZCbBn7TSQ4xq8eP709nrX1P27IBtQXepjb4bkvN9nIJsD5rgYwxgH-qBkdp1xP1rqF1HqLEjstvbw1o-ON23AP0Hd5YELQ</recordid><startdate>20170203</startdate><enddate>20170203</enddate><creator>Huang, Kun-Siang</creator><creator>Wang, Shih-Ho</creator><creator>Chuah, Seng-Kee</creator><creator>Rau, Kun-Ming</creator><creator>Lin, Yu-Hung</creator><creator>Hsieh, Meng-Che</creator><creator>Shih, Li-Hsueh</creator><creator>Chen, Yen-Hao</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20170203</creationdate><title>The effects of hospice-shared care for gastric cancer patients</title><author>Huang, Kun-Siang ; Wang, Shih-Ho ; Chuah, Seng-Kee ; Rau, Kun-Ming ; Lin, Yu-Hung ; Hsieh, Meng-Che ; Shih, Li-Hsueh ; Chen, Yen-Hao</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c725t-9955e0826222cec1f43b2de91e807733edafcafd97ae8d8059b009cf074259503</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Aged</topic><topic>Biology and Life Sciences</topic><topic>Blood transfusion</topic><topic>Cancer</topic><topic>Cancer patients</topic><topic>Cancer therapies</topic><topic>Care and treatment</topic><topic>Chemotherapy</topic><topic>Cost control</topic><topic>Female</topic><topic>Females</topic><topic>Gastric cancer</topic><topic>Health aspects</topic><topic>Hematology</topic><topic>Hospice care</topic><topic>Hospice Care - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Huang, Kun-Siang</au><au>Wang, Shih-Ho</au><au>Chuah, Seng-Kee</au><au>Rau, Kun-Ming</au><au>Lin, Yu-Hung</au><au>Hsieh, Meng-Che</au><au>Shih, Li-Hsueh</au><au>Chen, Yen-Hao</au><au>de Mello, Ramon Andrade</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The effects of hospice-shared care for gastric cancer patients</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2017-02-03</date><risdate>2017</risdate><volume>12</volume><issue>2</issue><spage>e0171365</spage><epage>e0171365</epage><pages>e0171365-e0171365</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract><![CDATA[Hospice care has been proved to result in changes to the medical behaviors of terminally ill patients. The aim of this study was to evaluate the effects and medical behavior changes of hospice-shared care intervention among terminally ill gastric cancer patients.
A total of 174 patients who died of gastric cancer between 2012 and 2014 were identified. These patients were divided into two groups: a hospice-shared care group (n = 93) and a control group (n = 81).
Among the 174 patients, 84% had advanced stage (stage III or stage IV) cancer. The females and the patients cared by medical oncologists had a higher percentage of hospice-shared care than the males (71% vs 44%, p = 0.001) and those cared by other physicians (63% vs 41%, p = 0.004). Compared to the control group, the hospice-shared care group underwent lower incidence of life sustaining or aggressive medical treatments, including intensive care unit admission (2% vs 26%, p<0.001), intubation (1% vs 27%, p<0.001), cardiopulmonary-cerebral resuscitation (0% vs 11%, p = 0.001), ventilator use (1% vs 27%, p<0.001), inotropic agent use (8% vs 46%, p<0.001), total or partial parenteral nutrition use (38% vs. 58%, p = 0.029), and blood transfusion (45% vs 74%, p<0.001). Besides, the hospice-shared care group had a higher percentage of palliative treatments than the control group, including signed Do-Not-Resuscitate (DNR) orders (95% vs 37%, p<0.001), receiving home hospice care (16% vs 1%, p<0.001), and indicating home as the realistically preferred place of death (41% vs 19%, p = 0.001). The hospice ward admission rate in the hospice-shared care group increased from 30% to 53% from 2012 to 2014.
The use of hospice-shared care for gastric cancer patients could increase the rate of signed DNR orders, decrease the use of life sustaining and aggressive/palliative treatments, and improve quality of life.]]></abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>28158232</pmid><doi>10.1371/journal.pone.0171365</doi><tpages>e0171365</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2017-02, Vol.12 (2), p.e0171365-e0171365 |
| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_1864919412 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Public Library of Science (PLoS); EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Aged Biology and Life Sciences Blood transfusion Cancer Cancer patients Cancer therapies Care and treatment Chemotherapy Cost control Female Females Gastric cancer Health aspects Hematology Hospice care Hospice Care - statistics & numerical data Hospices Hospices - statistics & numerical data Hospitalization - statistics & numerical data Hospitals Humans Intensive care Internal medicine Intubation Lymphatic system Male Males Management Medical personnel Medical prognosis Medicine Medicine and Health Sciences Metastasis Nutrition Oncology Palliative care Palliative Care - statistics & numerical data Parenteral nutrition Patients People and Places Physicians Quality of Life Resuscitation Resuscitation Orders Retrospective Studies Stomach cancer Stomach Neoplasms Surgery Terminal Care - statistics & numerical data Transfusion |
| title | The effects of hospice-shared care for gastric cancer patients |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-07T12%3A07%3A25IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=The%20effects%20of%20hospice-shared%20care%20for%20gastric%20cancer%20patients&rft.jtitle=PloS%20one&rft.au=Huang,%20Kun-Siang&rft.date=2017-02-03&rft.volume=12&rft.issue=2&rft.spage=e0171365&rft.epage=e0171365&rft.pages=e0171365-e0171365&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0171365&rft_dat=%3Cgale_plos_%3EA479994027%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1864919412&rft_id=info:pmid/28158232&rft_galeid=A479994027&rft_doaj_id=oai_doaj_org_article_1457a03f94b840ed8df00ffac9af83f1&rfr_iscdi=true |