Specialty palliative care use among cancer patients: A population-based study
Rigorous population-based assessments of the use of specialty palliative care (SPC) in the US are rare. This study examined SPC use among cancer patients in a mid-sized metropolitan area in Southeast US. In this cancer decedent cohort study, data were acquired and linked from the state-wide cancer r...
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| creator | Cassel, J Brian McClish, Donna Buxton, David Yanni, Leanne Roberts, Seth Skoro, Nevena May, Peter Del Fabbro, Egidio Noreika, Danielle |
| description | Rigorous population-based assessments of the use of specialty palliative care (SPC) in the US are rare.
This study examined SPC use among cancer patients in a mid-sized metropolitan area in Southeast US.
In this cancer decedent cohort study, data were acquired and linked from the state-wide cancer registry; state-wide hospital discharge dataset; and local SPC providers.
12,030 individuals with cancer were included in this study; only 2,958 (24.6%) used SPC. Of the 9,072 persons who did not use SPC, 3,877 (42.7%) went only to hospitals that did not offer SPC; and 3,517 (38.8%) went to hospitals that offered SPC but did not use it. About half of SPC recipients (1493; 50.5%) first received SPC in the final 30 days of life, including 768 (26.0%) in the final week of life. Characteristics associated with using SPC use included being in an socio-economic status quintile other than the lowest; being younger; being Black; having a solid (versus hematological) cancer; having a shorter survival with cancer; dying in the latter two years of the study; being from an area of low or complete rurality; having a hospital admission in the final 60 days prior to initiation of PC or death; having more days in hospital; and living within 15 miles of a hospital offering SPC.
In this population-based study, only one-quarter of cancer patients used SPC, and for half who did so, it came in the final 30 days of life. |
| doi_str_mv | 10.1371/journal.pone.0313732 |
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This study examined SPC use among cancer patients in a mid-sized metropolitan area in Southeast US.
In this cancer decedent cohort study, data were acquired and linked from the state-wide cancer registry; state-wide hospital discharge dataset; and local SPC providers.
12,030 individuals with cancer were included in this study; only 2,958 (24.6%) used SPC. Of the 9,072 persons who did not use SPC, 3,877 (42.7%) went only to hospitals that did not offer SPC; and 3,517 (38.8%) went to hospitals that offered SPC but did not use it. About half of SPC recipients (1493; 50.5%) first received SPC in the final 30 days of life, including 768 (26.0%) in the final week of life. Characteristics associated with using SPC use included being in an socio-economic status quintile other than the lowest; being younger; being Black; having a solid (versus hematological) cancer; having a shorter survival with cancer; dying in the latter two years of the study; being from an area of low or complete rurality; having a hospital admission in the final 60 days prior to initiation of PC or death; having more days in hospital; and living within 15 miles of a hospital offering SPC.
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This study examined SPC use among cancer patients in a mid-sized metropolitan area in Southeast US.
In this cancer decedent cohort study, data were acquired and linked from the state-wide cancer registry; state-wide hospital discharge dataset; and local SPC providers.
12,030 individuals with cancer were included in this study; only 2,958 (24.6%) used SPC. Of the 9,072 persons who did not use SPC, 3,877 (42.7%) went only to hospitals that did not offer SPC; and 3,517 (38.8%) went to hospitals that offered SPC but did not use it. About half of SPC recipients (1493; 50.5%) first received SPC in the final 30 days of life, including 768 (26.0%) in the final week of life. Characteristics associated with using SPC use included being in an socio-economic status quintile other than the lowest; being younger; being Black; having a solid (versus hematological) cancer; having a shorter survival with cancer; dying in the latter two years of the study; being from an area of low or complete rurality; having a hospital admission in the final 60 days prior to initiation of PC or death; having more days in hospital; and living within 15 miles of a hospital offering SPC.
In this population-based study, only one-quarter of cancer patients used SPC, and for half who did so, it came in the final 30 days of life.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Blood cancer</subject><subject>Cancer</subject><subject>Cancer patients</subject><subject>Care and treatment</subject><subject>Censuses</subject><subject>Cohort Studies</subject><subject>Data acquisition</subject><subject>Datasets</subject><subject>Demographic aspects</subject><subject>Earth Sciences</subject><subject>Economic aspects</subject><subject>Female</subject><subject>Health care disparities</subject><subject>Hospital care</subject><subject>Hospital patients</subject><subject>Hospitalization</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Male</subject><subject>Medical diagnosis</subject><subject>Medicine and Health Sciences</subject><subject>Methods</subject><subject>Metropolitan areas</subject><subject>Middle 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palliative care use among cancer patients: A population-based study</title><author>Cassel, J Brian ; McClish, Donna ; Buxton, David ; Yanni, Leanne ; Roberts, Seth ; Skoro, Nevena ; May, Peter ; Del Fabbro, Egidio ; Noreika, Danielle</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4872-70e21f35c0e84a837d89c828a8608ae219651cbdd780b7ebad1b14b256f13a733</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2025</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Blood cancer</topic><topic>Cancer</topic><topic>Cancer patients</topic><topic>Care and treatment</topic><topic>Censuses</topic><topic>Cohort Studies</topic><topic>Data acquisition</topic><topic>Datasets</topic><topic>Demographic aspects</topic><topic>Earth Sciences</topic><topic>Economic aspects</topic><topic>Female</topic><topic>Health care disparities</topic><topic>Hospital care</topic><topic>Hospital 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rare.
This study examined SPC use among cancer patients in a mid-sized metropolitan area in Southeast US.
In this cancer decedent cohort study, data were acquired and linked from the state-wide cancer registry; state-wide hospital discharge dataset; and local SPC providers.
12,030 individuals with cancer were included in this study; only 2,958 (24.6%) used SPC. Of the 9,072 persons who did not use SPC, 3,877 (42.7%) went only to hospitals that did not offer SPC; and 3,517 (38.8%) went to hospitals that offered SPC but did not use it. About half of SPC recipients (1493; 50.5%) first received SPC in the final 30 days of life, including 768 (26.0%) in the final week of life. Characteristics associated with using SPC use included being in an socio-economic status quintile other than the lowest; being younger; being Black; having a solid (versus hematological) cancer; having a shorter survival with cancer; dying in the latter two years of the study; being from an area of low or complete rurality; having a hospital admission in the final 60 days prior to initiation of PC or death; having more days in hospital; and living within 15 miles of a hospital offering SPC.
In this population-based study, only one-quarter of cancer patients used SPC, and for half who did so, it came in the final 30 days of life.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>39804856</pmid><doi>10.1371/journal.pone.0313732</doi><tpages>e0313732</tpages><orcidid>https://orcid.org/0009-0005-3492-2585</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2025-01, Vol.20 (1), p.e0313732 |
| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_3155207509 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Free Full-Text Journals in Chemistry; Public Library of Science (PLoS) |
| subjects | Adult Aged Aged, 80 and over Blood cancer Cancer Cancer patients Care and treatment Censuses Cohort Studies Data acquisition Datasets Demographic aspects Earth Sciences Economic aspects Female Health care disparities Hospital care Hospital patients Hospitalization Hospitals Humans Male Medical diagnosis Medicine and Health Sciences Methods Metropolitan areas Middle Aged Neoplasms - mortality Neoplasms - therapy Oncology Oncology, Experimental Palliation Palliative care Palliative Care - statistics & numerical data Palliative treatment Patients Population Population studies Registries Rural health care Skin cancer Social aspects Social Sciences Social security numbers Socioeconomic factors Socioeconomics Terminal Care - statistics & numerical data Variables |
| title | Specialty palliative care use among cancer patients: A population-based study |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-02T23%3A48%3A13IST&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=Specialty%20palliative%20care%20use%20among%20cancer%20patients:%20A%20population-based%20study&rft.jtitle=PloS%20one&rft.au=Cassel,%20J%20Brian&rft.date=2025-01-13&rft.volume=20&rft.issue=1&rft.spage=e0313732&rft.pages=e0313732-&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0313732&rft_dat=%3Cgale_plos_%3EA823391566%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=3155207509&rft_id=info:pmid/39804856&rft_galeid=A823391566&rft_doaj_id=oai_doaj_org_article_dc5b0da7d14c45529ec37d0d05f416d9&rfr_iscdi=true |