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Quality of End-of-Life Cancer Care in Canada: A 12-Year Retrospective Analysis of Three Provinces' Administrative Health Care Data Evaluating Changes over Time.
Khan, Amanda Farah; Seow, Hsien; Sutradhar, Rinku; Peacock, Stuart; Chan, Kelvin Kar-Wing; Burge, Fred; McGrail, Kim; Raymakers, Adam; Lawson, Beverley; Barbera, Lisa.
Afiliación
  • Khan AF; Tom Baker Cancer Centre, University of Calgary, Calgary, AB T2N 4N2, Canada.
  • Seow H; Institute for Clinical Evaluative Sciences, McMaster University, Hamilton, ON L8S 4K1, Canada.
  • Sutradhar R; Institute for Clinical Evaluative Sciences, University of Toronto, Toronto, ON M5T 3M6, Canada.
  • Peacock S; Faculty of Health Sciences, Simon Fraser University, Burnaby, BC V5A 1S6, Canada.
  • Chan KK; Odette Cancer Centre, Sunnybrook Health Sciences Centre, Toronto, ON M4N 3M5, Canada.
  • Burge F; Department of Family Medicine, Dalhousie University, Halifax, NS B3H 4R2, Canada.
  • McGrail K; Centre for Health Services and Policy Research, University of British Columbia, Vancover, BC V6T 1Z3, Canada.
  • Raymakers A; British Columbia Cancer Agency, Vancover, BC V5Z 1L3, Canada.
  • Lawson B; Department of Family Medicine, Dalhousie University, Halifax, NS B3H 4R2, Canada.
  • Barbera L; Tom Baker Cancer Centre, University of Calgary, Calgary, AB T2N 4N2, Canada.
Curr Oncol ; 28(6): 4673-4685, 2021 11 12.
Article en En | MEDLINE | ID: mdl-34898554
This retrospective cohort study of cancer decedents during 2004-2015 examined end-of-life cancer care quality indicators (QIs) in the provinces of British Columbia (BC), Ontario, and Nova Scotia (NS). These included: emergency department use, in-patient hospitalization, intensive care unit admissions, physician house calls, home care visits, and death experienced in hospital. Ontario saw the greatest 12-year decrease in in-hospital deaths from 52.8% to 41.1%. Hospitalization rates within 30 days of death decreased in Ontario, increased in NS, and remained the same in BC. Ontario's usage of aggressive end-of-life measures changed very little, while BC increased their utilization rates. Supportive care use increased in both NS and Ontario. Those who were male or living in a lower income/smaller community (in Ontario) were associated with a decreased likelihood of receiving supportive care. Despite the shift in focus to providing hospice and home care services, approximately 50% of oncology patients are still dying in hospital and 11.7% of patients overall are subject to aggressive care measures that may be out of line with their desire for comfort care. Supportive care use is increasing, but providers must ensure that Canadians are connected to palliative services, as its utilization improves a wide variety of outcomes.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias Tipo de estudio: Observational_studies Límite: Humans / Male País/Región como asunto: America do norte Idioma: En Revista: Curr Oncol Año: 2021 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Suiza
Texto completo
Añadir a Mi BVS
Imprimir
XML
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias Tipo de estudio: Observational_studies Límite: Humans / Male País/Región como asunto: America do norte Idioma: En Revista: Curr Oncol Año: 2021 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Suiza