Delivering Palliative and Supportive Care for Older Adults with Cancer: Interactions between Palliative Medicine and Geriatrics

Castelo-Loureiro, Alicia; Perez-de-Acha, Andrea; Torres-Perez, Ana Cristina; Cunha, Vanessa; García-Valdés, Paola; Cárdenas-Reyes, Paula; Soto-Perez-de-Celis, Enrique

doi:10.3390/cancers15153858

Cited by 7 publications

(1 citation statement)

References 120 publications

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“…As geriatric medicine continues to evolve in response to the aging population, the role of the geriatrician in shaping end-of-life care becomes increasingly pivotal [22]. Although medical advancements enhance our ability to care for complex health conditions in frail persons, the importance of promoting an end-of-life culture in this field is extremely important.…”

Section: What About the Significance Of End-of-life Culture For The G...mentioning

confidence: 99%

Enriching Lives: Geriatricians’ Mission of Supportive Care for Older Persons

Boccardi

2023

Geriatrics

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The growing older population, the increasing prevalence of chronic illnesses, and the pressing need to enhance the quality of end-of-life care have underscored the importance for geriatricians to focus on supportive and palliative measures. Within this context, the emphasis on delivering comprehensive and person-centered care has become crucial, ensuring that individuals not only receive medical treatment but also experience comfort during chronic illness and in their final days. Nevertheless, a significant number of older individuals often find themselves in hospitals during their last moments, sometimes undergoing aggressive medical interventions even when facing terminal conditions. The challenge lies in the early recognition of the end-of-life phase, initiating timely supportive and palliative care in conjunction with conventional treatments, adopting a multidisciplinary approach, and providing crucial support to grieving family members. Despite being a relatively recent field, geriatric palliative care (GPC) still requires further development. With this perspective, I aimed to shed light on the challenges and best practices for enhancing care for individuals facing chronic critical illnesses and frailty.

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Section: What About the Significance Of End-of-life Culture For The G...mentioning

confidence: 99%

Enriching Lives: Geriatricians’ Mission of Supportive Care for Older Persons

Boccardi

2023

Geriatrics

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Supportive care needs among older Mexican adults with metastatic cancer

Torres-Perez,

Ramos-Lopez,

Covarrubias-Gómez

et al. 2024

Journal of Geriatric Oncology

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Care trajectories and transitions at the end of life: a population-based cohort study

Dufour,

Courteau,

Legault

et al. 2024

Age and Ageing

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Background End-of-life periods are often characterised by suboptimal healthcare use (HCU) patterns in persons aged 65 years and older, with negative effects on health and quality of life. Understanding care trajectories (CTs) and transitions in this period can highlight potential areas of improvement, a subject yet only little studied. Objective To propose a typology of CTs, including care transitions, for older individuals in the 2 years preceding death. Design Retrospective cohort study. Methods We used multidimensional state sequence analysis and data from the Care Trajectories—Enriched Data (TorSaDE) cohort, a linkage between a Canadian health survey and Quebec health administrative data. Results In total, 2080 decedents were categorised into five CT groups. Group 1 demonstrated low HCU until the last few months, whilst group 2 showed low HCU over the first year, followed by a steady increase. A gradual increase over the 2 years was observed for groups 3 and 4, though more pronounced towards the end for group 3. A persistent high HCU was observed for group 5. Groups 2 and 4 had higher proportions of cancer diagnoses and palliative care, as opposed to comorbidities and dementia for groups 3 and 5. Overall, 68.4% of individuals died in a hospital, whilst 27% received palliative care there. Care transitions increased rapidly towards the end, most notably in the last 2 weeks. Conclusion This study provides an understanding of the variability of CTs in the last two years of life, including place of death, a critical step towards quality improvement.

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Delivering Palliative and Supportive Care for Older Adults with Cancer: Interactions between Palliative Medicine and Geriatrics

Cited by 7 publications

References 120 publications

Enriching Lives: Geriatricians’ Mission of Supportive Care for Older Persons

Enriching Lives: Geriatricians’ Mission of Supportive Care for Older Persons

Supportive care needs among older Mexican adults with metastatic cancer

Care trajectories and transitions at the end of life: a population-based cohort study

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