Immunotherapy Versus Hospice: Treatment Decision-Making in the Modern Era of Novel Cancer Therapies

An, Amy W.; Hui, David

doi:10.1007/s11912-022-01203-5

Cited by 5 publications

(3 citation statements)

References 85 publications

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“…These factors are more pertinent as many patients now are on some form of cancer treatment until late in advanced lung cancer. 7 , 46 The definition of CC and patients with prognosis of 6 months were included in the eligibility criteria to limit capturing the experiences of patients due to terminal illness in last few weeks of life. (4) Interestingly in our study, we found that patients with CC would like to overcome CC by specific treatment targeting CC that would overcome the distress and debilitation due to CC, more specifically they would like the medication to improve their appetite, and weight, help them to tolerate cancer treatment, improve their depressed mood, exercise more, and help them to be able to perform their activities independently.…”

Section: Discussionmentioning

confidence: 99%

Perception of subjective lived experiences of individuals with anorexia-cachexia in patients with advanced lung cancer

Yennurajalingam,

Mott,

et al. 2023

Asia-Pacific Journal of Oncology Nursing

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Section: Discussionmentioning

confidence: 99%

Perception of subjective lived experiences of individuals with anorexia-cachexia in patients with advanced lung cancer

Yennurajalingam,

Mott,

et al. 2023

Asia-Pacific Journal of Oncology Nursing

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“…This may be due to various factors, including a lack of palliative care specialists and services, patients’ and families’ expectations, and healthcare professionals’ inadequate communication skills [ 12 , 13 ]. Novel therapeutic options may be part of the problem, as they have generated a whole new set of treatment options in advanced stages, as well as improvements in terms of QoL [ 14 ], also causing an increase in patient and family expectations.…”

Section: Introductionmentioning

confidence: 99%

Patterns of care at the end of life: a retrospective study of Italian patients with advanced breast cancer

Giannubilo,

Battistuzzi,

Blondeaux

et al. 2024

BMC Palliat Care

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Objectives To better understand the type of care offered to Italian patients with advanced breast cancer at the End-of-Life (EoL), we conducted a retrospective observational study. EoL was defined as the period of six months before death. Methods One hundred and twenty-one patients with advanced breast cancer (ABC) treated at IRCCS San Martino Policlinic Hospital who died between 2017 and 2021 were included. Data about patient, disease, and treatment characteristics from breast cancer diagnosis to death, along with information about comorbidities, medications, imaging, specialist evaluations, hospitalization, palliative care and home care, hospice admissions, and site of death were collected. Results 98.3% of the patients received at least one line of active treatment at EoL; 52.8% were hospitalized during the selected period. Palliative (13.9%), psychological (7.4%), and nutritional evaluations (8.2%) were underutilized. Palliative home care was provided to 52% of the patients. Most of the patients died at home (66.1%) and fewer than one out of five (18.2%) died at the hospital. Among the patients who died at home, 27.3% had no palliative support. Conclusions Our findings indicate that palliative care in EoL breast cancer patients is still inadequate. Only a minority of patients had psychological and nutritional support While low nutritional support may be explained by the fact that typical symptoms of ABC do not involve the gastrointestinal tract, the lack of psychological support suggests that significant barriers still exist. Data on the site of death are encouraging, indicating that EoL management is increasingly home centered in Italy.

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“…This may be due to various factors, including a lack of palliative care specialists and services, patients' and families' expectations, and healthcare professionals' inadequate communication skills 7,8 . Novel therapeutic options may be part of the problem, as they have generated a whole new set of treatment options in advanced stages, as well as improvements in terms of QoL 9 , also causing an increase in patient and family expectations.…”

Section: Introductionmentioning

confidence: 99%

Patterns of care at the end of life: A retrospective study of Italian patients with advanced breast cancer.

Giannubilo

Battistuzzi

Blondeaux

et al. 2023

Preprint

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Objectives To better understand the type of care offered to Italian patients with advanced breast cancer at the End-of-Life (EoL), we conducted a retrospective observational study. EoL was defined as the period of six months before death. Methods One hundred and twenty-one patients with advanced breast cancer (ABC) treated at IRCCS San Martino Policlinic Hospital who died between 2017 and 2021 were included. Data about patient, disease, and treatment characteristics from breast cancer diagnosis to death, along with information about comorbidities, medications, imaging, specialist evaluations, hospitalization, palliative care and home care, hospice admissions, and site of death were collected. Results 98.3% of the patients received at least one line of active treatment at EoL; 52.8% were hospitalized during the selected period of time. Palliative (13.9%), psychological (7.4%), and nutritional evaluations (8.2%) were underutilized. Palliative home care was provided to 52% of the patients. Most of the patients died at home (66.1%) and fewer than one out of five (18.2%) died at the hospital. Among the patients who died at home, 27.3% had no palliative support. Conclusions Our findings indicate that palliative care in EoL breast cancer patients is still inadequate. Only a minority of patients did access to Psychological and nutritional support While low nutritional support may be explained by the fact that typical symptoms of ABC do not involve the gastrointestinal tract, the lack of psychological support suggests that significant barriers still exist. Data on the site of death are encouraging, indicating that EoL management is increasingly home-centered in Italy.

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Immunotherapy Versus Hospice: Treatment Decision-Making in the Modern Era of Novel Cancer Therapies

Cited by 5 publications

References 85 publications

Perception of subjective lived experiences of individuals with anorexia-cachexia in patients with advanced lung cancer

Perception of subjective lived experiences of individuals with anorexia-cachexia in patients with advanced lung cancer

Patterns of care at the end of life: a retrospective study of Italian patients with advanced breast cancer

Patterns of care at the end of life: A retrospective study of Italian patients with advanced breast cancer.

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