Integrating what matters to patients in the care of older adults with cancer

Murphy, Jane M.; Battisti, Nicolò Matteo Luca

doi:10.1016/s2666-7568(22)00185-4

Cited by 2 publications

(1 citation statement)

References 10 publications

(9 reference statements)

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“…Triggers for referral to palliative care are usually geriatric problems: frailty, functional dependence, cognitive impairment, emotional distress, and caregiver-related problems [122]. Early referral is particularly relevant for older individuals, since those receiving integrated geriatric care have a lower risk of unplanned hospitalizations and shorter length of hospital admission [123]. In contrast, older adults with cancer receiving specialized palliative care without input from a geriatrician are at increased risk of inappropriate prescribing, particularly near the end-of-life [124].…”

Section: Transition and Coordination Of Carementioning

confidence: 99%

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

Castelo-Loureiro,

Perez-de-Acha,

Torres-Perez

et al. 2023

Cancers

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The world’s population is aging rapidly, with projections indicating that by 2050 one in six people will be aged ≥65 years. As a result, the number of cancer cases in older people is expected to increase significantly. Palliative care is an essential component of cancer care with a direct impact on quality of life. However, older adults with cancer often suffer from multiple comorbidities, cognitive impairment, and frailty, posing unique challenges in the delivery of palliative care. The complex healthcare needs of older patients with cancer therefore require a comprehensive assessment, including a geriatric evaluation. Collaboration between geriatrics and palliative care can offer a solution to the challenges faced by older people with cancer, since this is a population with overlapping concerns for both disciplines. This review highlights the importance of palliative care for older adults with cancer and the benefits of a multidisciplinary approach. It also addresses the coordination of palliative care and geriatrics for specific symptom management and decision making.

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Section: Transition and Coordination Of Carementioning

confidence: 99%

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

Castelo-Loureiro,

Perez-de-Acha,

Torres-Perez

et al. 2023

Cancers

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Palliative Care Utilization Among Hospitalized Patients With Hepatocellular Cancer: A Nationwide Study in the Pandemic Era (2019-2021)

Aldecoa,

Macaraeg,

Abougergi

et al. 2024

Am J Hosp Palliat Care

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Background: Palliative care addresses a range of needs, from symptom management to providing support to patients with hepatocellular cancer (HCC) and their families throughout the illness. However, research on palliative care in HCC remains limited, particularly during the COVID-19 pandemic. This study investigates the healthcare utilization associated with palliative care referral among patients with HCC. Methods: This is a retrospective cross-sectional analysis conducted using the National Inpatient Sample (NIS) database from 2019 to 2021 among patients with HCC age ≥18 years. Results: Among the 35,220 hospitalizations with HCC as the principal diagnosis, 18.7% received inpatient palliative care referrals. Factors associated with increased palliative care referrals included age ≥65 years, Midwest region, Charlson Comorbidity Index (CCI) score ≥3, and end-of-life care, as reflected by discharge resulting in death. No racial or insurance disparities were observed. Palliative care consultations were associated with lower total hospital costs ($20,573 vs $26,035, <0.0001). A higher prevalence of “do-not-resuscitate” status was also found among patients with palliative care referrals. Conclusion: The study provides an understanding of palliative care utilization across pre-pandemic and pandemic periods. Factors such as advanced age, hospital region, and underlying comorbidities influenced the likelihood of referral, with no discernible racial or insurance disparities identified. Palliative care involvement has also been shown to provide cost-effective supportive care with lower hospital costs. These findings provide invaluable guidance for optimizing the integration of palliative care alongside HCC management.

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Integrating what matters to patients in the care of older adults with cancer

Cited by 2 publications

References 10 publications

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

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

Palliative Care Utilization Among Hospitalized Patients With Hepatocellular Cancer: A Nationwide Study in the Pandemic Era (2019-2021)

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