Prevalence of aggressive care among patients with cancer near the end of life: a systematic review and meta-analysis

Ma, Zhuo; Li, Huangqianyu; Zhang, Yi; Zhang, Lan; Huang, Guo; Zhang, Yichen; Shi, Luwen; Liu, Wei; An, Zhuoling; Guan, Xiaodong

doi:10.1016/j.eclinm.2024.102561

eClinicalMedicine

2024

DOI: 10.1016/j.eclinm.2024.102561

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Prevalence of aggressive care among patients with cancer near the end of life: a systematic review and meta-analysis

Zhuo Ma,

Huangqianyu Li,

Yi Zhang

et al.

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Cited by 4 publications

References 47 publications

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Predisposing, Enabling, and Need Factors Driving Palliative Care Use in Head and Neck Cancer

Fereydooni,

Valdez,

William

et al. 2024

Otolaryngol.--head neck surg.

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ObjectiveCharacterizing factors associated with palliative care (PC) use in patients with stage III and VI head and neck cancer using Anderson's behavioral model of health service use.Study DesignA retrospective study of the 2004 to 2020 National Cancer Database.ggMethodsWe used multivariate logistic regression to assess the association of predisposing, enabling, and need factors with PC use. We also investigated the association of these factors with interventional PC type (chemotherapy, radiotherapy, surgery) and refusal of curative treatment in the last 6 months of life.ResultsFive percent of patients received PC. “Predisposing factors” associated with less PC use include Hispanic ethnicity (adjusted odds ratio [aOR], 086; 95% confidence interval [CI], 0.76‐0.97) and white and black race (vs white: aOR, 1.14; 95% CI, 1.07‐1.22). “Enabling factors” associated with lower PC include private insurance (vs uninsured: aOR, 064; 95% CI, 0.53‐0.77) and high‐income (aOR, 078; 95% CI, 0.71‐0.85). “Need factors” associated with higher PC use include stage IV (vs stage III cancer: aOR, 2.25; 95% CI, 2.11‐2.40) and higher comorbidity index (vs Index 1: aOR, 1.58; 95% CI, 1.42‐1.75). High‐income (aOR, 0.78; 95% CI, 0.71‐0.85) and private insurance (aOR, 0.6; 95% CI, 0.53, 0.77) were associated with higher interventional PC use and lower curative treatment refusal (insurance: aOR, 0.82; 95% CI, 0.55, 0.67; income aOR, 0.48; 95% CI, 0.44, 0.52).ConclusionLow PC uptake is attributed to patients' race/culture, financial capabilities, and disease severity. Culturally informed counseling, clear guidelines on PC indication, and increasing financial accessibility of PC may increase timely and appropriate use of this service.

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Predisposing, Enabling, and Need Factors Driving Palliative Care Use in Head and Neck Cancer

Fereydooni,

Valdez,

William

et al. 2024

Otolaryngol.--head neck surg.

View full text Add to dashboard Cite

show abstract

Score pronostique « Pronopall » et immunothérapie, étude descriptive rétrospective

Menuet,

Evin,

Hennion

2024

Médecine Palliative

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Patterns of Medical Utilization in Children, Adolescents, and Young Adults With Life-Limiting Conditions in Korea: A Cohort Study Based on National Health Insurance Data

Lee,

Kim,

Choi

et al. 2025

J Korean Med Sci

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Prevalence of aggressive care among patients with cancer near the end of life: a systematic review and meta-analysis

Cited by 4 publications

References 47 publications

Predisposing, Enabling, and Need Factors Driving Palliative Care Use in Head and Neck Cancer

Predisposing, Enabling, and Need Factors Driving Palliative Care Use in Head and Neck Cancer

Score pronostique « Pronopall » et immunothérapie, étude descriptive rétrospective

Patterns of Medical Utilization in Children, Adolescents, and Young Adults With Life-Limiting Conditions in Korea: A Cohort Study Based on National Health Insurance Data

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