The impact of hospice care on survival and cost saving among patients with liver cancer: a national longitudinal population-based study in Taiwan

Chiang, Jui-Kun; Kao, Yee-Hsin

doi:10.1007/s00520-014-2447-1

Cited by 24 publications

(44 citation statements)

References 24 publications

(30 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Relatively higher survival rates were observed in younger patients (15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35)(36)(37)(38)(39)(40)(41)(42)(43)(44) compared with older patients (65-74, 75+), particularly for sites including the stomach, lung, pancreas, B and CNS, blood (NHL) and cervix. Cancer of the oesophagus, female breast and bladder had higher survival in middle-aged groups (45)(46)(47)(48)(49)(50)(51)(52)(53)(54)(55)(56)(57)(58)(59)(60)(61)(62)(63)…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Cancer survival in Qidong between 1972 and 2011: A population-based analysis

Chen

Zhu

Zhang

et al. 2017

Molecular and Clinical Oncology

View full text Add to dashboard Cite

Abstract. Population-based cancer survival is an improved index for evaluating the overall efficiency of cancer health services in a given region. The current study analysed the observed survival and relative survival of leading cancer sites from a population-based cancer registry between 1972 and 2011 in Qidong, China. A total of 92,780 incident cases with cancer were registered and followed-up for survival status. The main sites of the cancer types, based on the rank order of incidence, were the liver, stomach, lung, colon and rectum, oesophagus, breast, pancreas, leukaemia, brain and central nervous system (B and CNS), bladder, blood [non-Hodgkin's lymphoma (NHL)] and cervix. For all malignancies combined, the 5-year observed survival was 13.18% and the relative survival was 15.80%. Females had higher observed survival and relative survival (19.32 and 22.71%, respectively) compared with males (9.63 and 11.68%, respectively). The cancer sites with the highest five-year relative survival rates were the female breast, bladder, cervix and colon and rectum; followed by NHL, stomach, B and CNS cancer and leukaemia. The poorest survival rates were cancers of oesophagus, lung, pancreas and liver. Higher survival rates were observed in younger patients compared with older patients. Cancers of the oesophagus, female breast and bladder were associated with higher survival in middle-aged groups. Improved survival rates in the most recent two 5-year calendar periods were identified for stomach, lung, colon and rectum, oesophagus, female breast and bladder cancer, as well as leukaemia and NHL. The observations of the current study provide the opportunity for evaluation of the survival outcomes of frequent cancer sites that reflects the changes and improvement in a rural area in China.

show abstract

Section: Resultsmentioning

confidence: 99%

“…The survival for patients with liver cancer is usually poor. A report from Taiwan revealed that the mean survival time of 3,850 patients with liver cancer was ~1.8 years (53). An American study demonstrated that the 5-year relative survival was 3% in the period from 1975-1977, 5% from 1987-1989 and 18% from 2003-2009 (50).…”

Section: Discussionmentioning

confidence: 99%

Cancer survival in Qidong between 1972 and 2011: A population-based analysis

Chen

Zhu

Zhang

et al. 2017

Molecular and Clinical Oncology

View full text Add to dashboard Cite

show abstract

“…In a recent study, compared with patients receiving usual care, hospitalized patients with HCC receiving hospice care had a shorter LOS (8 versus 14 days) and 3‐fold fewer invasive procedures, received more medication for pain, and had nearly a 3‐fold lower daily cost of care . Nationwide experience from Taiwan showed that patients with HCC referred to hospice had equivalent survival and 12% lower cost of care over the last month of life compared with those receiving usual care, lower incidence of ICU admission (3% versus 18%) and cardiopulmonary resuscitation (CPR) with intubation (1% versus 16%), and less frequent in‐hospital death (0% versus 45%) . Comparable data from the United States showed a reduced prevalence of emergency department use (6% versus 16%), hospital admission (8% versus 48%), ICU admission (3% versus 25%), and in‐hospital deaths (4% versus 58%) among patients with HCC referred to hospice .…”

Section: The Benefits Of Pc In Esldmentioning

confidence: 99%

Current Knowledge, Barriers to Implementation, and Future Directions in Palliative Care for End‐Stage Liver Disease

Fricker

Serper

2019

Liver Transpl

View full text Add to dashboard Cite

End‐stage liver disease (ESLD) is associated with a high degree of morbidity and mortality as well as symptom burden. Despite this, the rate of consultation with palliative care (PC) providers remains low, and invasive procedures near the end of life are commonplace. Studies show that involvement of PC providers improves patient satisfaction, and evidence from other chronic diseases demonstrates reduced costs of care and potentially increased survival. Better integration of PC is imperative but hindered by patient and provider misconceptions about its role in the care of patients with ESLD, specifically among candidates for liver transplantation. Additionally, reimbursement barriers and lack of provider knowledge may contribute to PC underutilization. In this review, we discuss the benefits of PC in ESLD, the variability of its delivery, and key stakeholders’ perceptions about its use. Additionally, we identify barriers to more widespread PC adoption and highlight areas for future research.

show abstract

“…In Israel it is called as "hospital at home", in the US "home care", "home health care", "home nursing" while "home health care" or "home visiting"' is used in East of Europe. In France, "home care-fin de vie"' is used to describe [4].…”

Section: Evaluation Of Home Care Services At a Training And Research mentioning

confidence: 99%

“…It is the palliative care option that provides benefits for the dying person by not only limiting exposures of health risks of staying in a hospital but also having the opportunity of decrease the total health care costs [4]. The specialty of palliative medicine arose throughout the hospice movement.…”

Section: Evaluation Of Home Care Services At a Training And Research mentioning

confidence: 99%

Evaluation of home care services at a training and research hospital in Izmir

Colak¹,

Gökdemir²,

Yaprak³

et al. 2016

Marmara Medical Journal

View full text Add to dashboard Cite

Objectives: To define the demographic characteristics, health and dependence status of patients receiving home care services (HCSs) and the services needed and received by the patients. Patients and Methods:It is a descriptive study including 120 patients that had HCSs from a training and research hospital home care unit, where the files of the patients were evaluated retrospectively between January and August 2010. Results:Most of the patients in need of HCSs were female (61.8%), their mean age was 72.6±16.4 (range: 16-105) and 75.5% were 65 years and above, while 79.2% were bedridden. The personal hygiene and nutritional status were deemed inappropriate in 21.7% and 31.7%, respectively. The most common diseases were hypertension (19.3%), cerebrovascular accidents (13.5%), and Alzheimer's disease (9.5%). Family members mentioned their training needs' topics as nutrition (30.3%), sanitation-hygiene (21.2%), and general care (18.2%). Conclusion:The study has shown different aspects of HCSs including medical, nursing, and social welfare problems for all parties, especially family physicians. People applied for HCSs were mostly women, elders with impaired functional status and bedridden. Their caregivers were mostly family members who needed social support not only in economic means but also in training so that they can provide better care for their relatives. Sonuç: Bu çalışma, tüm taraflar için, özellikle aile hekimleri için, tıbbi ve hemşirelik alanları ile sosyal yardım kapsamındaki alanlarda ESH'nin farklı yönlerini göstermektedir. ESH için başvuranların çoğu kadın, yaşlı, fonksiyonel durumu bozuk ve yatağa bağımlıdırlar. Bakım verenler, sadece ekonomik anlamda değil, hastalarına daha iyi hizmet verebilmek için eğitim anlamında da hizmet almak ihtiyacındadırlar. Anahtar kelimeler: Evde sağlık hizmeti, Bağımlılık durumu, Bakımveren IntroductionThe modern description of hospice includes not only palliative care for the incurably ill given in hospitals or nursing homes, but also services provided to those who spend their last months or days of their lives at their own homes. In 1950s Dame Cicely Saunders pointed out the importance of palliative care in modern medicine in England [1, 2]. Evaluation of home care services at a training and research hospital in Izmirİzmir'de bir eğitim ve araştırma hastanesinde evde bakım hizmetlerinin değerlendirilmesi

show abstract

The impact of hospice care on survival and cost saving among patients with liver cancer: a national longitudinal population-based study in Taiwan

Abstract: Hospice care did not significantly affect survival, and hospice patients had lower per-patient expenditures and were less likely to require high-cost medical care than their non-hospice counterparts.

Cited by 24 publications

References 24 publications

Cancer survival in Qidong between 1972 and 2011: A population-based analysis

Cancer survival in Qidong between 1972 and 2011: A population-based analysis

Current Knowledge, Barriers to Implementation, and Future Directions in Palliative Care for End‐Stage Liver Disease

Evaluation of home care services at a training and research hospital in Izmir

Contact Info

Product

Resources

About