2022
DOI: 10.1093/jac/dkac405
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The impact of palliative care consultation on reducing antibiotic overuse in hospitalized patients with terminal cancer at the end of life: a propensity score-weighting study

Abstract: Objectives A substantial number of hospitalized patients with terminal cancer at the end-of-life phase receive antibiotics, even with imminent death. We evaluated the impact of palliative care consultation on antibiotic use in hospitalized patients with terminal cancer during the end-of-life phase. Methods We identified adult patients with metastatic solid cancer who died at a tertiary medical centre in Seoul, Republic of Kor… Show more

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Cited by 12 publications
(7 citation statements)
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“…All patients with solid tumors who died during the 30-day follow-up period in our study had advanced-stage malignancy. Despite no survival advantage, antibiotics were administered in 82% of patients with terminal cancer within three days of death at an academic hospital in a retrospective study conducted in Korea [20]. Appropriately directed palliative care can reduce aggressive antimicrobial use near the end of life.…”
Section: Discussionmentioning
confidence: 99%
“…All patients with solid tumors who died during the 30-day follow-up period in our study had advanced-stage malignancy. Despite no survival advantage, antibiotics were administered in 82% of patients with terminal cancer within three days of death at an academic hospital in a retrospective study conducted in Korea [20]. Appropriately directed palliative care can reduce aggressive antimicrobial use near the end of life.…”
Section: Discussionmentioning
confidence: 99%
“…They also explore the individual’s own preferences and values and conduct goals-of-care discussion and advance care planning for EOL through thorough interview with the patient and caregivers. Then, the team delivers the interview contents and recommendations for palliative care planning to the primary attending physician who makes a referral, facilitating collaborative decision making among all the stakeholders [ 17 , 18 ].…”
Section: Methodsmentioning
confidence: 99%
“…The two physicians and a nurse work full‐time in the PC team. The detailed process of PC consultation has been described elsewhere 14 . After a referral from a primary care physician, the team offers a holistic distress assessment to the patients and families and identifies their values and preferences.…”
Section: Methodsmentioning
confidence: 99%
“…The detailed process of PC consultation has been described elsewhere. 14 After a referral from a primary care physician, the team offers a holistic distress assessment to the patients and families and identifies their values and preferences. The team also facilitates advance care planning (ACP) and shared decision-making among stakeholders by discussing the goals of EOL care with patients and delivering interview content with PC recommendations to primary care physicians.…”
Section: Study Design Setting and Participantsmentioning
confidence: 99%