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| 標題: | Comparison of healthcare utilization and life-sustaining interventions between patients with glioblastoma receiving palliative care or not: A population-based study |
| 作者: | Shieh, Li-Tsun
Ho, Chung-Han
Guo, How-Ran
Ho, Yi-Chia
Ho, Sheng-Yow |
| 貢獻者: | Chi Mei Med Ctr, Dept Radiat Oncol
Chi Mei Med Ctr, Dept Med Res
Chia Nan Univ Pharm & Sci, Dept Hosp & Hlth Care Adm
Natl Cheng Kung Univ, Coll Med, Dept Environm & Occupat Hlth
Natl Cheng Kung Univ Hosp, Dept Occupat & Environm Med
Natl Taiwan Univ Hosp, Dept Internal Med, Hsin Chu Branch
Chang Jung Christian Univ, Grad Inst Med Sci
Chi Mei Med Ctr, Dept Radiat Oncol |
| 關鍵字: | Glioblastoma
palliative care
life support care
national health programs
retrospective studies |
| 日期: | 2023 |
| 上傳時間: | 2024-12-25 11:05:25 (UTC+8) |
| 出版者: | SAGE PUBLICATIONS LTD |
| 摘要: | Background: Palliative care has historically been under-utilized in patients with glioblastoma. Furthermore, literature on the utilization of healthcare and life-sustaining interventions during the late-stage of glioblastoma has been limited. Aim: To identify and compare healthcare utilization and life-sustaining interventions between patients with glioblastoma who received palliative care and who did not based on patients identified retrospectively from Taiwan Cancer Registry between January 2007 and December 2017. Design: In this study, palliative care was defined on the basis of claims submitted to the National Health Insurance, which has a specific code for it. Variables included demographic characteristics, the utilization of healthcare services, and invasive life-sustaining interventions. Setting/participants: Of the 1994 patients with glioblastoma identified, 1784 fulfilled the inclusion criteria, 613 (34%) of whom received palliative care. Results: The survival of patients with glioblastoma under palliative care was significantly longer than that of those without palliative care. Those without palliative care had significantly more frequent intensive care unit admissions and a longer cumulative length of intensive care unit stay. Regarding cardiopulmonary or respiratory treatments, patients without palliative care had significantly more invasive interventions than those with palliative care. Patients receiving palliative care had significantly lower odds than those without life-sustaining interventions. Conclusions: Our retrospective analysis reveals that glioblastoma patients without palliative care had greater odds of receiving life-sustaining treatments within 1 year before their death, although no gains in survival as compared to those that received palliative care. These findings highlight the urgent need for palliative care in caring for patients with glioblastoma. |
| 關聯: | Palliative Medicine, v.37, n.6, pp.824-833 |
| 顯示於類別: | [行政單位] 456
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