Multicenter cohort study on the survival time of cancer patients dying at home or in a hospital: Does place matter?

Abstract

and involved 58 specialist palliative care services. RESULTS: Among the 2426 patients recruited, 2069 patients were analyzed for this study: 1582 receiving hospital-based palliative care and 487 receiving home-based palliative care. A total of 1607 patients actually died in a hospital, and 462 patients died at home. The survival of patients who died at home was significantly longer than the survival of patients who died in a hospital in the days' prognosis group (estimated median survival time, 13 days [95% confidence interval (CI), 10. Original Article hazards analysis revealed that the place of death had a significant influence on the survival time in both unadjusted (hazard ratio [HR], 0.86; 95% CI, 0.78-0.96; P <.01) and adjusted models (HR, 0.87; 95% CI, 0.77-0.97; P 5.01). CONCLUSIONS: In comparison with cancer patients who died in a hospital, cancer patients who died at home had similar or longer survival. Cancer 2016;122:1453-60.

A prospective, multicenter cohort study to validate a simple performance status–based survival prediction system for oncologists

“…18,19 The study involved 58 palliative care services throughout Japan, including 16 palliative care units, 19 hospital palliative care teams, and 23 home-based palliative care services, and was conducted from September 2012 to April 2014. 18,19 The study involved 58 palliative care services throughout Japan, including 16 palliative care units, 19 hospital palliative care teams, and 23 home-based palliative care services, and was conducted from September 2012 to April 2014.…”

“…This was a subanalysis of a multicenter, prospective cohort study designed to compare the accuracy of the PPI, PaP, and PiPS. 18,19 The study involved 58 palliative care services throughout Japan, including 16 palliative care units, 19 hospital palliative care teams, and 23 home-based palliative care services, and was conducted from September 2012 to April 2014. The sample size calculation was based on the main aim (comparing the accuracy of the PPI, PaP, and PiPS).…”

Impact of a Six-Year Project to Enhance the Awareness of Community-Based Palliative Care on the Place of Death

“… 17 , 18 Interestingly, in this study, this tool was found to be useful for the continuation of home care. As demonstrated in previous studies, 4 , 19 home care is not more disadvantageous to end-stage cancer patients in their last days than hospital treatment, but factors explaining this have yet to be clarified. The contribution of RRCP-HPC use to the survival time also remained unclear in this study.…”

Palliative care and advance care planning for pancreas and other cancers

“…Higher intensity of palliative care, measured by the number of palliative care visits, was also associated with lower odds for aggressive end-of-life care (39). These findings collectively establish that palliative care consultations for hospitalized patients result in the improved utilization of healthcare resources and allow patients to die comfortably at home, without negatively impacting their overall survival (40). In order to guide when inpatient consultations should be requested, a prospective cohort from Adelson et al defined a set of criteria that would trigger an automatic palliative care consultation when patients with solid tumor malignancies are hospitalized.…”