End-of-life care for patients with advanced ovarian cancer in the Netherlands: A retrospective registry-based analysis

Broekman, K.E.; Aa, Maaike A. van der; Nijman, Hans W.; Jalving, Mathilde; Reyners, Anna K.L.

doi:10.1016/j.ygyno.2022.04.017

Cited by 2 publications

(1 citation statement)

References 27 publications

(14 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…According to a previous study, in the last six months of life, patients were hospitalized several times. Procedures, such as chemotherapy and surgery, were the least frequently used interventions for advanced ovarian cancer in the last six months of life (19). In the current study, people who received palliative care services spent less money on care services compared to those who received other services.…”

Section: Discussionmentioning

confidence: 65%

Costs of Cancer Care in the Last Five Days of Life in a Low-Resource Setting

Darrudi,

Poopak,

Darroudi

et al. 2023

Preprint

View full text Add to dashboard Cite

Background End-of-life care for patients with advanced cancer is costly. The palliative care unit tend to reduce the healthcare costs of these patients. This study aimed to compare palliative care unit costs with non-palliative care unit costs in cancer patients admitted to a university hospital. Methods We calculated the cost and number of services the patients received in the last five days of life in this study. We adjusted all costs based on the 2018 US Dollar exchange rate. We evaluated the cost of hospitalization and care service delivery for 150 patients admitted to a university hospital; the participants were selected prospectively. Results A total of 150 patients were included in this study, 56 of whom (37%) were admitted to the palliative care unit. The average total cost of treatment in the last five days of life for each patient was three times higher in general, wards compared to palliative care unit. The total cost of cancer in the last five days of life was $2,873 in the non- palliative care unit setting and $909.63 in the palliative care unit setting. Conclusions Based on the results, establishing palliative care units in tertiary hospitals and providing palliative consultation to patients with advanced cancer can be profitable when resources are limited.

show abstract

Section: Discussionmentioning

confidence: 65%

Costs of Cancer Care in the Last Five Days of Life in a Low-Resource Setting

Darrudi,

Poopak,

Darroudi

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

Health Care Access Dimensions and Racial Disparities in End-of-Life Care Quality among Patients with Ovarian Cancer

Karanth,

Osazuwa-Peters,

Wilson

et al. 2024

Cancer Research Communications

View full text Add to dashboard Cite

This study investigated the association between healthcare access (HCA) dimensions and racial disparities in end-of-life (EOL) care quality among Non-Hispanic Black (NHB), Non-Hispanic White (NHW), and Hispanic patients with ovarian cancer (OC). This retrospective cohort study used the Surveillance, Epidemiology, and End Results (SEER)-linked Medicare data for women diagnosed with OC from 2008-2015, ages 65 years and older. Healthcare affordability, accessibility, and availability measures were assessed at the census-tract or regional levels, and associations between these measures and the quality of EOL care were examined using multivariable-adjusted regression models, as appropriate. The final sample included 4,646 women (mean age (SD), 77.5 (7.0) years); 87.4% NHW, 6.9% NHB, and 5.7% Hispanic. In the multivariable-adjusted models, affordability was associated with a decreased risk of intensive care unit (ICU) stay (RR 0.90, 95% CI:0.83-0.98) and in-hospital death (RR 0.91, 95% CI:0.84-0.98). After adjustment for HCA dimensions, NHB patients had lower quality EOL care compared to NHW patients, defined as increased risk of hospitalization in the last 30 days of life (RR 1.16, 95% CI:1.03-1.30), no hospice care (RR 1.23, 95% CI:1.04-1.44), in-hospital death (RR 1.27, 95% CI:1.03-1.57), and higher counts of poor-quality EOL care outcomes (Count Ratio:1.19, 95% CI:1.04-1.36). HCA dimensions were strong predictors of EOL care quality; however, racial disparities persisted, suggesting that additional drivers of these disparities remain to be identified.

show abstract

End-of-life care for patients with advanced ovarian cancer in the Netherlands: A retrospective registry-based analysis

Cited by 2 publications

References 27 publications

Costs of Cancer Care in the Last Five Days of Life in a Low-Resource Setting

Costs of Cancer Care in the Last Five Days of Life in a Low-Resource Setting

Health Care Access Dimensions and Racial Disparities in End-of-Life Care Quality among Patients with Ovarian Cancer

Contact Info

Product

Resources

About