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Reasons for hospitalisation at the end of life: differences between cancer and non-cancer patients

(2014) SUPPORTIVE CARE IN CANCER. 22(3). p.645-652
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Abstract
Many patients are hospitalised during the final phase of life, even though most prefer to receive care at home until the end. This study aimed to explore the reasons and characteristics of hospitalisation in the final 3 months of life for patients who died non-suddenly, with a comparison between cancer patients and non-cancer patients. This study used a nationwide retrospective cross-sectional survey among Dutch general practitioners. Of the 317 hospitalised patients, 65 % had cancer. Most common reasons for hospitalisation in the final 3 months of life were respiratory symptoms (31 %), digestive symptoms (17 %), and cardiovascular symptoms (17 %). Seventy-three percent of patients experienced an acute episode before hospitalisation, and for 46 % of patients, their own GP initiated the hospitalisation. Compared to non-cancer patients, cancer patients were significantly more likely to be aged less than 80 (81 versus 46 %), were more likely to be hospitalised because of digestive symptoms (22 versus 7 %), were less likely to have a curative treatment goal before the last hospitalisation (6 versus 22 %) and were less likely to die in hospital (22 versus 49 %). Respiratory problems were the most common reasons for hospitalisation in the group of patients as a whole. Digestive problems were a frequent reason for hospitalisation in cancer patients and cardiovascular symptoms in non-cancer patients. Hospitalisation can therefore be anticipated by monitoring these relatively common symptoms. Also, timely communication with the patient is recommended about their preferences for hospital or home treatment in the case of an acute episode.
Keywords
INTERVIEW, POPULATION, SETTINGS, ENGLAND, Hospitalisation, Primary health care, General practice, Palliative care, Cancer, NETHERLANDS, PALLIATIVE CARE, DEATH, HOME, Symptoms, PREFERENCES, TRANSITIONS

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Citation

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MLA
De Korte-Verhoef, Maria R, H Roeline W Pasman, Bart PM Schweitzer, et al. “Reasons for Hospitalisation at the End of Life: Differences Between Cancer and Non-cancer Patients.” SUPPORTIVE CARE IN CANCER 22.3 (2014): 645–652. Print.
APA
De Korte-Verhoef, M. R., Pasman, H. R. W., Schweitzer, B. P., Francke, A. L., Onwuteaka-Philipsen, B. D., & Deliens, L. (2014). Reasons for hospitalisation at the end of life: differences between cancer and non-cancer patients. SUPPORTIVE CARE IN CANCER, 22(3), 645–652.
Chicago author-date
De Korte-Verhoef, Maria R, H Roeline W Pasman, Bart PM Schweitzer, Anneke L Francke, Bregje D Onwuteaka-Philipsen, and Luc Deliens. 2014. “Reasons for Hospitalisation at the End of Life: Differences Between Cancer and Non-cancer Patients.” Supportive Care in Cancer 22 (3): 645–652.
Chicago author-date (all authors)
De Korte-Verhoef, Maria R, H Roeline W Pasman, Bart PM Schweitzer, Anneke L Francke, Bregje D Onwuteaka-Philipsen, and Luc Deliens. 2014. “Reasons for Hospitalisation at the End of Life: Differences Between Cancer and Non-cancer Patients.” Supportive Care in Cancer 22 (3): 645–652.
Vancouver
1.
De Korte-Verhoef MR, Pasman HRW, Schweitzer BP, Francke AL, Onwuteaka-Philipsen BD, Deliens L. Reasons for hospitalisation at the end of life: differences between cancer and non-cancer patients. SUPPORTIVE CARE IN CANCER. 2014;22(3):645–52.
IEEE
[1]
M. R. De Korte-Verhoef, H. R. W. Pasman, B. P. Schweitzer, A. L. Francke, B. D. Onwuteaka-Philipsen, and L. Deliens, “Reasons for hospitalisation at the end of life: differences between cancer and non-cancer patients,” SUPPORTIVE CARE IN CANCER, vol. 22, no. 3, pp. 645–652, 2014.
@article{5770156,
  abstract     = {Many patients are hospitalised during the final phase of life, even though most prefer to receive care at home until the end. This study aimed to explore the reasons and characteristics of hospitalisation in the final 3 months of life for patients who died non-suddenly, with a comparison between cancer patients and non-cancer patients. 
This study used a nationwide retrospective cross-sectional survey among Dutch general practitioners. 
Of the 317 hospitalised patients, 65 % had cancer. Most common reasons for hospitalisation in the final 3 months of life were respiratory symptoms (31 %), digestive symptoms (17 %), and cardiovascular symptoms (17 %). Seventy-three percent of patients experienced an acute episode before hospitalisation, and for 46 % of patients, their own GP initiated the hospitalisation. Compared to non-cancer patients, cancer patients were significantly more likely to be aged less than 80 (81 versus 46 %), were more likely to be hospitalised because of digestive symptoms (22 versus 7 %), were less likely to have a curative treatment goal before the last hospitalisation (6 versus 22 %) and were less likely to die in hospital (22 versus 49 %). 
Respiratory problems were the most common reasons for hospitalisation in the group of patients as a whole. Digestive problems were a frequent reason for hospitalisation in cancer patients and cardiovascular symptoms in non-cancer patients. Hospitalisation can therefore be anticipated by monitoring these relatively common symptoms. Also, timely communication with the patient is recommended about their preferences for hospital or home treatment in the case of an acute episode.},
  author       = {De Korte-Verhoef, Maria R and Pasman, H Roeline W and Schweitzer, Bart PM and Francke, Anneke L and Onwuteaka-Philipsen, Bregje D and Deliens, Luc},
  issn         = {0941-4355},
  journal      = {SUPPORTIVE CARE IN CANCER},
  keywords     = {INTERVIEW,POPULATION,SETTINGS,ENGLAND,Hospitalisation,Primary health care,General practice,Palliative care,Cancer,NETHERLANDS,PALLIATIVE CARE,DEATH,HOME,Symptoms,PREFERENCES,TRANSITIONS},
  language     = {eng},
  number       = {3},
  pages        = {645--652},
  title        = {Reasons for hospitalisation at the end of life: differences between cancer and non-cancer patients},
  url          = {http://dx.doi.org/10.1007/s00520-013-2019-9},
  volume       = {22},
  year         = {2014},
}

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