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The Capital Region of Denmark - a part of Copenhagen University Hospital
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Is specialized palliative cancer care associated with use of antineoplastic treatment at the end of life? A population-based cohort study

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DOI

  1. Early specialised palliative care: interventions, symptoms, problems

    Research output: Contribution to journalJournal articleResearchpeer-review

  2. Investigating the response scale of the EORTC QLQ-C30 in German cancer patients and a population survey

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  3. Minimally important differences for the EORTC QLQ-C30 in prostate cancer clinical trials

    Research output: Contribution to journalJournal articleResearchpeer-review

  4. Size and composition of family networks of decedents: A nationwide register-based study

    Research output: Contribution to journalJournal articleResearchpeer-review

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BACKGROUND: The use of chemotherapy in the last 14 days of life should be as low as possible.

AIM: To study the factors related to the use of chemotherapy in the last 14 days of life and the factors related to concurrent antineoplastic treatment and specialized palliative care.

DESIGN: This was a population-based cohort study. The data were collected from the Danish Register of Causes of Death, the Danish National Patient Register, and the Danish Palliative Care Database. Analyses were descriptive and multivariate logistic regression.

SETTING/PARTICIPANTS: Cancer decedents between 2010 and 2013 in the Capital Region of Denmark.

RESULTS: During the study period, 17,246 individuals died of cancer and 33% received specialized palliative care. In the last 14 days of life, 4.2% received chemotherapy. Younger patients and patients with hematological cancers were more likely to receive chemotherapy in the last 14 days of life. Receiving specialized palliative care was associated with a lower risk of receiving chemotherapy in the last 14 days of life-odds ratio 0.15 for hospices and 0.53 for palliative hospital units. A total of 8% of the population received concurrent antineoplastic treatment and specialized palliative care. Female gender, younger age, and breast and prostate cancer were significantly associated with this concurrent model.

CONCLUSION: Overall, the incidence of antineoplastic treatment in the last 14 days of life was low compared to other studies. Patients in specialized palliative care had a reduced risk of receiving chemotherapy at the end of life.

Original languageEnglish
JournalPalliative Medicine
Volume32
Issue number9
Pages (from-to)1509-1517
Number of pages9
ISSN0269-2163
DOIs
Publication statusPublished - 1 Oct 2018

ID: 55228525