國家衛生研究院 NHRI:Item 3990099045/5050
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    Please use this identifier to cite or link to this item: http://ir.nhri.org.tw/handle/3990099045/5050


    Title: Trends in quality of end-of-life care for Taiwanese cancer patients who died in 2000-2006
    Authors: Tang, ST;Wu, SC;Hung, YN;Huang, EW;Chen, JS;Liu, TW
    Contributors: National Institute of Cancer Research
    Abstract: Background: Quality of end-of-life care received by cancer patients has never been explored in an entire Asian country for all ages and cancer groups. Patients and methods: Retrospective cohort study to examine trends in quality of end-of-life care among a cohort of 242 530 Taiwanese cancer patients who died in 2000-2006. Results: In the last month of life, cancer care tended to become increasingly aggressive as shown by (i) intensive use of chemotherapy (15.45%-17.28%), (ii) frequent emergency room visits (15.69%-20.99%) and > 14-day hospital stays (41.48%-46.20%), (iii) admissions to intensive care units (10.04%-12.41%), and (iv) hospital deaths (59.11%-65.40%). Use of cardiopulmonary resuscitation (13.09%-8.41%), intubation (26.01%-21.07%), and mechanical ventilation (27.46%-27.05%) decreased, whereas use of hospice services increased considerably (7.34%-16.83%). Among those receiving hospice services, rates of referrals to hospice services in the last 3 days of life decreased from 17.88% to 17.13% but remained steady after adjusting for selected covariates. Conclusions: The quality of end-of-life care for Taiwanese cancer decedents was substantially inferior to that previously reported and to that recommended as benchmarks for not providing overly aggressive care near the end of life.
    Date: 2009-02
    Relation: Annals of Oncology. 2009 Feb;20(2):343-348.
    Link to: http://dx.doi.org/10.1093/annonc/mdn602
    JIF/Ranking 2023: http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=NHRI&SrcApp=NHRI_IR&KeyISSN=0923-7534&DestApp=IC2JCR
    Cited Times(WOS): https://www.webofscience.com/wos/woscc/full-record/WOS:000263405200023
    Cited Times(Scopus): http://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=60549090610
    Appears in Collections:[Tsang-Wu Liu] Periodical Articles

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