Missed opportunities: Patterns of medical care and hospice utilization among ovarian cancer patients
Missed opportunities: Patterns of medical care and hospice utilization among ovarian cancer patients
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DOI：
10.1016/j.ygyno.2014.08.039
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发表时间：
2014-11-01
影响因子：
4.7
通讯作者：
Bodurka, Diane C.
中科院分区：
文献类型：
--
作者：
Brown, Alaina J.;Sun, Charlotte C.;Bodurka, Diane C.
目标.评估卵巢癌患者生命最后30天的积极医疗护理、临终关怀利用和先进护理文件。确定了2007-2011年期间在我们机构登记的卵巢癌、输卵管癌或原发性腹膜癌患者。统计分析包括Wilcoxon-Mann-Whitney、卡方分析和多变量分析。183例患者符合入选标准。诊断时的中位年龄为58岁。大多数是患有晚期卵巢癌的白色人。50%的人在生命的最后30天内经历过至少一种形式的积极护理。提供者建议患者参加临终关怀的可能性更大（OR 27.7，p = 0.001）。
Objectives. To assess aggressive medical care, hospice utilization, and advance care documentation among ovarian cancer patients in the final thirty days of life.Methods. Ovarian, fallopian tube, or primary peritoneal cancer patients registered at our institution during 2007-2011 were identified. Statistical analyses included Wilcoxon-Mann-Whitney, Chi-square analysis, and multivariate analysis.Results. 183 patients met inclusion criteria. Median age at diagnosis was 58. Most were white and had advanced ovarian cancer.Fifty percent had experienced at least one form of aggressive care during the last 30 days of life. Patients with provider recommendations to enroll in hospice were more likely to do so (OR 27.7, p =