Abstract | BACKGROUND: METHODS: This is a retrospective single-center cohort study of adult patients with hematologic malignancy who died between October 2019 and July 2022. Patients were identified, and disease characteristics, therapy, and outcomes were extracted from medical records. Descriptive statistics are reported and univariate analyses were performed across a range of factors to assess for associations. RESULTS: A total of 229 patients were identified, with a median age of 77 years and 35% female. In the final 30 days of life, 65% presented to the emergency department, 22% had an ICU admission, 22% had an invasive procedure, 48% received cytotoxic therapy, 61% received a RBC transfusion, and 46% received a platelet transfusion. Use of intensive chemotherapy was particularly associated with hospitalization and ICU admission. A total of 74% referred to palliative care, with a median time from referral to death of 13 days. Of these patients, one-third were referred within the last 5 days of life. In terms of place of death, 54% died in the acute hospital setting and 30% in hospice, with a median hospice length of stay of 4 days. CONCLUSIONS:
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Authors | Briony Shaw, Catriona Parker, Stephen Opat, Jake Shortt, Peter Poon |
Journal | Journal of the National Comprehensive Cancer Network : JNCCN
(J Natl Compr Canc Netw)
Vol. 21
Issue 8
Pg. 813-820.e1
(08 2023)
ISSN: 1540-1413 [Electronic] United States |
PMID | 37549908
(Publication Type: Journal Article)
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Topics |
- Adult
- Humans
- Female
- Aged
- Male
- Retrospective Studies
- Cohort Studies
- Terminal Care
- Hospice Care
(methods)
- Palliative Care
- Hematologic Neoplasms
(diagnosis, epidemiology, therapy)
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