Characteristics and care pathways of advanced cancer patients in a palliative-supportive care unit and an oncological ward.

Alessandra Casuccio, Andrea Costanzi, Claudio Adile, Amanda Caruselli, Sebastiano Mercadante, Paolo Marchetti, Andrea Costanzi, Patrizia Ferrera

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3 Citations (Scopus)

Abstract

AbstractBACKGROUND:A supportive palliative care unit (SPCU) may have a positive impact on patients' care. The aim of this study was to compare the pattern of patients admitted to a specialized SPCU and to a traditional oncologic ward (OW) in a consecutive sample of advanced cancer patients.METHODS:Data on patients demographics, reasons for and kind of admission, care-giver, anticancer treatments, being on/off treatment or uncertain, origin setting, who proposed hospital admission, the use of opioids, and hospitalization were gathered. The same parameters were recorded at discharge. A follow-up was performed by phone 1 month after discharge.RESULTS:Two-hundred patients were surveyed. Awareness of disease was more complete in OW patients (P = 0.001). Uncontrolled pain and symptoms were the prevalent reasons for admission to SPCU (P < 0.0005). Toxicity from chemotherapy was more frequently reported by OW patients (P = 0.001). SPCU patients received higher doses of opioids (P = 0.004). More SPCU patients were referred from home and were discharged home (P < 0.0005 and P = 0.018, respectively). Emergency admissions were more frequently reported in OW patients (P < 0.0005). One month after, more SPCU patients were at home and were still on active treatment (P = 0.002, and P = 0.05, respectively). More OW patients died within 1 month (P = 0.001).CONCLUSION:SPCU allows a better planning admission to hospital and a better care trajectory in advanced cancer patients in comparison to a busy OW, where unselected emergencies more frequently occur.
Original languageEnglish
Pages (from-to)1961-1966
Number of pages6
JournalSupportive Care in Cancer
Volume26
Publication statusPublished - 2018

All Science Journal Classification (ASJC) codes

  • Oncology

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    Casuccio, A., Costanzi, A., Adile, C., Caruselli, A., Mercadante, S., Marchetti, P., Costanzi, A., & Ferrera, P. (2018). Characteristics and care pathways of advanced cancer patients in a palliative-supportive care unit and an oncological ward. Supportive Care in Cancer, 26, 1961-1966.