Pattern and characteristics of advanced cancer patients admitted to hospices in Italy

Alessandra Casuccio, Rosanna Bellingardo, Silvana Sabba, Francesca Guolo, Sara Ori, Sebastiano Mercadante, Alessandro Valle, Antonio Orlando, Loretta Gulmini

Risultato della ricerca: Article

20 Citazioni (Scopus)

Abstract

AbstractThe aim of this multicenter study was to assess the pattern and the characteristics of advanced cancer patients admitted to hospices. A consecutive sample of patients admitted in a period of 6 months was taken into consideration. Two hundred thirty-six patients admitted to hospices were consecutively assessed. Ninety-six percent of patients were admitted in acute hospital in the previous 3 months, with a mean time spent in hospital of 34.5 days, and 47 % of patients had received chemotherapy the month before hospice admission. Thirty-four percent of patients for whom data were available had significant persistent pain, and 44 % of them presented episodes of breakthrough pain. Sixty-one percent of patients were receiving opioid drugs at admission, and 70 % the day before death, with parenteral morphine and transdermal fentanyl being the opioids most frequently administered. The mean admission time in hospice was 18.4 days. Eighty-six percent died in hospice. Palliative sedation was performed in 25 % of patients who died in hospice. The short survival and the number of patients dying in hospice were the principal finding, as it appears that hospice admission is only one way for end of life treatments. Patients receive specialized palliative care only for 2-3 weeks before death, implying an inacceptable timing for patients with several problems presumed to be present early during the course of disease. Data from hospice activities in Italy strongly suggest to spread palliative care in other settings, other than home care and hospice, to intercept oncologic patients in their disease trajectory early.
Lingua originaleEnglish
pagine (da-a)935-939
Numero di pagine5
RivistaSupportive Care in Cancer
Volume21
Stato di pubblicazionePublished - 2013

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Hospices
Italy
Neoplasms
Palliative Care
Opioid Analgesics
Breakthrough Pain
Fentanyl
Home Care Services
Morphine
Multicenter Studies

All Science Journal Classification (ASJC) codes

  • Oncology

Cita questo

Casuccio, A., Bellingardo, R., Sabba, S., Guolo, F., Ori, S., Mercadante, S., ... Gulmini, L. (2013). Pattern and characteristics of advanced cancer patients admitted to hospices in Italy. Supportive Care in Cancer, 21, 935-939.

Pattern and characteristics of advanced cancer patients admitted to hospices in Italy. / Casuccio, Alessandra; Bellingardo, Rosanna; Sabba, Silvana; Guolo, Francesca; Ori, Sara; Mercadante, Sebastiano; Valle, Alessandro; Orlando, Antonio; Gulmini, Loretta.

In: Supportive Care in Cancer, Vol. 21, 2013, pag. 935-939.

Risultato della ricerca: Article

Casuccio, A, Bellingardo, R, Sabba, S, Guolo, F, Ori, S, Mercadante, S, Valle, A, Orlando, A & Gulmini, L 2013, 'Pattern and characteristics of advanced cancer patients admitted to hospices in Italy', Supportive Care in Cancer, vol. 21, pagg. 935-939.
Casuccio A, Bellingardo R, Sabba S, Guolo F, Ori S, Mercadante S e altri. Pattern and characteristics of advanced cancer patients admitted to hospices in Italy. Supportive Care in Cancer. 2013;21:935-939.
Casuccio, Alessandra ; Bellingardo, Rosanna ; Sabba, Silvana ; Guolo, Francesca ; Ori, Sara ; Mercadante, Sebastiano ; Valle, Alessandro ; Orlando, Antonio ; Gulmini, Loretta. / Pattern and characteristics of advanced cancer patients admitted to hospices in Italy. In: Supportive Care in Cancer. 2013 ; Vol. 21. pagg. 935-939.
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abstract = "AbstractThe aim of this multicenter study was to assess the pattern and the characteristics of advanced cancer patients admitted to hospices. A consecutive sample of patients admitted in a period of 6 months was taken into consideration. Two hundred thirty-six patients admitted to hospices were consecutively assessed. Ninety-six percent of patients were admitted in acute hospital in the previous 3 months, with a mean time spent in hospital of 34.5 days, and 47 {\%} of patients had received chemotherapy the month before hospice admission. Thirty-four percent of patients for whom data were available had significant persistent pain, and 44 {\%} of them presented episodes of breakthrough pain. Sixty-one percent of patients were receiving opioid drugs at admission, and 70 {\%} the day before death, with parenteral morphine and transdermal fentanyl being the opioids most frequently administered. The mean admission time in hospice was 18.4 days. Eighty-six percent died in hospice. Palliative sedation was performed in 25 {\%} of patients who died in hospice. The short survival and the number of patients dying in hospice were the principal finding, as it appears that hospice admission is only one way for end of life treatments. Patients receive specialized palliative care only for 2-3 weeks before death, implying an inacceptable timing for patients with several problems presumed to be present early during the course of disease. Data from hospice activities in Italy strongly suggest to spread palliative care in other settings, other than home care and hospice, to intercept oncologic patients in their disease trajectory early.",
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T1 - Pattern and characteristics of advanced cancer patients admitted to hospices in Italy

AU - Casuccio, Alessandra

AU - Bellingardo, Rosanna

AU - Sabba, Silvana

AU - Guolo, Francesca

AU - Ori, Sara

AU - Mercadante, Sebastiano

AU - Valle, Alessandro

AU - Orlando, Antonio

AU - Gulmini, Loretta

PY - 2013

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N2 - AbstractThe aim of this multicenter study was to assess the pattern and the characteristics of advanced cancer patients admitted to hospices. A consecutive sample of patients admitted in a period of 6 months was taken into consideration. Two hundred thirty-six patients admitted to hospices were consecutively assessed. Ninety-six percent of patients were admitted in acute hospital in the previous 3 months, with a mean time spent in hospital of 34.5 days, and 47 % of patients had received chemotherapy the month before hospice admission. Thirty-four percent of patients for whom data were available had significant persistent pain, and 44 % of them presented episodes of breakthrough pain. Sixty-one percent of patients were receiving opioid drugs at admission, and 70 % the day before death, with parenteral morphine and transdermal fentanyl being the opioids most frequently administered. The mean admission time in hospice was 18.4 days. Eighty-six percent died in hospice. Palliative sedation was performed in 25 % of patients who died in hospice. The short survival and the number of patients dying in hospice were the principal finding, as it appears that hospice admission is only one way for end of life treatments. Patients receive specialized palliative care only for 2-3 weeks before death, implying an inacceptable timing for patients with several problems presumed to be present early during the course of disease. Data from hospice activities in Italy strongly suggest to spread palliative care in other settings, other than home care and hospice, to intercept oncologic patients in their disease trajectory early.

AB - AbstractThe aim of this multicenter study was to assess the pattern and the characteristics of advanced cancer patients admitted to hospices. A consecutive sample of patients admitted in a period of 6 months was taken into consideration. Two hundred thirty-six patients admitted to hospices were consecutively assessed. Ninety-six percent of patients were admitted in acute hospital in the previous 3 months, with a mean time spent in hospital of 34.5 days, and 47 % of patients had received chemotherapy the month before hospice admission. Thirty-four percent of patients for whom data were available had significant persistent pain, and 44 % of them presented episodes of breakthrough pain. Sixty-one percent of patients were receiving opioid drugs at admission, and 70 % the day before death, with parenteral morphine and transdermal fentanyl being the opioids most frequently administered. The mean admission time in hospice was 18.4 days. Eighty-six percent died in hospice. Palliative sedation was performed in 25 % of patients who died in hospice. The short survival and the number of patients dying in hospice were the principal finding, as it appears that hospice admission is only one way for end of life treatments. Patients receive specialized palliative care only for 2-3 weeks before death, implying an inacceptable timing for patients with several problems presumed to be present early during the course of disease. Data from hospice activities in Italy strongly suggest to spread palliative care in other settings, other than home care and hospice, to intercept oncologic patients in their disease trajectory early.

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