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J Palliat Med ; 21(8): 1100-1106, 2018 08.
Article in English | MEDLINE | ID: mdl-29768074

ABSTRACT

AIM: To study to what extent tumor-specific treatment (chemo- or radiotherapy) was given during the last 30 days in life and to examine how many of the patients were referred to a specialized palliative care unit (PCU), at a low-resource governmental hospital in India. PATIENTS AND METHODS: Medical records of adult cancer patients deceased between April 1 and May 31 in 2016, and pediatric cancer patients deceased between April 1 and September 30 in 2016 were collected. Data regarding gender, age at admission, cancer diagnosis, tumor-specific treatment received, referral to the PCU, and date of death, were sampled. RESULTS: A total of 96 patients (52 adults and 44 pediatric patients) were included in the study. In the last 30 days of life, tumor-specific treatment was given to 39 adult patients and 38 pediatric patients. During the last week in life, 26 adult and 25 pediatric patients, respectively, received tumor-specific treatment. Twenty-six adult and 25 pediatric patients, respectively, were referred to the PCU. End-of-life (EoL) tumor therapy was given to a lesser extent among referred patients. CONCLUSIONS: Eighty percent of the patients were given tumor-specific treatment near EoL. Half of the patients had been referred for specialized palliative care (SPC).


Subject(s)
Neoplasms/therapy , Palliative Care/psychology , Palliative Care/standards , Practice Guidelines as Topic , Referral and Consultation/statistics & numerical data , Terminal Care/psychology , Terminal Care/standards , Adolescent , Adult , Aged , Aged, 80 and over , Child , Child, Preschool , Decision Making , Female , Humans , India , Infant , Male , Middle Aged , Retrospective Studies , Young Adult
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