Decision Tree Model for Predicting Hospice Palliative Care Use in Terminal Cancer Patients / 한국호스피스완화의료학회지
Korean Journal of Hospice and Palliative Care
; : 184-193, 2021.
Artículo
en Inglés
| WPRIM (Pacífico Occidental)
| ID: wpr-902167
Biblioteca responsable:
WPRO
ABSTRACT
Purpose@#This study attempted to develop clinical guidelines to help patients use hospice and palliative care (HPC) at an appropriate time after writing physician orders for lifesustaining treatment (POLST) by identifying the characteristics of HPC use of patients with terminal cancer. @*Methods@#This retrospective study was conducted to understand the characteristics of HPC use of patients with terminal cancer through decision tree analysis. The participants were 394 terminal cancer patients who were hospitalized at a cancer-specialized hospital in Seoul, South Korea and wrote POLST from January 1, 2019 to March 31, 2021. @*Results@#The predictive model for the characteristics of HPC use showed three main nodes (living together, pain control, and period to death after writing POLST). The decision tree analysis of HPC use by terminal cancer patients showed that the most likely group to use HPC use was terminal cancer patients who had a cohabitant, received pain control, and died 2 months or more after writing a POLST. The probability of HPC usage rate in this group was 87.5%. The next most likely group to use HPC had a cohabitant and received pain control; 64.8% of this group used HPC. Finally, 55.1% of participants who had a cohabitant used HPC, which was a significantly higher proportion than that of participants who did not have a cohabitant (1.7%). @*Conclusion@#This study provides meaningful clinical evidence to help make decisions on HPC use more easily at an appropriate time.
Texto completo:
Disponible
Contexto en salud:
Agenda de Salud Sostenible para las Américas
Problema de salud:
Objetivo 4: Financiamiento de la salud
Base de datos:
WPRIM (Pacífico Occidental)
Tipo de estudio:
Guía de práctica clínica
/
Evaluación económica en salud
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Estudio observacional
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Estudio pronóstico
Idioma:
Inglés
Revista:
Korean Journal of Hospice and Palliative Care
Año:
2021
Tipo del documento:
Artículo