What determines referral of UK patients with haematological malignancies to palliative care services? An exploratory study using hospital records.
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| Title: | What determines referral of UK patients with haematological malignancies to palliative care services? An exploratory study using hospital records. |
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| Authors: | Ansell, Pat, Howell, Debra, Garry, Anne, Kite, Suzanne, Munro, Janet, Roman, Eva, Howard, Martin |
| Source: | Palliative Medicine. Sep2007, Vol. 21 Issue 6, p487-492. 6p. 1 Diagram, 3 Charts. |
| Subjects: | Medical referrals, Hospital records, Patients, Palliative treatment, Holistic medicine |
| Abstract: | We investigated the frequency and characteristics of patients with haematological malignancies (HMs) who were, or were not, referred for specialist palliative care (SPC). Data were abstracted from hospital records of 108 patients who died—27 with leukaemia, 11 with myelodysplastic syndromes, 48 with lymphoma and 22 with myeloma. Ninety-three patients (86.1%) were >60 years of age at diagnosis, with 33 (30.6%) being ≥80 years and 31 (28.7%) having existing comorbidities. Thirty-three patients (30.6%) were referred to SPC services. There was little difference by age or HM diagnosis in referred patients. Seventeen of 67 patients (25.4%) dying on a hospital ward received SPC compared with 6/7 (85.7%) dying at home. Time between diagnosis and death influenced the referral—24/52 patients (46.2%) dying ≥30 days after diagnosis received SPC compared with 8/42 (19.1%) dying within 30 days. In 14 patients, HM diagnosis was confirmed after death. Identification of these 14 patients is likely to be a unique feature of our study, as patients were selected from a regional, population-based register with centralized diagnostic services, enabling the identification of all patients with HM. The interface between curative and palliative treatment in HM is more complex than the National Institute for Clinical Excellence recommendations suggest. [ABSTRACT FROM AUTHOR] |
| Copyright of Palliative Medicine is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
| FullText | Links: – Type: pdflink Text: Availability: 0 |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 26633364 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: What determines referral of UK patients with haematological malignancies to palliative care services? An exploratory study using hospital records. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Ansell%2C+Pat%22">Ansell, Pat</searchLink><br /><searchLink fieldCode="AR" term="%22Howell%2C+Debra%22">Howell, Debra</searchLink><br /><searchLink fieldCode="AR" term="%22Garry%2C+Anne%22">Garry, Anne</searchLink><br /><searchLink fieldCode="AR" term="%22Kite%2C+Suzanne%22">Kite, Suzanne</searchLink><br /><searchLink fieldCode="AR" term="%22Munro%2C+Janet%22">Munro, Janet</searchLink><br /><searchLink fieldCode="AR" term="%22Roman%2C+Eva%22">Roman, Eva</searchLink><br /><searchLink fieldCode="AR" term="%22Howard%2C+Martin%22">Howard, Martin</searchLink> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Palliative+Medicine%22">Palliative Medicine</searchLink>. Sep2007, Vol. 21 Issue 6, p487-492. 6p. 1 Diagram, 3 Charts. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Medical+referrals%22">Medical referrals</searchLink><br /><searchLink fieldCode="DE" term="%22Hospital+records%22">Hospital records</searchLink><br /><searchLink fieldCode="DE" term="%22Patients%22">Patients</searchLink><br /><searchLink fieldCode="DE" term="%22Palliative+treatment%22">Palliative treatment</searchLink><br /><searchLink fieldCode="DE" term="%22Holistic+medicine%22">Holistic medicine</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: We investigated the frequency and characteristics of patients with haematological malignancies (HMs) who were, or were not, referred for specialist palliative care (SPC). Data were abstracted from hospital records of 108 patients who died—27 with leukaemia, 11 with myelodysplastic syndromes, 48 with lymphoma and 22 with myeloma. Ninety-three patients (86.1%) were >60 years of age at diagnosis, with 33 (30.6%) being ≥80 years and 31 (28.7%) having existing comorbidities. Thirty-three patients (30.6%) were referred to SPC services. There was little difference by age or HM diagnosis in referred patients. Seventeen of 67 patients (25.4%) dying on a hospital ward received SPC compared with 6/7 (85.7%) dying at home. Time between diagnosis and death influenced the referral—24/52 patients (46.2%) dying ≥30 days after diagnosis received SPC compared with 8/42 (19.1%) dying within 30 days. In 14 patients, HM diagnosis was confirmed after death. Identification of these 14 patients is likely to be a unique feature of our study, as patients were selected from a regional, population-based register with centralized diagnostic services, enabling the identification of all patients with HM. The interface between curative and palliative treatment in HM is more complex than the National Institute for Clinical Excellence recommendations suggest. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Palliative Medicine is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
| PLink | https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=26633364 |
| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1177/0269216307082020 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 6 StartPage: 487 Subjects: – SubjectFull: Medical referrals Type: general – SubjectFull: Hospital records Type: general – SubjectFull: Patients Type: general – SubjectFull: Palliative treatment Type: general – SubjectFull: Holistic medicine Type: general Titles: – TitleFull: What determines referral of UK patients with haematological malignancies to palliative care services? An exploratory study using hospital records. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Ansell, Pat – PersonEntity: Name: NameFull: Howell, Debra – PersonEntity: Name: NameFull: Garry, Anne – PersonEntity: Name: NameFull: Kite, Suzanne – PersonEntity: Name: NameFull: Munro, Janet – PersonEntity: Name: NameFull: Roman, Eva – PersonEntity: Name: NameFull: Howard, Martin IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 09 Text: Sep2007 Type: published Y: 2007 Identifiers: – Type: issn-print Value: 02692163 Numbering: – Type: volume Value: 21 – Type: issue Value: 6 Titles: – TitleFull: Palliative Medicine Type: main |
| ResultId | 1 |
