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Hospital-based palliative care referrals: determinants in older adults with cancer

dc.rights.licenseopenen_US
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorCHANTECLAIR, Alex
dc.contributor.authorDUC, Sophie
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorAMADEO, Brice
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorCOUREAU, Gaelle
dc.contributor.authorSOUBEYRAN, Pierre
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorMATHOULIN-PELISSIER, Simone
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorPERES, Karine
ORCID: 0000-0002-0720-0684
IDREF: 080634001
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorHELMER, Catherine
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorGALVIN, Angeline
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorFRASCA, Matthieu
dc.date.accessioned2024-03-13T08:11:02Z
dc.date.available2024-03-13T08:11:02Z
dc.date.issued2024-02-20
dc.identifier.issn2045-4368 (Electronic) 2045-435X (Linking)en_US
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/188747
dc.description.abstractEnOBJECTIVES: Early palliative care improves the quality of life of older patients with cancer. This work aimed to analyse the effect of sociodemographic, geriatric, and tumour-related determinants on hospital-based palliative care (HPC) referral in older patients with cancer, taking into account competing risk of death. METHODS: Older adults with diagnosed cancer from 2014 to 2018 according to the general cancer registry of Gironde (French department) were identified in three population-based cohorts on ageing (PAQUID, 3C - Three City, AMI). Cause-specific Cox models focused on 10 usual determinants in geriatric oncology and palliative care: age, gender, living alone, place of residency, tumour prognosis, activities of daily living (ADL) and instrumental-ADL (IADL) limitations, cognitive impairment, depressive disorders, and polypharmacy. RESULTS: 131 patients with incident cancer (mean age: 86.2 years, men: 62.6%, poor cancer prognosis: 32.8%) were included, HPC occurring for 26 of them. Unfavourable cancer prognosis was a key determinant for HPC referral (HR 7.02, 95% CI 2.86 to 17.23). An altered IADL score was associated with precocious (first year) referral (HR 3.21, 95% CI 1.20 to 8.64, respectively). Women had a higher rate immediately (first week) after diagnosis (HR 8.64, 95% CI 1.27 to 87.27). CONCLUSIONS: Cancer prognosis, functional decline and gender are independent factors of HPC referral in older patients with cancer. These findings may help for a better anticipation of the healthcare pathway.
dc.language.isoENen_US
dc.subject.enAdvance Care Planning
dc.subject.enCancer
dc.subject.enClinical assessment
dc.subject.enHospice care
dc.subject.enHospital care
dc.title.enHospital-based palliative care referrals: determinants in older adults with cancer
dc.title.alternativeBMJ Support Palliat Careen_US
dc.typeArticle de revueen_US
dc.identifier.doi10.1136/spcare-2024-004787en_US
dc.subject.halSciences du Vivant [q-bio]/Santé publique et épidémiologieen_US
dc.identifier.pubmed38378243en_US
bordeaux.journalBMJ Palliative and supportive careen_US
bordeaux.hal.laboratoriesBordeaux Population Health Research Center (BPH) - UMR 1219en_US
bordeaux.institutionUniversité de Bordeauxen_US
bordeaux.institutionINSERMen_US
bordeaux.teamACTIVE_BPHen_US
bordeaux.teamLEHA_BPHen_US
bordeaux.teamEPICENE_BPHen_US
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
hal.identifierhal-04502062
hal.version1
hal.date.transferred2024-03-13T08:11:06Z
hal.popularnonen_US
hal.audienceInternationaleen_US
hal.exporttrue
dc.rights.ccPas de Licence CCen_US
bordeaux.COinSctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=BMJ%20Palliative%20and%20supportive%20care&rft.date=2024-02-20&rft.eissn=2045-4368%20(Electronic)%202045-435X%20(Linking)&rft.issn=2045-4368%20(Electronic)%202045-435X%20(Linking)&rft.au=CHANTECLAIR,%20Alex&DUC,%20Sophie&AMADEO,%20Brice&COUREAU,%20Gaelle&SOUBEYRAN,%20Pierre&rft.genre=article


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