Hospital-based palliative care referrals: determinants in older adults with cancer
dc.rights.license | open | en_US |
hal.structure.identifier | Bordeaux population health [BPH] | |
dc.contributor.author | CHANTECLAIR, Alex | |
dc.contributor.author | DUC, Sophie | |
hal.structure.identifier | Bordeaux population health [BPH] | |
dc.contributor.author | AMADEO, Brice | |
hal.structure.identifier | Bordeaux population health [BPH] | |
dc.contributor.author | COUREAU, Gaelle | |
dc.contributor.author | SOUBEYRAN, Pierre | |
hal.structure.identifier | Bordeaux population health [BPH] | |
dc.contributor.author | MATHOULIN-PELISSIER, Simone | |
hal.structure.identifier | Bordeaux population health [BPH] | |
dc.contributor.author | PERES, Karine
ORCID: 0000-0002-0720-0684 IDREF: 080634001 | |
hal.structure.identifier | Bordeaux population health [BPH] | |
dc.contributor.author | HELMER, Catherine | |
hal.structure.identifier | Bordeaux population health [BPH] | |
dc.contributor.author | GALVIN, Angeline | |
hal.structure.identifier | Bordeaux population health [BPH] | |
dc.contributor.author | FRASCA, Matthieu | |
dc.date.accessioned | 2024-03-13T08:11:02Z | |
dc.date.available | 2024-03-13T08:11:02Z | |
dc.date.issued | 2024-02-20 | |
dc.identifier.issn | 2045-4368 (Electronic) 2045-435X (Linking) | en_US |
dc.identifier.uri | https://oskar-bordeaux.fr/handle/20.500.12278/188747 | |
dc.description.abstractEn | OBJECTIVES: 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.iso | EN | en_US |
dc.subject.en | Advance Care Planning | |
dc.subject.en | Cancer | |
dc.subject.en | Clinical assessment | |
dc.subject.en | Hospice care | |
dc.subject.en | Hospital care | |
dc.title.en | Hospital-based palliative care referrals: determinants in older adults with cancer | |
dc.title.alternative | BMJ Support Palliat Care | en_US |
dc.type | Article de revue | en_US |
dc.identifier.doi | 10.1136/spcare-2024-004787 | en_US |
dc.subject.hal | Sciences du Vivant [q-bio]/Santé publique et épidémiologie | en_US |
dc.identifier.pubmed | 38378243 | en_US |
bordeaux.journal | BMJ Palliative and supportive care | en_US |
bordeaux.hal.laboratories | Bordeaux Population Health Research Center (BPH) - UMR 1219 | en_US |
bordeaux.institution | Université de Bordeaux | en_US |
bordeaux.institution | INSERM | en_US |
bordeaux.team | ACTIVE_BPH | en_US |
bordeaux.team | LEHA_BPH | en_US |
bordeaux.team | EPICENE_BPH | en_US |
bordeaux.peerReviewed | oui | en_US |
bordeaux.inpress | non | en_US |
hal.identifier | hal-04502062 | |
hal.version | 1 | |
hal.date.transferred | 2024-03-13T08:11:06Z | |
hal.popular | non | en_US |
hal.audience | Internationale | en_US |
hal.export | true | |
dc.rights.cc | Pas de Licence CC | en_US |
bordeaux.COinS | ctx_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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