OBJECTIVE: To estimate the reduction of time spent in hospital obtained through palliative home care. METHODS: Retrospective analysis of the hospital admissions occurred during the last year of life. Cancer patients who were resident in the province of Florence, were registered at the Tuscan Cancer Registry, and died during the year 1997 were included in the study. Three palliative home care services were operating in the study area in 1997. MAIN RESULTS: 3423 cancer patients died in the study area during 1997. 9.2% of them received palliative home care. Palliative home care was effective in reducing the utilization of hospital care during the last three months of life. A 25% reduction of the relative risk (CI: 34-14%) to have in-patient admissions and a 49% reduction of relative risk (CI: 52-47%) of spending days in the hospital during the last 3 months of life were estimated through multivariable regression models. CONCLUSIONS: Palliative home care was effective in reducing time spent in hospital during the last 3 months of life.
OBJECTIVE: To estimate the reduction of time spent in hospital obtained through palliative home care. METHODS: Retrospective analysis of the hospital admissions occurred during the last year of life. Cancerpatients who were resident in the province of Florence, were registered at the Tuscan Cancer Registry, and died during the year 1997 were included in the study. Three palliative home care services were operating in the study area in 1997. MAIN RESULTS: 3423 cancerpatients died in the study area during 1997. 9.2% of them received palliative home care. Palliative home care was effective in reducing the utilization of hospital care during the last three months of life. A 25% reduction of the relative risk (CI: 34-14%) to have in-patient admissions and a 49% reduction of relative risk (CI: 52-47%) of spending days in the hospital during the last 3 months of life were estimated through multivariable regression models. CONCLUSIONS: Palliative home care was effective in reducing time spent in hospital during the last 3 months of life.
Authors: Alberto Alonso-Babarro; Eduardo Bruera; María Varela-Cerdeira; María Jesús Boya-Cristia; Rosario Madero; Isabel Torres-Vigil; Javier De Castro; Manuel González-Barón Journal: J Clin Oncol Date: 2011-02-22 Impact factor: 44.544
Authors: Christoph H R Wiese; Utz E Bartels; Karolina Marczynska; David Ruppert; Bernhard M Graf; Gerd G Hanekop Journal: Support Care Cancer Date: 2009-03-25 Impact factor: 3.603
Authors: Christoph H R Wiese; Andrea Vossen-Wellmann; Hannah C Morgenthal; Aron F Popov; Bernhard M Graf; Gerd G Hanekop Journal: BMC Palliat Care Date: 2008-08-12 Impact factor: 3.234
Authors: Mie Nordly; Kirstine Skov Benthien; Hans Von Der Maase; Christoffer Johansen; Marie Kruse; Helle Timm; Eva Soelberg Vadstrup; Geana Paula Kurita; Annika Berglind von Heymann-Horan; Per Sjøgren Journal: BMC Palliat Care Date: 2014-09-09 Impact factor: 3.234