Literature DB >> 19760770

End of life in children with cancer: experience at the pediatric oncology department of the istituto nazionale tumori in Milan.

Silvia Beretta1, Daniela Polastri, Carlo Alfredo Clerici, Michela Casanova, Graziella Cefalo, Andrea Ferrari, Roberto Luksch, Maura Massimino, Cristina Meazza, Marta Giorgia Podda, Filippo Spreafico, Monica Terenziani, Franca Fossati Bellani.   

Abstract

BACKGROUND: Coping with end-stage pediatric cancer patients and the related bereavement is a challenge for all the caregivers involved. PROCEDURE: Forty-seven cancer patients who died in 2006 were assessed as concerns the main place of care in the end stage of their disease, their symptoms, the palliative treatments received, and the site of death.
RESULTS: The end stage was managed at the Istituto Nazionale Tumori Pediatric Oncology Department in 61% of cases, at home in 26%, and in hospices or other hospital facilities in 11%. Pain was the most common symptom, followed by asthenia, anorexia, dyspnea, and nausea/vomiting. About half the patients died at home, 8.5% at our institute, 43% at other hospitals, and 8.5% in hospices.
CONCLUSIONS: The care of pediatric cancer patients during the end stage of their disease is the responsibility of the caregivers who have followed them up since their diagnosis. However, it would be useful to establish an exchange of information and expertise between pediatric oncologists and the other facilities involved (hospices, other hospitals) or people assisting patients at home (family, family pediatrician/general practitioner GP). Copyright 2009 Wiley-Liss, Inc.

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Year:  2010        PMID: 19760770     DOI: 10.1002/pbc.22284

Source DB:  PubMed          Journal:  Pediatr Blood Cancer        ISSN: 1545-5009            Impact factor:   3.167


  3 in total

1.  Trends in the aggressiveness of end-of-life care for Korean pediatric cancer patients who died in 2007-2010.

Authors:  June Dong Park; Hyoung Jin Kang; Young Ae Kim; MinKyoung Jo; Eun Sook Lee; Hee Young Shin; Young Ho Yun
Journal:  PLoS One       Date:  2014-06-12       Impact factor: 3.240

2.  Palliative care in pediatric hematological oncology patients: experience of a tertiary hospital.

Authors:  Maria Thereza Macedo Valadares; Joaquim Antônio César Mota; Benigna Maria de Oliveira
Journal:  Rev Bras Hematol Hemoter       Date:  2014-09-18

Review 3.  Pharmacological interventions for pain in children and adolescents with life-limiting conditions.

Authors:  Emma Beecham; Bridget Candy; Richard Howard; Renée McCulloch; Jo Laddie; Henrietta Rees; Victoria Vickerstaff; Myra Bluebond-Langner; Louise Jones
Journal:  Cochrane Database Syst Rev       Date:  2015-03-13
  3 in total

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