Yong Liu1, Yin Shen2, Qinghua Pan3, Huasheng He3, Houwen Zou4, Zuochao Huang5, Zhiping Liu6, Xiaomao Wang7,8. 1. Department of Clinical Pharmacy, Ganzhou Cancer Hospital, Jiangxi, China. 871964552@qq.com. 2. Department of Clinical Pharmacy, Ganzhou Cancer Hospital, First Affiliated Hospital of Gannan Medical University, Ganzhou, Jiangxi, China. 3. Department of Palliative Care, Ganzhou Cancer Hospital, Ganzhou, China. 4. Science and Education Section, Ganzhou Cancer Hospital, Ganzhou, China. 5. Department of Clinical Pharmacy, Ganzhou Cancer Hospital, Jiangxi, China. 6. School of Basic Medicine, Gannan Medical University, Ganzhou, Jiangxi, China. Zhiping.liu@gmu.edu.cn. 7. Department of Clinical Pharmacy, Ganzhou Cancer Hospital, Jiangxi, China. 2438115159@qq.com. 8. Department of Clinical Pharmacy, Ganzhou Cancer Hospital, First Affiliated Hospital of Gannan Medical University, Ganzhou, Jiangxi, China. 2438115159@qq.com.
Abstract
BACKGROUND: Hospice care (HC) is specialized medical care for terminal patients who are nearing the end of life. Interdisciplinary collaborative hospice care (ICHC) is where experts from different disciplines and patients/caregivers form a treatment team to establish shared patient care goals. However, the ICHC efficacy has not been frequently studied in the terminal geriatric cancer patient (TGCP) population. This study aimed to gain insight into ICHC provided to TGCPs by an ICHC team and identify factors to ameliorate multidimensional HC. METHODS: 166 TGCPs were randomized by a computer-generated random number table using an allocation ratio of 1:1. The patients were divided into the ICHC group and life-sustaining treatment (LST) group. The scores of these questionnaires, such as EORTC, QLQ-C30, Hamilton anxiety scale, the median survival time (MST), symptoms improvement, the median average daily cost of drugs (MADDC), the median total cost of drugs (MTDC) in the last 2 days, and medical care satisfaction were observed in both groups. RESULTS: After treatment, the improvement of emotional function and symptoms in the ICHC group were statistically higher than those in the LST group (P < 0.05). The MADDC and the MTDC in the last 2 days were statistically lower in the ICHC group than those in the LSTs group (P < 0.01). In addition, the overall satisfaction situation and the cooperation ability in the ICHC group were statistically higher than those in the LST group (P < 0.01). CONCLUSION: The ICHC could provide TGCPs with coordinated, comfortable, high-quality, and humanistic care.
BACKGROUND: Hospice care (HC) is specialized medical care for terminal patients who are nearing the end of life. Interdisciplinary collaborative hospice care (ICHC) is where experts from different disciplines and patients/caregivers form a treatment team to establish shared patient care goals. However, the ICHC efficacy has not been frequently studied in the terminal geriatric cancer patient (TGCP) population. This study aimed to gain insight into ICHC provided to TGCPs by an ICHC team and identify factors to ameliorate multidimensional HC. METHODS: 166 TGCPs were randomized by a computer-generated random number table using an allocation ratio of 1:1. The patients were divided into the ICHC group and life-sustaining treatment (LST) group. The scores of these questionnaires, such as EORTC, QLQ-C30, Hamilton anxiety scale, the median survival time (MST), symptoms improvement, the median average daily cost of drugs (MADDC), the median total cost of drugs (MTDC) in the last 2 days, and medical care satisfaction were observed in both groups. RESULTS: After treatment, the improvement of emotional function and symptoms in the ICHC group were statistically higher than those in the LST group (P < 0.05). The MADDC and the MTDC in the last 2 days were statistically lower in the ICHC group than those in the LSTs group (P < 0.01). In addition, the overall satisfaction situation and the cooperation ability in the ICHC group were statistically higher than those in the LST group (P < 0.01). CONCLUSION: The ICHC could provide TGCPs with coordinated, comfortable, high-quality, and humanistic care.