Takahiro Higashibata1, Naoko Iwata2, Ikuko Kazama3, Yoshiko Irie3, Kyoko Yokosuka4, Junya Okita5, Jun Hamano6, Hiroka Nagaoka6. 1. Department of General Medicine and Primary Care, University of Tsukuba Hospital, Tsukuba, Japan. 2. Medical Liaison and Patient Support Services Center, University of Tsukuba Hospital, Tsukuba, Japan. 3. Division of Nursing, University of Tsukuba Hospital, Tsukuba, Japan. 4. Department of Palliative Care, Tsuboi Hospital, Koriyama, Japan. 5. Department of Palliative Care, Komaki City Hospital, Komaki, Japan. 6. Faculty of Medicine, University of Tsukuba, Tsukuba, Japan.
Abstract
BACKGROUND: The appropriate timing of introducing the home-based nursing service to patients with advanced cancer has not been clarified. This study conducted a retrospective cohort study to investigate the associations of the early utilization of the home-based nursing service during chemotherapy with the place of care immediately after the last chemotherapy treatment in patients with advanced cancer. METHODS: Among the patients referred to the palliative care team of the University of Tsukuba Hospital between January 2018 and December 2019, patients with advanced cancer undergoing chemotherapy or before the start of chemotherapy at referral were included. The study patients who utilized the home-based nursing service during chemotherapy were classified into the early utilization group. The primary endpoint was the place of care immediately after the last chemotherapy treatment. RESULTS: Of the 1154 patients referred to the palliative care team during the study period, 261 were eligible for this study. Of these patients, 15.3% of patients (n = 40) received the home-based nursing service during chemotherapy. The proportion of patients transferred to home care after the last chemotherapy treatment was 17.5% in the early utilization group and 7.2% in the control group. The multivariate analysis revealed that the early utilization of the home-based nursing service during chemotherapy was significantly associated with the transfer to home care (odds ratio = 3.077; 95% confidence interval, 1.113-8.502). CONCLUSION: The early utilization of the home-based nursing service during chemotherapy might be associated with the transfer to home care immediately after the last chemotherapy treatment.
BACKGROUND: The appropriate timing of introducing the home-based nursing service to patients with advanced cancer has not been clarified. This study conducted a retrospective cohort study to investigate the associations of the early utilization of the home-based nursing service during chemotherapy with the place of care immediately after the last chemotherapy treatment in patients with advanced cancer. METHODS: Among the patients referred to the palliative care team of the University of Tsukuba Hospital between January 2018 and December 2019, patients with advanced cancer undergoing chemotherapy or before the start of chemotherapy at referral were included. The study patients who utilized the home-based nursing service during chemotherapy were classified into the early utilization group. The primary endpoint was the place of care immediately after the last chemotherapy treatment. RESULTS: Of the 1154 patients referred to the palliative care team during the study period, 261 were eligible for this study. Of these patients, 15.3% of patients (n = 40) received the home-based nursing service during chemotherapy. The proportion of patients transferred to home care after the last chemotherapy treatment was 17.5% in the early utilization group and 7.2% in the control group. The multivariate analysis revealed that the early utilization of the home-based nursing service during chemotherapy was significantly associated with the transfer to home care (odds ratio = 3.077; 95% confidence interval, 1.113-8.502). CONCLUSION: The early utilization of the home-based nursing service during chemotherapy might be associated with the transfer to home care immediately after the last chemotherapy treatment.
Authors: Adinda Mieras; H Roeline W Pasman; Bregje D Onwuteaka-Philipsen; Anne-Marie M C Dingemans; Edith V Kok; Robin Cornelissen; Wouter Jacobs; Jan-Willem van den Berg; Alle Welling; Brigitte A H A Bogaarts; Lemke Pronk; Annemarie Becker-Commissaris Journal: J Pain Symptom Manage Date: 2019-07-05 Impact factor: 3.612
Authors: Sonali Kaushik; Luke Hounsome; Catherine Blinman; Robert Gornall; Julia Verne Journal: Int J Gynecol Cancer Date: 2018-11 Impact factor: 3.437