Trends in quality of end-of-life care for Taiwanese cancer patients who died in 2000-2006

S. T. Tang, S. C. Wu, Y. N. Hung, E. W. Huang, J. S. Chen, T. W. Liu

Research output: Contribution to journalArticlepeer-review

78 Citations (Scopus)

Abstract

Background: Quality of end-of-life care received by cancer patients has never been explored in an entire Asian country for all ages and cancer groups. Patients and methods: Retrospective cohort study to examine trends in quality of end-of-life care among a cohort of 242 530 Taiwanese cancer patients who died in 2000-2006. Results: In the last month of life, cancer care tended to become increasingly aggressive as shown by (i) intensive use of chemotherapy (15.45%-17.28%), (ii) frequent emergency room visits (15.69%-20.99%) and >14-day hospital stays (41.48%-46.20%), (iii) admissions to intensive care units (10.04%-12.41%), and (iv) hospital deaths (59.11%-65.40%). Use of cardiopulmonary resuscitation (13.09%-8.41%), intubation (26.01%-21.07%), and mechanical ventilation (27.46%-27.05%) decreased, whereas use of hospice services increased considerably (7.34%-16.83%). Among those receiving hospice services, rates of referrals to hospice services in the last 3 days of life decreased from 17.88% to 17.13% but remained steady after adjusting for selected covariates. Conclusions: The quality of end-of-life care for Taiwanese cancer decedents was substantially inferior to that previously reported and to that recommended as benchmarks for not providing overly aggressive care near the end of life.

Original languageEnglish
Pages (from-to)343-348
Number of pages6
JournalAnnals of Oncology
Volume20
Issue number2
DOIs
Publication statusPublished - 2009
Externally publishedYes

Keywords

  • Administrative databases analysis
  • Aggressiveness of care near the end of life
  • Population-based study
  • Quality of end-of-life care

ASJC Scopus subject areas

  • Oncology
  • Hematology

Fingerprint Dive into the research topics of 'Trends in quality of end-of-life care for Taiwanese cancer patients who died in 2000-2006'. Together they form a unique fingerprint.

Cite this