Publication:
Association of Hospice Care Services With the Utilization of Life-Sustaining Treatments During End-of-Life Care Among Patients With Cancer: A Nationwide 11-Year Cohort Study

Simple item page
cris.lastimport.scopus2026-02-15T16:02:17Z
dc.creatorYen, Yung-Feng
dc.creatorLai, Yun-Ju
dc.creatorKo, Ming-Chung
dc.creatorChen, Yu-Yen
dc.creatorChen, Yi-Tui
dc.creatorChou, Yi-Sheng
dc.creatorHuang, Chun-Teng
dc.creatorChen, Chu-Chieh
dc.date2021-02
dc.date.accessioned2021-11-08T03:51:18Z
dc.date.accessioned2025-07-28T15:04:24Z
dc.date.available2021-11-08T03:51:18Z
dc.date.issued2021-11-08T03:51:18Z
dc.description.abstractContext. The impact of hospice care services on the utilization of life-sustaining treatments during end-of-life care in terminally ill patients has not been extensively studied. Objectives. To determine the impact of hospice care services on the utilization of life-sustaining treatments during the last three months of life among patients with cancer. Methods. This nationwide population-based cohort study identified adults with cancer diagnosis from the Taiwan Registry for Catastrophic Illness, 2006-2016. Life-sustaining treatments included cardiopulmonary resuscitation, intubation, mechanical ventilation support, nasogastric tube feeding, and total parenteral nutrition. Hospice care services consisted of hospice inpatient care, hospice-shared care, and hospice home care. The association of hospice care services with the utilization of life-sustaining treatments was determined using multiple logistic regression. Results. Of 516,409 patients with cancer, 310,722 (60.2%) patients used life-sustaining treatments during the last three months of life. After adjusting for covariates, patients with hospice care services were less likely to receive life-sustaining treatments during the last three months of life than those without the services (adjusted odds ratio [AOR]: 0.70; 95% CI: 0.69-0.71). While type of life-sustaining treatments were considered, hospice care services were associated with a lower likelihood of receiving cardiopulmonary resuscitation (AOR: 0.125; 95% CI: 0.118-0.131), endotracheal intubation (AOR: 0.204; 95% CI: 0.199-0.210), mechanical ventilation support (AOR: 0.265; 95% CI: 0.260-0.270), nasogastric tube feeding (AOR: 0.736; 95% CI: 0.727-0.744), and total parenteral nutrition (AOR: 0.86; 95% CI: 0.84-0.88). Conclusion. Hospice care services were associated with a lower likelihood of receiving life-sustaining treatments during the last three months of life in patients with cancer. (C) 2020 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.
dc.format.extent146 bytes
dc.format.mimetypetext/html
dc.identifier.doi10.1016/j.jpainsymman.2020.07.028
dc.identifier.issn0885-3924
dc.identifier.urihttps://ir.ntus.edu.tw/handle/987654321/65594
dc.languageen_US
dc.publisherNEW YORK: ELSEVIER SCIENCE
dc.relationJOURNAL OF PAIN AND SYMPTOM MANAGEMENT, 61(2), p.323-330
dc.subjectCancer patients
dc.subjecthospice care
dc.subjectlife-sustaining treatments
dc.subjectcohort study
dc.titleAssociation of Hospice Care Services With the Utilization of Life-Sustaining Treatments During End-of-Life Care Among Patients With Cancer: A Nationwide 11-Year Cohort Study
dc.typearticle
dspace.entity.typePublication

Files

Original bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
index.html
Size:
146 B
Format:
Hypertext Markup Language
Download
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
702 B
Format:
Plain Text
Description:
Download

Collections

期刊論文