Prevalence and Predictors of Palliative Care Utilization among Hospitalized Patients with Diffuse Large B-Cell Lymphoma.

IF 1.3 4区 医学 Q4 HEALTH CARE SCIENCES & SERVICES
Inimfon Jackson, Aniekeme Etuk, Nsikak Jackson
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引用次数: 1

Abstract

Objective: Research has shown that palliative care improves the quality of life of cancer patients; however, there is no literature on specific factors that predict its use in diffuse large b-cell lymphoma (DLBCL) patients. Therefore, the prevalence of palliative care utilization and predictors of palliative care utilization among patients with DLBCL were examined. Methods: Data from the National Inpatient Sample (NIS) collected between 2016 to 2018 were used for all analyses. Multivariable logistic regression models were used to examine the predictors of palliative care utilization among hospitalized patients with DLBCL. Descriptive analyses were used to explore the overall prevalence of palliative care receipt in this population. Results: Of the 41,789 hospitalizations, 7.1% of patients used palliative care during hospitalization, while 4.8% utilized palliative care and were discharged alive. DLBCL patients aged 70 and older had 1.3 times (95% CI: 1.14-1.41) higher odds of utilizing palliative care compared to those less than 70 years. Relative to Medicare/Medicaid patients, those with other types of insurance were 1.7 times (95% CI: 1.34-2.05) more likely to receive palliative care. Those who were either transferred to a facility/discharged with home health (AOR: 6.23; 95% CI: 5.21-7.44) or died during hospitalization (AOR: 45.17; 95% CI: 36.98-55.17) had higher odds of receiving palliative care when relative to those with a routine hospital discharge. Other associated factors were type of admission, length of stay, chemotherapy receipt, and number of comorbidities. Conclusions: The prevalence of palliative care utilization was low and factors predicting utilization in our population were identified. Our findings highlight the need to increase awareness among medical oncologists on the need to involve the palliative care team early in the management of hospitalized patients with DLBCL.

弥漫性大b细胞淋巴瘤住院患者姑息治疗的患病率及预测因素
目的:研究表明,姑息治疗可提高癌症患者的生活质量;然而,目前还没有关于预测其在弥漫性大b细胞淋巴瘤(DLBCL)患者中的应用的具体因素的文献。因此,姑息治疗的使用率和姑息治疗的预测因素在DLBCL患者中被检查。方法:使用2016年至2018年收集的全国住院患者样本(NIS)数据进行所有分析。采用多变量logistic回归模型对住院大肝癌患者姑息治疗利用的预测因素进行检验。描述性分析用于探讨在这一人群中接受姑息治疗的总体患病率。结果:在41,789例住院患者中,7.1%的患者在住院期间使用了姑息治疗,4.8%的患者使用了姑息治疗并活着出院。70岁及以上的DLBCL患者使用姑息治疗的几率是70岁以下患者的1.3倍(95% CI: 1.14-1.41)。相对于医疗保险/医疗补助患者,那些有其他类型保险的患者接受姑息治疗的可能性是1.7倍(95% CI: 1.34-2.05)。被转移到机构/在家庭健康情况下出院的人(AOR: 6.23;95% CI: 5.21-7.44)或在住院期间死亡(AOR: 45.17;95% CI: 36.98-55.17)接受姑息治疗的几率高于常规出院的患者。其他相关因素包括入院类型、住院时间、化疗接受情况和合并症数量。结论:姑息治疗的使用率较低,并确定了预测患者使用姑息治疗的因素。我们的研究结果强调,有必要提高内科肿瘤学家的认识,让姑息治疗团队尽早参与到DLBCL住院患者的管理中。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Palliative Care
Journal of Palliative Care 医学-卫生保健
CiteScore
3.20
自引率
5.90%
发文量
63
审稿时长
>12 weeks
期刊介绍: The Journal of Palliative Care is a quarterly, peer-reviewed, international and interdisciplinary forum for practical, critical thought on palliative care and palliative medicine. JPC publishes high-quality original research, opinion papers/commentaries, narrative and humanities works, case reports/case series, and reports on international activities and comparative palliative care.
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