2018 ASCO Annual Meeting!
Session: Patient and Survivor Care
Type: Poster Session
Time: Monday June 4, 1:15 PM to 4:45 PM
Location: Hall A
End of life care in gynaecological cancer patients: A population-based study of cancer deaths from the Swedish Register of Palliative Care.
Patient and Survivor Care
2018 ASCO Annual Meeting
Poster Board Number:
Poster Session (Board #16)
J Clin Oncol 36, 2018 (suppl; abstr 10028)
Author(s): Kristina Lindemann, Lisa Martinsson, David Lindquist; Institute of Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway; Department of Radiation Sciences, Umeå University, Umeå, Sweden
Background: The quality of end of life care for gynecological cancer patients in Europe is unknown. Patient age may affect of end of life care. Methods: Patients who died expectably from gynaecological cancer between 2013 and 2015 were identified in the population-based Swedish Register of Palliative Care (N = 2,970). We investigated if age-dependent differences were present with respect to twelve indicators of palliative care quality. Patients were categorized in five pre-defined age groups. Odds ratios (OR) with 95% confidence intervals (CIs), adjusted for type of end-of-life care unit where appropriate, were calculated using logistic regression, with the oldest group (≥85 years) as reference. Results: Age-dependent differences in implementation rate were present for three out of 12 end-of-life care quality indicators, some of which were progressively less well met with each increment in age group. Compared to elderly cancer patients, younger patients (40-59 years) were more often informed about imminent death, (OR, 2.29; 95% CI, 1.41-3.71; p = 0.001). They were also more likely to be cared for by a specialised palliative care service (OR, 5.02; 95% CI, 3.78-6.65;p < 0.001). There was no difference between age groups in the assessed for the presence and severity of pain, injections prescribed as needed against pain, nausea, anxiety or death rattle. However, younger patients were more likely to receive fluids via enteral tube or intravenously during last 24 hours of life (OR, 4.86; 95% CI, 3.174-7.445; p = 0.001). Conclusions: Elderly gynaecological cancer patients are at high risk to die without the care of specialized palliative care services. Still, also institutions outside specialized care seem to increasingly adhere to palliative care quality guidelines.