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Characterization of patients with brain metastases referred to palliative care.
- Source :
- BMC Palliative Care; 1/11/2024, Vol. 23 Issue 1, p1-8, 8p
- Publication Year :
- 2024
-
Abstract
- Purpose: In this study, we aimed to assess the clinical characteristics, reasons for referral, and outcomes of patients with brain metastases (BM) referred to the supportive care center. Methods: Equal numbers of patients with melanoma, breast cancer, and lung cancer with (N = 90) and without (N = 90) BM were retrospectively identified from the supportive care database for study. Descriptive statistics were used to analyze demographic, disease, and clinical data. Kaplan Meier method was used to evaluate survival outcomes. Results: While physical symptom management was the most common reason for referral to supportive care for both patients with and without BM, patients with BM had significantly lower pain scores on ESAS at time of referral (p = 0.002). They had greater interaction with acute care in the last weeks of life, with higher rates of ICU admission, emergency room visits, and hospitalizations after initial supportive care (SC) visit. The median survival time from referral to Supportive Care Center (SCC) was 0.90 years (95% CI 0.73, 1.40) for the brain metastasis group and 1.29 years (95% CI 0.91, 2.29) for the group without BM. Conclusions: Patients with BM have shorter survival and greater interaction with acute care in the last weeks of life. This population also has distinct symptom burdens from patients without BM. Strategies to optimize integration of SC for patients with BM warrant ongoing study. [ABSTRACT FROM AUTHOR]
- Subjects :
- BRAIN tumor treatment
INTENSIVE care units
CONFIDENCE intervals
MELANOMA
METASTASIS
RETROSPECTIVE studies
PATIENTS
LUNG tumors
TREATMENT effectiveness
HOSPITAL admission & discharge
SYMPTOMS
MEDICAL referrals
KAPLAN-Meier estimator
HOSPITAL care
DESCRIPTIVE statistics
RESEARCH funding
DATA analysis software
PALLIATIVE treatment
EMERGENCY room visits
BREAST tumors
Subjects
Details
- Language :
- English
- ISSN :
- 1472684X
- Volume :
- 23
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- BMC Palliative Care
- Publication Type :
- Academic Journal
- Accession number :
- 174760052
- Full Text :
- https://doi.org/10.1186/s12904-023-01320-3