Determinants of the place of death among terminally ill cancer patients under home hospice care in Japan

This study aimed to explore the effectiveness of an inpatient hospice palliative care unit (PCU) and palliative consultation service (PCS) on comprehensive quality of life outcome (CoQoLo) among terminally ill cancer patients. This was a prospective longitudinal study. Terminally ill cancer patients who met the inclusion criteria and received PCU or PCS in a northern Taiwanese medical center were recruited. The CoQoLo Inventory was used to measure CoQoLo level pre- and seven days following hospice care between August 2018 and October 2019. A total of 90 patients completed the study. No significant differences were found in CoQoLo levels between the PCU and PCS groups pre- and seven days following care. However, the CoQoLo level of patients significantly improved seven days following care in both PCU and PCS groups, compared with pre-hospice care. Patients’ age, religious belief, marital status, closeness with family, palliative prognostic index (PPI), and symptom severity were significant concerning CoQoLo levels after adjusting for patients’ baseline characteristics. PCU and PCS showed no difference in CoQoLo levels, but both of them can improve CoQoLo among terminally ill cancer patients. These patients could receive PCU or PCS to achieve a good CoQoLo at the end-of-life stage.

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Length of home hospice care, family-perceived timing of referrals, perceived quality of care, and quality of death and dying in terminally ill cancer patients who died at home

Supportive Care in Cancer ◽

10.1007/s00520-014-2397-7 ◽

2014 ◽

Vol 23 (2) ◽

pp. 491-499 ◽

Cited By ~ 17

Author(s):

Akemi Yamagishi ◽

Tatsuya Morita ◽

Shohei Kawagoe ◽

Megumi Shimizu ◽

Taketoshi Ozawa ◽

...

Keyword(s):

Quality Of Care ◽

Hospice Care ◽

Death And Dying ◽

Terminally Ill ◽

Terminally Ill Cancer Patients ◽

Perceived Quality Of Care ◽

Care Family ◽

Quality Of Death ◽

Home Hospice Care

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The preferred place of death between terminally ill cancer patients and their families in Shanghai

BMJ Supportive & Palliative Care ◽

10.1136/bmjspcare-2012-000196.10 ◽

2012 ◽

Vol 2 (Suppl 1) ◽

pp. A4.1-A4

Author(s):

Xiaoli Gu ◽

Wenwu Cheng ◽

Menglei Cheng ◽

Minghui Liu

Keyword(s):

Cancer Patients ◽

Terminally Ill ◽

Place Of Death ◽

Terminally Ill Cancer Patients

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Recommendations for Hospice Care to Terminally Ill Cancer Patients: A Phenomenological Study of Oncologists' Experiences

Journal of Social Work in End-of-Life & Palliative Care ◽

10.1080/15524256.2014.906373 ◽

2014 ◽

Vol 10 (2) ◽

pp. 149-169 ◽

Cited By ~ 5

Author(s):

Suzanne Marmo

Keyword(s):

Cancer Patients ◽

Phenomenological Study ◽

Hospice Care ◽

Terminally Ill ◽

Terminally Ill Cancer Patients

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Clinician Roles in Symptoms and Signs Improvement among Advanced Cancer Patients

10.21203/rs.3.rs-93325/v1 ◽

2020 ◽

Author(s):

Jae Ho Chung ◽

Sun Hyun Kim ◽

Sang-Yeon Suh ◽

Shao-Yi Cheng ◽

Masanori Mori ◽

...

Keyword(s):

Cancer Patients ◽

Hospice Care ◽

Terminally Ill ◽

Palliative Care Service ◽

Care Physician ◽

Care Group ◽

Respiratory Secretion ◽

Terminally Ill Cancer Patients ◽

Physician Group ◽

Symptoms And Signs

Abstract Background: We, study and research how to improve terminally ill cancer patients’ symptoms and signs to ease their pain. Furthermore we also seek how the dedicated palliative care service effects on the cancer patients’ results.Methods: We analyzed 334 physician-diagnosed terminally ill cancer patients and categorized them into non-dedicated hospice care group of 234 and dedicated hospice care group of 100.Results: Symptoms improvement of dyspnea, fatigue, drowsiness, and dry mouth during the first week of admission were respectively 298 (89.2%), 25 (7.5%), 204 (61.1%), 76 (22.8%). Signs improvement of myoclonus, respiratory secretion, leg edema, and ascites between admission and a week after were 5 (1.5%), 41 (12.3%), 47 (14.1%), 12 (3.6%). Significant differences between dedicated hospice care physician group and non-dedicated hospice care physician group were shown in drowsiness (67.5% vs 46 %, p < 0.001) and respiratory secretion (15% vs 6%, p < 0.028).Conclusions:In conclusion, terminally ill cancer patients who received palliative or hospice service showed significant improvement in symptoms and illness signs. Moreover, family doctors (dedicated hospice physician group) performed better than oncologist (non-dedicated physician group).

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