Trend analysis of palliative care consultation service for terminally ill non-cancer patients in Taiwan: a 9-year observational study

Abstract Backgrounds Early integration of palliative care for terminally ill non-cancer patients improves quality of life. However, there are scanty data on Palliative Care Consultation Service (PCCS) among non-cancer patients. Methods In this 9-year observational study Data were collected from the...

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Autores principales:	Lian-Shin Lin, Ling-Hui Huang, Yu-Chen Chang, Chun-Li Wang, Lung-Chun Lee, Chung-Chieh Hu, Pi-Shan Hsu, Wei-Min Chu
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Palliative care consultation service Non-cancer Do-not-resuscitate Awareness Special situations and conditions RC952-1245
Acceso en línea:	https://doaj.org/article/15d04ecff6354b59af37fed90a17eb36
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spelling	oai:doaj.org-article:15d04ecff6354b59af37fed90a17eb362021-11-28T12:09:55ZTrend analysis of palliative care consultation service for terminally ill non-cancer patients in Taiwan: a 9-year observational study10.1186/s12904-021-00879-z1472-684Xhttps://doaj.org/article/15d04ecff6354b59af37fed90a17eb362021-11-01T00:00:00Zhttps://doi.org/10.1186/s12904-021-00879-zhttps://doaj.org/toc/1472-684XAbstract Backgrounds Early integration of palliative care for terminally ill non-cancer patients improves quality of life. However, there are scanty data on Palliative Care Consultation Service (PCCS) among non-cancer patients. Methods In this 9-year observational study Data were collected from the Hospice-Palliative Clinical Database (HPCD) of Taichung Veterans General Hospital (TCVGH). Terminally ill non-cancer patients with 9 categories of diagnoses who received PCCS during 2011 to 2019 were enrolled. Trend analysis was performed to evaluate differences in categories of diagnosis throughout study period, duration of PCCS, patient outcomes, DNR declaration, awareness of disease by patients and families before and after PCCS. Results In total, 536 non-cancer patients received PCCS from 2011 to 2019 with an average age of 70.7 years. The average duration of PCCS was 18.4 days. The distributions of age, gender, patient outcomes, family’s awareness of disease before PCCS, and patient’s awareness of disease after PCCS were significantly different among the diagnoses. Organic brain disease and Chronic kidney disease (CKD) were the most prevalent diagnoses in patients receiving PCCS in 2019. For DNR declaration, the percentage of patients signing DNR before PCCS remained high throughout the study period (92.8% in 2019). Patient outcomes varied according to the disease diagnoses. Conclusion This 9-year observational study showed that the trend of PCCS among non-cancer patients had changed over the duration of the study. An increasing number of terminally ill non-cancer patients received PCCS during late life, thereby increasing the awareness of disease for both patients and families, which would tend to better prepare terminally ill patients for end-of-life as they may consider DNR consent. Early integration of PCCS into ordinary care for terminally non-cancer patients is essential for better quality of life.Lian-Shin LinLing-Hui HuangYu-Chen ChangChun-Li WangLung-Chun LeeChung-Chieh HuPi-Shan HsuWei-Min ChuBMCarticlePalliative care consultation serviceNon-cancerDo-not-resuscitateAwarenessSpecial situations and conditionsRC952-1245ENBMC Palliative Care, Vol 20, Iss 1, Pp 1-11 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Palliative care consultation service Non-cancer Do-not-resuscitate Awareness Special situations and conditions RC952-1245
spellingShingle	Palliative care consultation service Non-cancer Do-not-resuscitate Awareness Special situations and conditions RC952-1245 Lian-Shin Lin Ling-Hui Huang Yu-Chen Chang Chun-Li Wang Lung-Chun Lee Chung-Chieh Hu Pi-Shan Hsu Wei-Min Chu Trend analysis of palliative care consultation service for terminally ill non-cancer patients in Taiwan: a 9-year observational study
description	Abstract Backgrounds Early integration of palliative care for terminally ill non-cancer patients improves quality of life. However, there are scanty data on Palliative Care Consultation Service (PCCS) among non-cancer patients. Methods In this 9-year observational study Data were collected from the Hospice-Palliative Clinical Database (HPCD) of Taichung Veterans General Hospital (TCVGH). Terminally ill non-cancer patients with 9 categories of diagnoses who received PCCS during 2011 to 2019 were enrolled. Trend analysis was performed to evaluate differences in categories of diagnosis throughout study period, duration of PCCS, patient outcomes, DNR declaration, awareness of disease by patients and families before and after PCCS. Results In total, 536 non-cancer patients received PCCS from 2011 to 2019 with an average age of 70.7 years. The average duration of PCCS was 18.4 days. The distributions of age, gender, patient outcomes, family’s awareness of disease before PCCS, and patient’s awareness of disease after PCCS were significantly different among the diagnoses. Organic brain disease and Chronic kidney disease (CKD) were the most prevalent diagnoses in patients receiving PCCS in 2019. For DNR declaration, the percentage of patients signing DNR before PCCS remained high throughout the study period (92.8% in 2019). Patient outcomes varied according to the disease diagnoses. Conclusion This 9-year observational study showed that the trend of PCCS among non-cancer patients had changed over the duration of the study. An increasing number of terminally ill non-cancer patients received PCCS during late life, thereby increasing the awareness of disease for both patients and families, which would tend to better prepare terminally ill patients for end-of-life as they may consider DNR consent. Early integration of PCCS into ordinary care for terminally non-cancer patients is essential for better quality of life.
format	article
author	Lian-Shin Lin Ling-Hui Huang Yu-Chen Chang Chun-Li Wang Lung-Chun Lee Chung-Chieh Hu Pi-Shan Hsu Wei-Min Chu
author_facet	Lian-Shin Lin Ling-Hui Huang Yu-Chen Chang Chun-Li Wang Lung-Chun Lee Chung-Chieh Hu Pi-Shan Hsu Wei-Min Chu
author_sort	Lian-Shin Lin
title	Trend analysis of palliative care consultation service for terminally ill non-cancer patients in Taiwan: a 9-year observational study
title_short	Trend analysis of palliative care consultation service for terminally ill non-cancer patients in Taiwan: a 9-year observational study
title_full	Trend analysis of palliative care consultation service for terminally ill non-cancer patients in Taiwan: a 9-year observational study
title_fullStr	Trend analysis of palliative care consultation service for terminally ill non-cancer patients in Taiwan: a 9-year observational study
title_full_unstemmed	Trend analysis of palliative care consultation service for terminally ill non-cancer patients in Taiwan: a 9-year observational study
title_sort	trend analysis of palliative care consultation service for terminally ill non-cancer patients in taiwan: a 9-year observational study
publisher	BMC
publishDate	2021
url	https://doaj.org/article/15d04ecff6354b59af37fed90a17eb36
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Trend analysis of palliative care consultation service for terminally ill non-cancer patients in Taiwan: a 9-year observational study

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