Healthcare Use during the Last Six Months of Life in Patients with Advanced Breast Cancer

New treatment options in cancer have resulted in increased use of health care resources near the end of life. We assessed health care use near the end of life of patients with advanced breast cancer (ABC). From the Southeast Netherlands Breast cancer (SONABRE) registry, we selected all deceased pati...

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Autores principales:	Renée. S. J. M. Schmitz, Sandra. M. E. Geurts, Khava. I. E. Ibragimova, Dominique. J. P. Tilli, Vivianne. C. G. Tjan-Heijnen, Maaike de Boer
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	breast neoplasms neoplasm metastasis end of life delivery of health care chemotherapy SONABRE Registry Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282
Acceso en línea:	https://doaj.org/article/f425993cf7d44740867f0d61e4900dff
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spelling	oai:doaj.org-article:f425993cf7d44740867f0d61e4900dff2021-11-11T15:26:46ZHealthcare Use during the Last Six Months of Life in Patients with Advanced Breast Cancer10.3390/cancers132152712072-6694https://doaj.org/article/f425993cf7d44740867f0d61e4900dff2021-10-01T00:00:00Zhttps://www.mdpi.com/2072-6694/13/21/5271https://doaj.org/toc/2072-6694New treatment options in cancer have resulted in increased use of health care resources near the end of life. We assessed health care use near the end of life of patients with advanced breast cancer (ABC). From the Southeast Netherlands Breast cancer (SONABRE) registry, we selected all deceased patients diagnosed with ABC in Maastricht University Medical Center between January 2007 and October 2017. Frequency of health care use in the last six months of life was described and predictors for health care use were assessed. Of 203 patients, 76% were admitted during the last six months, 6% to the intensive care unit (ICU) and 2% underwent cardiopulmonary resuscitation (CPR). Death in hospital occurred in 25%. Nine percent of patients received a new line of chemotherapy ≤30 days before death, which was associated with age <65 years and <1 year survival since diagnosis of metastases. In these patients, the hospital admission rate was 95%, of which 79% died in the hospital, mostly due to progressive disease (80%). In conclusion, the frequency of ICU-admission, CPR or a new line of chemotherapy ≤30 days before death was low. Most patients receiving a new line of chemotherapy ≤30 days before death, died in the hospital.Renée. S. J. M. SchmitzSandra. M. E. GeurtsKhava. I. E. IbragimovaDominique. J. P. TilliVivianne. C. G. Tjan-HeijnenMaaike de BoerMDPI AGarticlebreast neoplasmsneoplasm metastasisend of lifedelivery of health carechemotherapySONABRE RegistryNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENCancers, Vol 13, Iss 5271, p 5271 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	breast neoplasms neoplasm metastasis end of life delivery of health care chemotherapy SONABRE Registry Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282
spellingShingle	breast neoplasms neoplasm metastasis end of life delivery of health care chemotherapy SONABRE Registry Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282 Renée. S. J. M. Schmitz Sandra. M. E. Geurts Khava. I. E. Ibragimova Dominique. J. P. Tilli Vivianne. C. G. Tjan-Heijnen Maaike de Boer Healthcare Use during the Last Six Months of Life in Patients with Advanced Breast Cancer
description	New treatment options in cancer have resulted in increased use of health care resources near the end of life. We assessed health care use near the end of life of patients with advanced breast cancer (ABC). From the Southeast Netherlands Breast cancer (SONABRE) registry, we selected all deceased patients diagnosed with ABC in Maastricht University Medical Center between January 2007 and October 2017. Frequency of health care use in the last six months of life was described and predictors for health care use were assessed. Of 203 patients, 76% were admitted during the last six months, 6% to the intensive care unit (ICU) and 2% underwent cardiopulmonary resuscitation (CPR). Death in hospital occurred in 25%. Nine percent of patients received a new line of chemotherapy ≤30 days before death, which was associated with age <65 years and <1 year survival since diagnosis of metastases. In these patients, the hospital admission rate was 95%, of which 79% died in the hospital, mostly due to progressive disease (80%). In conclusion, the frequency of ICU-admission, CPR or a new line of chemotherapy ≤30 days before death was low. Most patients receiving a new line of chemotherapy ≤30 days before death, died in the hospital.
format	article
author	Renée. S. J. M. Schmitz Sandra. M. E. Geurts Khava. I. E. Ibragimova Dominique. J. P. Tilli Vivianne. C. G. Tjan-Heijnen Maaike de Boer
author_facet	Renée. S. J. M. Schmitz Sandra. M. E. Geurts Khava. I. E. Ibragimova Dominique. J. P. Tilli Vivianne. C. G. Tjan-Heijnen Maaike de Boer
author_sort	Renée. S. J. M. Schmitz
title	Healthcare Use during the Last Six Months of Life in Patients with Advanced Breast Cancer
title_short	Healthcare Use during the Last Six Months of Life in Patients with Advanced Breast Cancer
title_full	Healthcare Use during the Last Six Months of Life in Patients with Advanced Breast Cancer
title_fullStr	Healthcare Use during the Last Six Months of Life in Patients with Advanced Breast Cancer
title_full_unstemmed	Healthcare Use during the Last Six Months of Life in Patients with Advanced Breast Cancer
title_sort	healthcare use during the last six months of life in patients with advanced breast cancer
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/f425993cf7d44740867f0d61e4900dff
work_keys_str_mv	AT reneesjmschmitz healthcareuseduringthelastsixmonthsoflifeinpatientswithadvancedbreastcancer AT sandramegeurts healthcareuseduringthelastsixmonthsoflifeinpatientswithadvancedbreastcancer AT khavaieibragimova healthcareuseduringthelastsixmonthsoflifeinpatientswithadvancedbreastcancer AT dominiquejptilli healthcareuseduringthelastsixmonthsoflifeinpatientswithadvancedbreastcancer AT viviannecgtjanheijnen healthcareuseduringthelastsixmonthsoflifeinpatientswithadvancedbreastcancer AT maaikedeboer healthcareuseduringthelastsixmonthsoflifeinpatientswithadvancedbreastcancer
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Healthcare Use during the Last Six Months of Life in Patients with Advanced Breast Cancer

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