End-of-Life Care Received Varies Based on Type of Disease

This article originally appeared here.
Share this content:
End-of-Life Care Received Varies Based on Type of Disease
End-of-Life Care Received Varies Based on Type of Disease

TUESDAY, June 28, 2016 (HealthDay News) -- Family-reported quality of end-of-life care is significantly better for patients with cancer or dementia than for patients with other chronic conditions, according to research published online June 26 in JAMA Internal Medicine to coincide with presentation at AcademyHealth's Annual Research Meeting, held from June 26 to 28 in Boston.

Using medical records and results from the Bereaved Family Survey, the researchers reviewed data from 146 hospitals in the VA health system for patients who died between 2009 and 2012.

Among 57,753 patients, half of those with end-stage renal disease, cardiopulmonary failure, and frailty received palliative care consultations, compared with 74 percent of cancer patients and 61 percent of dementia patients. About one-third of those with end-stage renal disease, cardiopulmonary failure, and frailty died in an intensive care unit; 13.4 percent of cancer patients and 8.9 percent of dementia patients died in intensive care units. Cancer and dementia patients were more likely to have "do not resuscitate" (DNR) orders. Around 94 percent of those with cancer and dementia had a DNR, compared to 87 percent of those with other conditions.

About 60 percent of families of cancer and dementia patients rated the end-of-life care as excellent. About 54 percent of families of patients with other conditions gave a similar rating, the researchers found. "Increasing access to palliative care and goals of care discussions that address code status and preferred setting of death, particularly for patients with end-organ failure and frailty, may improve the overall quality of end-of-life care for Americans dying of these illnesses," the authors write.

Abstract
Full Text
Editorial
More Information

Share this content:

is free, fast, and customized just for you!




Already a member?

Sign In Now »

Trending Activities

All Professions

Drug Lookup

Browse drugs by: BrandGenericDisease

More in Home

Actigraphy May Overestimate Sleep in ICU Setting

Actigraphy May Overestimate Sleep in ICU Setting

Wide ranges of sleep quality and quantity with use of actigraphy among critically ill patients in ICU

Mortality for Unintentional Drug Poisonings Up Since 1979

Mortality for Unintentional Drug Poisonings Up Since 1979

Trajectory of overall mortality rate smooth; no exponential trajectories in rates for individual drugs

Most Breast Cancer Diagnoses Given Over the Phone

Most Breast Cancer Diagnoses Given Over the Phone

This represents a reversal, with in-person diagnoses more common before 2006

is free, fast, and customized just for you!




Already a member?

Sign In Now »