| Title |
The earlier the better: the role of palliative care consultation on aggressive end of life care, hospice utilization, and advance care planning documentation among gynecologic oncology patients
|
|---|---|
| Published in |
Supportive Care in Cancer, September 2018
|
| DOI | 10.1007/s00520-018-4457-x |
| Pubmed ID | |
| Authors |
Mali K. Schneiter, Mohana B. Karlekar, Marta A. Crispens, Lauren S. Prescott, Alaina J. Brown |
| Abstract |
To evaluate the role of specialty palliative care consultation (PCC) on end of life care outcomes among terminally ill gynecologic oncology patients. Retrospective chart review of currently deceased gynecologic oncology patients seen at a single, academic institution between October 2006 and October 2016. Clinical characteristics and outcomes were examined using descriptive statistics and logistic regression. Two hundred and four patients were eligible. Forty-one percent underwent at least one marker of aggressive care at the end of life. Most (53%) had a PCC prior to death, and of these most were inpatient (89%). Patients with a PCC had higher odds of hospice enrollment before death (OR 2.55, p = 0.016) and higher odds of advance care planning documentation before death (OR 6.79, p = < 0.001). Among patients with an inpatient PCC, 44% underwent a marker of aggressive medical care at the end of life and 82% enrolled in hospice before death. Among patients with an outpatient PCC, 25% underwent a marker of aggressive medical care at the end of life and 92% enrolled in hospice before death. Patients with outpatient PCC were engaged in palliative care longer than patients with inpatient PCC (median 106 days vs. 33 days prior to death). PCC increased hospice enrollment and advance care planning documentation. Patients with outpatient PCC had lower rates of aggressive medical care and higher rates of hospice enrollment when compared to inpatient PCC. Location of initial PCC plays an important role in end of life care outcomes. |
X Demographics
The data shown below were collected from the profiles of 33 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Spain | 8 | 24% |
| United States | 5 | 15% |
| Mexico | 2 | 6% |
| United Kingdom | 1 | 3% |
| Venezuela, Bolivarian Republic of | 1 | 3% |
| Canada | 1 | 3% |
| Colombia | 1 | 3% |
| Unknown | 14 | 42% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 27 | 82% |
| Practitioners (doctors, other healthcare professionals) | 4 | 12% |
| Scientists | 2 | 6% |
Mendeley readers
The data shown below were compiled from readership statistics for 73 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 73 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 13 | 18% |
| Researcher | 9 | 12% |
| Student > Bachelor | 7 | 10% |
| Other | 7 | 10% |
| Student > Postgraduate | 4 | 5% |
| Other | 9 | 12% |
| Unknown | 24 | 33% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 21 | 29% |
| Nursing and Health Professions | 18 | 25% |
| Social Sciences | 3 | 4% |
| Agricultural and Biological Sciences | 2 | 3% |
| Psychology | 1 | 1% |
| Other | 0 | 0% |
| Unknown | 28 | 38% |
Attention Score in Context
This research output has an Altmetric Attention Score of 31. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 07 August 2023.
All research outputs
#1,231,257
of 24,701,898 outputs
Outputs from Supportive Care in Cancer
#122
of 4,931 outputs
Outputs of similar age
#26,542
of 342,396 outputs
Outputs of similar age from Supportive Care in Cancer
#8
of 109 outputs
Altmetric has tracked 24,701,898 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 95th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 4,931 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 5.9. This one has done particularly well, scoring higher than 97% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 342,396 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 92% of its contemporaries.
We're also able to compare this research output to 109 others from the same source and published within six weeks on either side of this one. This one has done particularly well, scoring higher than 93% of its contemporaries.