AI Article Synopsis
- - This study examines the effects of outpatient palliative care (OPC) on the location of death for cancer patients in Brazil, revealing a notable research gap in developing countries regarding early palliative care's benefits.
- - Analyzing 1980 patients who died in 2022 from 32 private cancer centers, the study found that those in the OPC program were younger and had a greater likelihood of dying at home or in hospice care compared to those who did not participate.
- - The results indicate that OPC programs significantly improve end-of-life care by increasing the rates of home and hospice deaths, highlighting their potential in enhancing care in low-resource settings, where social and cultural factors can impact healthcare access.
Article Abstract
While the positive impact of early palliative care on the quality of life of cancer patients is well established, there is a noticeable research gap in developing countries. This study sought to determine the impact of an outpatient palliative care (OPC) program on the location of death among patients in Brazil. This was a retrospective study including patients with cancer who died between January 2022 and December 2022 in 32 private cancer centers in Brazil. Data were collected from medical records, encompassing demographics, cancer characteristics, and participation in the OPC program. The study involved 1980 patients, of which 32.3% were in the OPC program. OPC patients were predominantly younger (average age at death of 66.8 vs. 68.0 years old, = 0.039) and composed of women (59.4% vs. 51.3%, = 0.019) compared to the no-OPC patients. OPC patients had more home/hospice deaths (19.6% vs. 10.4%, < 0.001), and participation in the outpatient palliative care program strongly predicted home death (OR: 2.02, 95% CI: 1.54-2.64). Our findings suggest a significant impact of the OPC program on increasing home and hospice deaths among patients with cancer in our sample. These findings emphasize the potential of specialized OPC programs to enhance end-of-life care, particularly in low-resource countries facing challenges related to social and cultural dimensions of care and healthcare access.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11010934 | PMC |
| http://dx.doi.org/10.3390/cancers16071380 | DOI Listing |
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