Terminally ill patients continue to receive aggressive treatment at end of life

ATLANTA--The increasing use of chemotherapy and intensive hospital treatment for cancer patients in their last two weeks of life continued at least into the late 1990s despite the growth of the hospice movement that emphasizes comforting personal bonds and controlling pain and discomfort, say researchers at the Dana-Farber Cancer Institute in Boston.

A new report, which will be presented at the annual meeting of the American Society of Clinical Oncology in Atlanta (Monday, June 5, 3:00 p.m., Building B, Level 2 Room B216), confirms and expands on similar findings involving cancer care in the early 1990s, and the new data confirm the validity of the methods used to reach these conclusions.

"We have essentially found the same trends up to 1999 now," said Craig Earle, M.D., a Dana-Farber specialist in outcomes research. The study covered some 215,488 Medicare-eligible patients aged 65 and older in 77 Health Care Service Areas across the country, and, while there were significant variations in use of aggressive treatment, the overall trend has continued, said Earle.

"The use of hospice definitely increased steadily over this time period," he said. "But an increasing number of patients were admitted to hospice in just the last three days of life, so the hospices were not being used for symptom relief and building relationships," he said.

Earle said that the National Institutes of Health-sponsored study would continue to collect data for two more years, and that he and his colleagues are looking at whether the same pattern is occurring in younger patients who aren't eligible for Medicare.

The study's validity is strengthened, he said, by the most recent data showing that the differing levels of intensive treatment in different regions held up over several years.

More and more people are receiving appropriate hospice care, but too often it appears that doctors "are treating patients up to the end and then saying, go to the

Contact: Bill Schaller
Dana-Farber Cancer Institute

Page: 1 2

Related medicine news :

1. Fluctuating eye pressure associated with visual field deterioration in glaucoma patients
2. Comparison of obstetric outcomes between on-call and patients own obstetricians
3. Researchers find vitamin B1 deficiency key to vascular problems for diabetic patients
4. Stem cell transplantation procedure results in long-term survival for amyloidosis patients
5. Happier hospitals means healthier patients
6. Many heart attack patients still not getting emergency clot-busting treatment
7. HealthGrades study: Bariatric surgery patients have fewer complications at high-volume hospitals
8. 6 out of 10 doctors arent frustrated that patients cant lower cholesterol
9. Program announced to improve care in developing areas for patients with blood disorders
10. When minority patients have insurance and a medical home, their health care improves
11. Intensive-care patients with alcohol problems are more likely to require mechanical ventilation

Post Your Comments:

(Date:7/1/2020)... ... July 01, 2020 , ... Dexur’s analysis ... OrthoColorado Hospital , Porter Adventist Hospital , and Sky Ridge Medical ... Hip & Knee Replacement. Dexur’s value analysis tracks a patient’s episode of care from ...
(Date:7/1/2020)... ... July 01, 2020 , ... The Society to Improve Diagnosis ... at the University of Massachusetts Medical School- Baystate and Ann Gaffey, RN, MSN, ... Board of Directors. Dr. Salvador and Ms. Gaffey’s service began in May and ...
(Date:6/28/2020)... ... June 26, 2020 , ... Medisend College of Biomedical Engineering ... and training that prepares graduates for professional careers as field service engineers and ... of Trustees. , Ms. Williams currently serves as Associate Vice Chancellor of Workforce ...
(Date:6/28/2020)... ... 26, 2020 , ... The Coronavirus pandemic created shortages in ... supplier of top-quality masks, sanitizers and thermometers, Trusted PPE is a woman and ... observed, “All of our masks are manufactured to medical standards in FDA-certified factories, ...
(Date:6/28/2020)... ... June 28, 2020 , ... World ... dedicates World Allergy Week, from June 28 to July 4, 2020, to the ... , COVID-19, short for “coronavirus disease 2019”, is a disease spreading around the ...
Breaking Medicine News(10 mins):
(Date:7/1/2020)... ... July 01, 2020 , ... The final entry deadline for ... Tuesday, July 28. , The International Business Awards are widely considered to ... more than 4,000 nominations from organizations in more than 70 nations. , All ...
(Date:6/28/2020)... ... June 27, 2020 , ... CPAP Store USA, known for its one of ... devices, is growing and expanding at a rapid rate. Today, CPAP store USA is ... CPAP Store Dallas, located at 3920 Rosemeade Parkway, Suite 150, Dallas, Texas 75287. , ...
(Date:6/25/2020)... (PRWEB) , ... June 25, 2020 , ... The Heritage ... have had zero cases of COVID-19. With over 100,000 positive cases of the coronavirus ... the senior citizens who reside at The Heritage Downtown, their family members, as well ...
Breaking Medicine Technology:
Cached News: