Assessing the utilization of the decision to implement a palliative goal for the treatment of cancer patients during the last year of life at Helsinki University Hospital : a historic cohort study

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dc.contributor.author Hirvonen, Outi M.
dc.contributor.author Leskelä, Riikka-Leena
dc.contributor.author Gronholm, Lotta
dc.contributor.author Haltia, Olli
dc.contributor.author Rissanen, Antti
dc.contributor.author Tyynela-Korhonen, Kristiina
dc.contributor.author Rahko, Eeva K.
dc.contributor.author Lehto, Juho T.
dc.contributor.author Saarto, Tiina
dc.date.accessioned 2020-09-30T21:46:00Z
dc.date.available 2021-12-18T03:46:05Z
dc.date.issued 2019-12-02
dc.identifier.citation Hirvonen , O M , Leskelä , R-L , Gronholm , L , Haltia , O , Rissanen , A , Tyynela-Korhonen , K , Rahko , E K , Lehto , J T & Saarto , T 2019 , ' Assessing the utilization of the decision to implement a palliative goal for the treatment of cancer patients during the last year of life at Helsinki University Hospital : a historic cohort study ' , Acta Oncologica , vol. 58 , no. 12 , pp. 1699-1705 . https://doi.org/10.1080/0284186X.2019.1659512
dc.identifier.other PURE: 127132305
dc.identifier.other PURE UUID: bc5f1d30-67cd-44d2-8ff2-56a77ad33865
dc.identifier.other WOS: 000485580800001
dc.identifier.uri http://hdl.handle.net/10138/319729
dc.description.abstract Background: To avoid aggressive treatments at the end-of-life and to provide palliative care (PC), physicians need to terminate futile anti-cancer treatments and define the palliative goal of the treatment in time. This single center study assesses the practices used to make the decision that leads to treatment with a palliative goal, i.e., the PC decision and its effect on anti-cancer treatments at the end of life. Material and methods: Patients with a cancer diagnosis treated in tertiary hospital during 1st January 2013 - 31st December 2014 and deceased by the end of 2014 were identified in the hospital database (N = 2737). Of these patients, 992 were randomly selected for this study. The PC decision was screened from patient records, i.e., termination of cancer-specific treatments and a focus on symptom-centered PC. Results: The PC decision was defined in 82% of the patients during the last year of life (49% >30 days and 33% en
dc.format.extent 7
dc.language.iso eng
dc.relation.ispartof Acta Oncologica
dc.rights unspecified
dc.rights.uri info:eu-repo/semantics/openAccess
dc.subject OF-LIFE
dc.subject CHEMOTHERAPY USE
dc.subject END
dc.subject CARE
dc.subject RADIOTHERAPY
dc.subject TRENDS
dc.subject AGGRESSIVENESS
dc.subject HEAD
dc.subject INTENSITY
dc.subject 3122 Cancers
dc.title Assessing the utilization of the decision to implement a palliative goal for the treatment of cancer patients during the last year of life at Helsinki University Hospital : a historic cohort study en
dc.type Article
dc.contributor.organization HUS Comprehensive Cancer Center
dc.contributor.organization Helsinki University Hospital Area
dc.contributor.organization Department of Oncology
dc.contributor.organization Clinicum
dc.description.reviewstatus Peer reviewed
dc.relation.doi https://doi.org/10.1080/0284186X.2019.1659512
dc.relation.issn 0284-186X
dc.rights.accesslevel openAccess
dc.type.version publishedVersion

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