Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/17303
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dc.contributor.authorOng, Wee Loon-
dc.contributor.authorKhor, Richard-
dc.contributor.authorBressel, Mathias-
dc.contributor.authorTran, Phillip-
dc.contributor.authorTedesco, Jo-
dc.contributor.authorTai, Keen Hun-
dc.contributor.authorBall, David-
dc.contributor.authorDuchesne, Gillian-
dc.contributor.authorForoudi, Farshad-
dc.date2017-07-11-
dc.date.accessioned2018-03-23T03:43:51Z-
dc.date.available2018-03-23T03:43:51Z-
dc.date.issued2017-12-
dc.identifier.citationAsia-Pacific Journal of Clinical Oncology 2017; 13(6): 400-406en_US
dc.identifier.urihttps://ahro.austin.org.au/austinjspui/handle/1/17303-
dc.description.abstractTo report the trend in end-of-life health services (HS) utilization among cancer patients treated in a large Australian academic cancer center over a 12-year period. This is a retrospective study of cancer patients treated at the Peter MacCallum Cancer Centre (PMCC), who had documented death between January 2002 and December 2013. Using administrative and billing database, we report on the utilization of different categories of HS within two weeks of death: diagnostic investigations (pathology and radiology), inpatient and outpatient services, and potentially futile interventions (PFI, which include radiotherapy, chemotherapy and surgery). Of the 27 926 "active" cancer patients in the study (i.e. those with medical contact at PMCC in the last year of life), 6368 (23%) had documented HS utilization within two weeks of death. 11% and 9% had pathology and radiology investigations respectively, 14% had outpatient clinic appointments, and 7% had hospital admissions. There were 2654 patients (10%) who had PFI within two weeks of death - 2198 (8%) had radiotherapy, 287 (1%) chemotherapy and 267 (1%) surgery. We observed peak HS and PFI utilization in 2004, which then dropped to its lowest in 2009/2010. Experience in an Australian cancer center suggests approximately one in four "active" cancer patients had HS utilization, and one in ten had PFI, within two weeks of death. The implementation of palliative care guidelines may reduce some of these potentially wasteful and futile interventions.en_US
dc.language.isoeng-
dc.subjectend of life careen_US
dc.subjecthealth servicesen_US
dc.subjectpalliative careen_US
dc.subjectpotentially futile interventionen_US
dc.titlePatterns of health services utilization in the last two weeks of life among cancer patients: Experience in an Australian academic cancer center.en_US
dc.typeJournal Articleen_US
dc.identifier.journaltitleAsia-Pacific Journal of Clinical Oncologyen_US
dc.identifier.affiliationDivision of Radiation Oncology and Cancer Imaging, Peter MacCallum Cancer Centre, Melbourne, Australiaen_US
dc.identifier.affiliationDepartment of Epidemiology and Preventive Medicine, Monash University, Victoria, Australiaen_US
dc.identifier.affiliationRadiation Oncologyen_US
dc.identifier.affiliationSir Peter MacCallum Department of Oncology, University of Melbourne, Melbourne, Australiaen_US
dc.identifier.affiliationDepartment of Biostatistics and Clinical Trial, Peter MacCallum Cancer Centre, Melbourne, Australiaen_US
dc.identifier.affiliationDepartment of Medical Radiations, Monash University, Melbourne, Australiaen_US
dc.identifier.affiliationOlivia Newton-John Cancer Wellness and Research Centreen_US
dc.identifier.doi10.1111/ajco.12701en_US
dc.type.contentTexten_US
dc.identifier.pubmedid28695689-
dc.type.austinJournal Article-
local.name.researcherForoudi, Farshad
item.languageiso639-1en-
item.fulltextNo Fulltext-
item.grantfulltextnone-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.cerifentitytypePublications-
item.openairetypeJournal Article-
crisitem.author.deptRadiation Oncology-
crisitem.author.deptOlivia Newton-John Cancer Wellness and Research Centre-
crisitem.author.deptClinical Haematology-
crisitem.author.deptOlivia Newton-John Cancer Wellness and Research Centre-
crisitem.author.deptRadiation Oncology-
crisitem.author.deptOlivia Newton-John Cancer Wellness and Research Centre-
crisitem.author.deptRadiation Oncology-
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