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Peter Vedsted

Can general practitioners create a successful palliative pathway for cancer patients?

Publikation: KonferencebidragPosterForskning

  • Forskningsenheden for Almen Praksis
  • Onkologisk Afdeling D, NBG
 

Background: Most terminal cancer patients and their relatives wish that the patient should be allowed to die at home. Palliative home care often involves general practitioners (GPs) and community nurses who become frontline workers in the patients' homes. GP home visits have been shown to be positively associated with home death, but this does not necessarily mean that the palliative pathway was successful since many factors and professionals are involved. GP-related factors may be important for a successful palliative course, but there is a lack of knowledge of the importance of these factors.

Aim: To examine the association between bereaved relatives' evaluation of palliative pathways and place of death and GP involvement.

Design of study: Population-based, cross-sectional study combining register and questionnaire data.

Setting: Aarhus County, Denmark.

Method: GP questionnaires were sent to 599 GPs of deceased cancer patients to obtain data on the GPs' involvement. Register data were collected on diagnosis, place of death and number of GP home visits. Questionnaires were sent to the closest relatives asking them to evaluate the palliative pathway. 153 cases were included and associations with a successful pathway were analysed (multivariate regression model) using prevalence ratios (PR) as measure of association.

Results:, Home death was positively associated with a successful palliative pathway in terms of relatives' evaluations (PR: 1.5 (95%CI: 1.0;2.1)), but no GP-related variables had significant importance.

Conclusion: Our study indicates that home death is positively associated with a higher likelihood of a positive evaluation of the palliative course among the bereaved relatives. There is a need for studies examining in more detail which primary care efforts are associated with a "good death".
OriginalsprogEngelsk
Udgivelsesår2009
StatusUdgivet - 2009
Begivenhed  2nd meeting of the International Primary Care and Cancer research group (IPCCRG) - Copenhagen, Danmark
Varighed: 23 apr. 200924 apr. 2009

Konference

Konference  2nd meeting of the International Primary Care and Cancer research group (IPCCRG)
LandDanmark
ByCopenhagen
Periode23/04/200924/04/2009

    Forskningsområder

  • palliation, primær sektor

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