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Peter Vedsted

Predictors of home death among palliative cancer patients in a primary care setting

Publikation: KonferencebidragPosterForskning

  • Forskningsenheden for Almen Praksis
  • Onkologisk Afdeling D, NBG
 

Background: In most western countries, the majority of palliative cancer patients wish to die at home, where GPs are often deeply involved. However, most research focuses on specialised palliative care, which results in a lack of reliable predictors of home death in primary care.

Aim: To analyse predictors of home death among deceased palliative cancer patients in a primary care setting.

Methods: Using Danish registers, we identified 787 deceased cancer patients and sent a questionnaire to their GPs. The questions concerned the GPs' involvement and the duration of the palliative period at home. We analysed the data using a model adjusted for confounders (e.g. patient's sex, age, marital status, type of cancer), with independent variables such as the GP's knowledge of the patient prior to the palliative period, whether the GP had made home visits, whether the GP had planned who to contact out-of-hours, and whether the GP had had contact with the relatives.

Results: 350 questionnaires were filled out. In the preliminary analysis we found that even though many patients died in hospital, this group spent nearly as much of their last time at home as the patients who actually died at home. The analysis of the GPs' involvement is still ongoing.

Conclusion: The results of GP involvement in home death will be presented. More specific research concerning palliation in primary care is still needed.

OriginalsprogEngelsk
Udgivelsesår2009
StatusUdgivet - 2009
Begivenhed11th Congress of the European Association for Palliative Care (EAPC) - Wien, Østrig
Varighed: 7 maj 200910 maj 2009

Konference

Konference11th Congress of the European Association for Palliative Care (EAPC)
LandØstrig
ByWien
Periode07/05/200910/05/2009

    Forskningsområder

  • palliation

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