708 posters, 8 topics, 16 sessions, 1,190 authors, 600 institutions
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ISQua's 39th International Conference 2023
August 27 - 30, 2023 | Seoul, Republic of Korea
P868
THE ASSOCIATION OF CONTINUITY OF CARE AND PALLIATIVE CARE UTILIZATION IN CANCER PATIENTS NEAR THE END OF LIFE: A NATIONWIDE COHORT STUDY
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Patient Safety & Quality Improvement
The Association of Continuity of Care and Palliative Care Utilization in Cancer Patients near the End of Life: A Nationwide Cohort Study
Background:
Quality of care and quality of life for cancer patients at the end of life (EOL) remains a major challenge for healthcare systems.
The use of palliative care has been shown to be beneficial in reducing overly aggressive medical intervention in the terminally ill. Although past studies have explored the impact of continuity of care (COC) on providing quality EOL care, the relationship between COC and palliative care utilization still need to be examined.
Aims of study:
A retrospective cohort study was performed using data from National Health Insurance Research Database (NHIRD), the Taiwan Cancer Registry Database, and the National Death Registry Dataset.
Adults patients with advanced stage at diagnosis (stage III and IV) from 2014 to 2020 and died at least one year after diagnosis were enrolled (98,875).
Using Cochran-Armitage trend test polynomial trends, logistic regression and inverse probability of treatment weighting (IPTW) were applied.
Conclusion:
Our study shows an association between increasing COC and palliative care utilization at the EOL. The findings of this study emphasize that enhancing COC is crucial to provide high-quality EOL care for advanced cancer patients.
The results highlight the importance of COC in the initial use of palliative care for advanced cancer patients.