Sociodemographic characteristics by primary cancer diagnosis of patients dying in a palliative care unit: A retrospective analysis

Q4 Medicine Gaceta Medica de Bilbao Pub Date : 2011-10-01 DOI:10.1016/j.gmb.2011.08.002
Gema Costa-Requena , Betlem Cervelló , Ramon Cristófol , José Cañete
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Abstract

Background

To identify the resources that could improve the care of patients with advanced disease, the present study describes the sociodemographic characteristics of advanced cancer patients dying in a palliative care unit.

Method

We performed a retrospective study of oncology patients who died in a palliative care unit from January 2006 to December 2009. A descriptive analysis was conducted to compare the clinical and sociodemographic characteristics of advanced cancer patients, using measures of central tendency and frequencies.

Results

Of the total number of oncology patients, 443 died in the palliative care unit. The most frequent primary cancer site was the lung (20.5%), followed by the liver–pancreas (17.2%), and genitourinary apparatus (16.5%). The primary cancer diagnosis was significantly related to gender (χ2 = 55.97, p < 0.00). The primary cancer diagnosis in younger patients was respiratory tumor. When gender was considered, men with a cancer diagnosis were significantly younger than women (Z = −2.19, p = 0.028). No significant differences in the length of admission were identified on comparing means according to the primary cancer diagnosis (χ2 = 9.77, p = 0.36), gender (Z = −0.3, p = 0.76) or age groups (χ2 = 5.29, p = 0.15).

Conclusions

Among patients with advanced cancer who died in the palliative care unit, significant demographic variables were gender and age.

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在姑息治疗病房死亡的患者的原发癌症诊断的社会人口学特征:回顾性分析
背景:为了确定可以改善晚期疾病患者护理的资源,本研究描述了在姑息治疗单位死亡的晚期癌症患者的社会人口学特征。方法对2006年1月至2009年12月在姑息治疗病房死亡的肿瘤患者进行回顾性研究。采用集中趋势和频率测量,进行描述性分析,比较晚期癌症患者的临床和社会人口学特征。结果443例肿瘤患者在姑息治疗病房死亡。最常见的原发癌部位是肺(20.5%),其次是肝胰(17.2%)和泌尿生殖系统(16.5%)。原发癌诊断与性别有显著相关性(χ2 = 55.97, p <0.00)。年轻患者的原发肿瘤诊断为呼吸道肿瘤。当考虑性别时,男性癌症诊断明显比女性年轻(Z = - 2.19, p = 0.028)。根据原发肿瘤诊断(χ2 = 9.77, p = 0.36)、性别(Z = - 0.3, p = 0.76)和年龄组(χ2 = 5.29, p = 0.15)比较,入院时间差异无统计学意义。结论在姑息治疗病房死亡的晚期癌症患者中,显著的人口统计学变量是性别和年龄。
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Gaceta Medica de Bilbao
Gaceta Medica de Bilbao Medicine-Medicine (all)
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