Does persistent involvement by the GP improve palliative care at home for end-stage cancer patients?

Research output: Contribution to journal › Journal article › Research › peer-review

Standard

Does persistent involvement by the GP improve palliative care at home for end-stage cancer patients? / Aabom, Birgit; Kragstrup, Jakob; Vondeling, Hindrik; Bakketeig, Leiv S.; Stovring, Henrik.

In: Palliative Medicine, Vol. 20, No. 5, 2006, p. 507-512.

Research output: Contribution to journal › Journal article › Research › peer-review

Harvard

Aabom, B, Kragstrup, J, Vondeling, H, Bakketeig, LS & Stovring, H 2006, 'Does persistent involvement by the GP improve palliative care at home for end-stage cancer patients?', Palliative Medicine, vol. 20, no. 5, pp. 507-512. https://doi.org/10.1191/0269216306pm1169oa

APA

Aabom, B., Kragstrup, J., Vondeling, H., Bakketeig, L. S., & Stovring, H. (2006). Does persistent involvement by the GP improve palliative care at home for end-stage cancer patients? Palliative Medicine, 20(5), 507-512. https://doi.org/10.1191/0269216306pm1169oa

Vancouver

Aabom B, Kragstrup J, Vondeling H, Bakketeig LS, Stovring H. Does persistent involvement by the GP improve palliative care at home for end-stage cancer patients? Palliative Medicine. 2006;20(5):507-512. https://doi.org/10.1191/0269216306pm1169oa

Author

Aabom, Birgit ; Kragstrup, Jakob ; Vondeling, Hindrik ; Bakketeig, Leiv S. ; Stovring, Henrik. / Does persistent involvement by the GP improve palliative care at home for end-stage cancer patients?. In: Palliative Medicine. 2006 ; Vol. 20, No. 5. pp. 507-512.

Bibtex

@article{16c0ae1e6723412da609d12a12a55cf4,
title = "Does persistent involvement by the GP improve palliative care at home for end-stage cancer patients?",
abstract = "Objective: To analyse the effect of GP home visits on the granting of a terminal declaration (TD) and on place of death. Participants and desig n: A total of 2025 patients with cancer as the primary cause of death in the period 1997-1998, were investigated in a mortality follow-back design using the Danish Cancer Register and four administrative registers. The Danish TD can be issued by a physician for patients with an estimated prognosis of six months or less. The TD gives the right to economic benefits and increased care for the dying patient. Setting: The island of Funen/Denmark. Main outcome measures: Main out come - hospital death. Intermediate outcome - TD. Results: A total of 38% of patients received a TD and 56% died in hospital. GP home visits in the week before TD (odds ratio (OR): 16.8; 95% CI: 8.2-34.4), as well as four weeks before TD (OR: 6.4; 95% CI: 4.5-9.2) were associated with an increased likelihood of receiving a TD. GP home visits in the group with TD (OR: 0.18; 95% CI: 0.11-0.29) and the group without TD (OR: 0.08; 95% CI: 0.05-0.13) was inversely associated with hospital death. A dose-response relationship was found in both groups. Conclusion: Persistent involvement by the GP is associated with improved end-of-life care for cancer patients. Provided that temporal relations are taken into account, the mortality follow-back design can be a suitable and ethical research method to highlight and monitor end-of-life cancer care.",
keywords = "Cancer, GP, Mortality follow-back study, Palliative care, Place of death, Population-based",
author = "Birgit Aabom and Jakob Kragstrup and Hindrik Vondeling and Bakketeig, {Leiv S.} and Henrik Stovring",
year = "2006",
doi = "10.1191/0269216306pm1169oa",
language = "English",
volume = "20",
pages = "507--512",
journal = "Palliative Medicine",
issn = "0269-2163",
publisher = "SAGE Publications",
number = "5",

}

RIS

TY - JOUR

T1 - Does persistent involvement by the GP improve palliative care at home for end-stage cancer patients?

AU - Aabom, Birgit

AU - Kragstrup, Jakob

AU - Vondeling, Hindrik

AU - Bakketeig, Leiv S.

AU - Stovring, Henrik

PY - 2006

Y1 - 2006

N2 - Objective: To analyse the effect of GP home visits on the granting of a terminal declaration (TD) and on place of death. Participants and desig n: A total of 2025 patients with cancer as the primary cause of death in the period 1997-1998, were investigated in a mortality follow-back design using the Danish Cancer Register and four administrative registers. The Danish TD can be issued by a physician for patients with an estimated prognosis of six months or less. The TD gives the right to economic benefits and increased care for the dying patient. Setting: The island of Funen/Denmark. Main outcome measures: Main out come - hospital death. Intermediate outcome - TD. Results: A total of 38% of patients received a TD and 56% died in hospital. GP home visits in the week before TD (odds ratio (OR): 16.8; 95% CI: 8.2-34.4), as well as four weeks before TD (OR: 6.4; 95% CI: 4.5-9.2) were associated with an increased likelihood of receiving a TD. GP home visits in the group with TD (OR: 0.18; 95% CI: 0.11-0.29) and the group without TD (OR: 0.08; 95% CI: 0.05-0.13) was inversely associated with hospital death. A dose-response relationship was found in both groups. Conclusion: Persistent involvement by the GP is associated with improved end-of-life care for cancer patients. Provided that temporal relations are taken into account, the mortality follow-back design can be a suitable and ethical research method to highlight and monitor end-of-life cancer care.

AB - Objective: To analyse the effect of GP home visits on the granting of a terminal declaration (TD) and on place of death. Participants and desig n: A total of 2025 patients with cancer as the primary cause of death in the period 1997-1998, were investigated in a mortality follow-back design using the Danish Cancer Register and four administrative registers. The Danish TD can be issued by a physician for patients with an estimated prognosis of six months or less. The TD gives the right to economic benefits and increased care for the dying patient. Setting: The island of Funen/Denmark. Main outcome measures: Main out come - hospital death. Intermediate outcome - TD. Results: A total of 38% of patients received a TD and 56% died in hospital. GP home visits in the week before TD (odds ratio (OR): 16.8; 95% CI: 8.2-34.4), as well as four weeks before TD (OR: 6.4; 95% CI: 4.5-9.2) were associated with an increased likelihood of receiving a TD. GP home visits in the group with TD (OR: 0.18; 95% CI: 0.11-0.29) and the group without TD (OR: 0.08; 95% CI: 0.05-0.13) was inversely associated with hospital death. A dose-response relationship was found in both groups. Conclusion: Persistent involvement by the GP is associated with improved end-of-life care for cancer patients. Provided that temporal relations are taken into account, the mortality follow-back design can be a suitable and ethical research method to highlight and monitor end-of-life cancer care.

KW - Cancer

KW - GP

KW - Mortality follow-back study

KW - Palliative care

KW - Place of death

KW - Population-based

UR - http://www.scopus.com/inward/record.url?scp=33746871498&partnerID=8YFLogxK

U2 - 10.1191/0269216306pm1169oa

DO - 10.1191/0269216306pm1169oa

M3 - Journal article

C2 - 16903404

AN - SCOPUS:33746871498

VL - 20

SP - 507

EP - 512

JO - Palliative Medicine

JF - Palliative Medicine

SN - 0269-2163

IS - 5

ER -

ID: 324141297