Patterns of end-of-life hospital care for patients with non-Hodgkin lymphoma: exploring the landscape Academic Article uri icon

abstract

  • Rapid change, treatment responsiveness, and prognostication difficulties present challenges for palliative care integration for hematology patients. This Australian study aimed to document end-of-life hospital care for patients with non-Hodgkin lymphoma (NHL) to consider opportunities for palliative care integration. A retrospective population cohort design examining existing linked datasets of health service utilization and death registration. The results revealed 4380 NHL patients, majority male (58%) and aged 70+ years (70%), spent 32 days (median) in hospital in final 6 months of life, and in the last month, 56% had more than 1 hospital admission, and 57% stayed more than 14 days. Forty-one percent accessed palliative care, with first contact 23 days (median) before death, and for 77% in final admission. Early palliative care was more likely for patients with greater symptom burden. This study mapping patterns of care for patients who die from NHL establishes a baseline enabling comparisons for future care innovations.

authors

  • Philip, J
  • Collins, A
  • Ritchie, D
  • Le, B
  • Millar, J
  • McLachlan, SA
  • Krishnasamy, M
  • Hudson, P
  • Sundararajan, Vijaya

publication date

  • 2019