Telemedicine-based serious illness conversations, healthcare utilization, and end of life care among patients with advanced lung cancer.

ABSTRACT:

Purpose

Little is known about serious illness conversations (SIC) conducted during telemedicine visits and their impact on end-of-life (EOL) outcomes for patients with advanced cancer.

Patients and methods

We conducted a retrospective analysis telemedicine visits for patients with metastatic lung cancer conducted during the first surge of the COVID-19 pandemic (October 3, 2020-October 6, 2020). We used natural language processing (NLP) to characterize documentation of SIC domains (ie, goals of care [GOC], limitation of life-sustaining treatment [LLST], prognostic awareness [PA], palliative care [PC], and hospice). We used unadjusted logistic regression to evaluate factors associated with SIC documentation and the relationship between SIC documentation and EOL outcomes.

Re

SUBMITTER: Dhawale TM 

PROVIDER: S-EPMC11630782 | biostudies-literature | 2024 Dec

REPOSITORIES: biostudies-literature