Goals of care discussions for patients with blood cancers: Association of person, place, and time with end-of-life care utilization.

ABSTRACT:

Background

Patients with blood cancers experience high-intensity medical care near the end of life (EOL) and low rates of hospice use; attributes of goals of care (GOC) discussions may partly explain these outcomes.

Methods

By using a retrospective cohort of patients with blood cancer who received care at Dana-Farber Cancer Institute and died in 2014, the authors assessed the potential relationship between timing, location, and the involvement of hematologic oncologists in the first GOC discussion with intensity of care near the EOL and timely hospice use.

Results

Among 383 patients, 39.2% had leukemia/myelodysplastic syndromes, 37.1% had lymphoma, and 23.7% had myeloma. Overall, 65.3% of patients had a documented GOC discussion. Of the first discussions, 33.2% occurr

SUBMITTER: Odejide OO 

PROVIDER: S-EPMC6980246 | biostudies-literature | 2020 Feb

REPOSITORIES: biostudies-literature