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Pattern of Cancer Deaths in a Saudi Tertiary Care Hospital
Faculty
Medicine
Year:
2013
Type of Publication:
Article
Pages:
21-24
Authors:
Al-Zahrani, Abdullah S, El-Kashif, Amr T, Haggag, Rasha M, Alsirafy, Samy A
DOI:
10.1177/1049909112437574
Journal:
AMERICAN JOURNAL OF HOSPICE \& PALLIATIVE MEDICINE SAGE PUBLICATIONS INC
Volume:
30
Research Area:
Health Care Sciences \& Services
ISSN
ISI:000312777400004
Keywords :
cancer deaths, palliative care, end-of-life care, quality indicators, palliative chemotherapy, Saudi Arabia
Abstract:
The medical records of deceased patients were reviewed to describe the pattern of cancer deaths in a newly established Saudi tertiary care hospital. During eleven months, 87 patients died of cancer. The majority (80 patients, 92\%) died of incurable cancer; among which 53\% did not receive any systemic anti-cancer therapy (SAT) and 43\% received SAT with palliative intent. Younger age (< 65 years), relatively chemosensitive tumours and initial presentation in a potentially curable stage were associated with higher prevalence of palliative SAT administration (p = 0.009, 0.019 and 0.001, respectively). The last palliative SAT was administered during the last two months of life in 66\% and during the last two weeks in 14\%. During the last admission, 54\% of patients were admitted through emergency room, 50\% stayed > 14 days and 14\% died in intensive care unit or emergency room. The results demonstrate that palliative care is a realistic treatment for the majority of patients in our setting and that a significant proportion of these patients receive aggressive care at the end-of-life. There is a need to establish an integrative palliative care program to improve the quality-of-life of dying cancer patients in our region and to minimize the aggressiveness of end-of-life care.
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