Trends in the aggressiveness of end-of-life care for Korean pediatric cancer patients who died in 2007-2010

Title

Trends in the aggressiveness of end-of-life care for Korean pediatric cancer patients who died in 2007-2010

Creator

Park JD; Kang HJ; Kim Young A; Jo MinKyoung; Lee Eun S; Shin Hee Young; Yun Young H

Publisher

Plos One

Date

2014

Subject

retrospective studies; pediatric cancer

Description

BACKGROUND: In light of the Korean Supreme Court's 2009 ruling favoring a patient's right to die with dignity, we evaluated trends in aggressive care in a cohort of pediatric cancer patients. Methods We conducted a population-based retrospective study that used administrative data for patients who died in 2007-2010 among the 5,203 pediatric cancer patients registered at the Korean Cancer Central Registry (KCCR) during 2007-2009. RESULTS: In the time period covered, 696 patients died. The proportion who had received chemotherapy in the last 30 days of life decreased from 58.1% to 28.9% (P<0.001), those who received new chemotherapy in the same time period decreased from 55.2% to 15.1% (P<0.001), and those who received treatment in the last 2 weeks of life decreased from 51.4% to 21.7% (P<0.001). In the last 30 days of life, the proportion of patients whose hospital admission period was over 14 days increased from 70.5% to 82.5% (P = 0.03), the proportion who received cardiopulmonary resuscitation decreased from 28.6% to 9.6% (P<0.001), and we found no statistically significant trends in the proportion of emergency department visits, intensive care unit admissions, or mechanical ventilation. CONCLUSIONS: In this study, in contrast with earlier ones, the aggressiveness of end-of-life care of Korean pediatric cancer patients decreased dramatically.
2014

Rights

Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).

Type

Journal Article

Citation List Month

Backlog

Pages

e99888-e99888

Issue

6

Volume

9

Citation

Park JD; Kang HJ; Kim Young A; Jo MinKyoung; Lee Eun S; Shin Hee Young; Yun Young H, “Trends in the aggressiveness of end-of-life care for Korean pediatric cancer patients who died in 2007-2010,” Pediatric Palliative Care Library, accessed October 22, 2021, https://pedpalascnetlibrary.omeka.net/items/show/14902.

Social Bookmarking