The aggressive end-of-life care in pediatric cancer patients in taiwan

Title

The aggressive end-of-life care in pediatric cancer patients in taiwan

Creator

Wu LM

Identifier

Publisher

Pediatric Blood and Cancer

Date

2018

Subject

death; major clinical study; retrospective study; intubation; school child; cancer patient; cancer chemotherapy; conference abstract; medical record review; human; child; female; male; controlled study; diagnosis; hospice care; intensive care unit; do not resuscitate order; Taiwan; patent

Description

Background/Objectives: Despite the dramatically improved outcomes for pediatric cancer patients, cancer is the leading cause of death in Taiwan, accounting for 21.8% of death in 2014. The pediatric end-of-life (EOF) care has not been extensively explored in the pediatric cancer patients. The study was to evaluate the trends in pediatric cancer EOF care in a medical center from 2008-2016 in Taiwan. Design/Methods: A retrospective chart review was conducted. All participants were diagnosed with cancer, and died between 2008 and 2016 in the southern medical center in Taiwan. 74 participants were included. Results: The average age at diagnosis, and death were 7.6+/-5.3 year olds, and 11.3+/-6.1 year olds, respectively. These patients in their last month of life spent greater than 14 days (79.1%) in the hospital, completed Do-Not-Resuscitate (DNR) (79.7%), dying in the intensive care unit (70.3%), received related chemotherapy (63.5%), underwent intubation (39.2%), or received cardiopulmonary resuscitation (5.4%). Only 35.1% patents received hospice care or hospice share-care in their last month of life, of these patents 25 % stared such service within the last 3 days. The care of the pediatric cancer EOF did not change over the study period except for significantly increasing DNR permits, and related chemotherapy in the last month of life. Conclusions: Overly aggressive treatment was reported in the last month of pediatric cancer patients in Taiwan. A quality of EOF care in pediatric cancer patients should be developed to meet the individuals and family's needs and preferences.

Citation List Month

Oncology 2018 List

Collection

Citation

Wu LM, “The aggressive end-of-life care in pediatric cancer patients in taiwan,” Pediatric Palliative Care Library, accessed October 27, 2021, https://pedpalascnetlibrary.omeka.net/items/show/16091.

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