Patterns of end-of-life hospital care for patients with non-Hodgkin lymphoma: exploring the landscape

Jennifer Philip, Anna Collins, David Ritchie, Brian Le, Jeremy Millar, Sue Anne McLachlan, Meinir Krishnasamy, Peter Hudson, Vijaya Sundararajan

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Rapid change, treatment responsiveness, and prognostication difficulties present challenges for palliative care integration for hematology patients. This Australian study aimed to document end-of-life hospital care for patients with non-Hodgkin lymphoma (NHL) to consider opportunities for palliative care integration. A retrospective population cohort design examining existing linked datasets of health service utilization and death registration. The results revealed 4380 NHL patients, majority male (58%) and aged 70+ years (70%), spent 32 days (median) in hospital in final 6 months of life, and in the last month, 56% had more than 1 hospital admission, and 57% stayed more than 14 days. Forty-one percent accessed palliative care, with first contact 23 days (median) before death, and for 77% in final admission. Early palliative care was more likely for patients with greater symptom burden. This study mapping patterns of care for patients who die from NHL establishes a baseline enabling comparisons for future care innovations.

Original languageEnglish
Pages (from-to)1908-1916
Number of pages9
JournalLeukemia and Lymphoma
Volume60
Issue number8
DOIs
Publication statusPublished - 3 Jul 2019
Externally publishedYes

Keywords

  • health service utilization
  • non-Hodgkin lymphoma
  • Palliative care

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