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자료유형
학술저널
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저널정보
대한가정의학회 Korean Journal of Family Medicine Korean Journal of Family Medicine 제33권 제1호
발행연도
2012.1
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44 - 50 (7page)

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Background: It is important to know and decide when to end regimen for the quality of life of the patients. However, there is currently no clear agreement on when to terminate palliative chemotherapy. We investigated the duration between the last chemotherapy and death, and associated factors affecting patients receiving palliative care after the last chemotherapy. Methods: We studied 242 patients who were put into palliative care ward after receiving chemotherapy and died during hospitalization from 2008 to 2009. Electronic medical records were used to gather information on demographic characteristics,types of primary cancer, and palliative chemotherapy. Then we analyzed the relationship between the clinical characteristics of patients and interval between last chemotherapy and death. Results: The average survival time of patients after referral to palliative care was 17.5 days; survival time after discontinuation of chemotherapy was 103 days. Also, 104 (43.0%) patients died within 3 months and 14 (5.8%) patients died within 1 month of persistent palliative chemotherapy. Chemotherapy on patients within 3 months from their death was not associated with the social characteristics of the population. Conclusion: The patients who were referred to palliative care were found to have continued to receive chemotherapy within 3months before death. However, only a small number of patients received chemotherapy within 1 month before death, which confirms that futile chemotherapy that extends to the end of life was less frequent. Doctors should be able to recognize the implications of excessive and aggressive use of chemotherapy and should actively communicate with patients about therapeutic choices.
#Chemotherapy #Palliative Care #End of Life Care

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참고문헌 (14)

참고문헌 신청
Borras JM / 2001 / Compliance, satisfaction, and quality of life of patients with colorectal cancer receiving home chemotherapy or outpatient treatment: a randomised controll google schola Earle CC / 2004 / Trends in the aggressiveness of cancer care near the end of life / J Clin Oncol 22 : 315 ~ 321 google schola Earle CC / 2008 / Aggressiveness of cancer care near the end of life: is it a quality-of-care issue? / J Clin Oncol 26 : 3860 ~ 3866 google schola Harrington SE / 2008 / The role of chemotherapy at the end of life: "when is enough, enough?" / JAMA 299 : 2667 ~ 2678 google schola Hashimoto K / 2009 / Factors that affect the duration of the interval between the completion of palliative chemotherapy and death / Oncologist 14 : 752 ~ 759 google schola

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