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Medical care utilization by incurable cancer patients in a Swedish county.

https://arctichealth.org/en/permalink/ahliterature22135
Source
Eur J Surg Oncol. 1997 Apr;23(2):145-50
Publication Type
Article
Date
Apr-1997
Author
B. Axelsson
S B Christensen
Author Affiliation
Department of General Surgery, Ostersund Hospital, Sweden.
Source
Eur J Surg Oncol. 1997 Apr;23(2):145-50
Date
Apr-1997
Language
English
Publication Type
Article
Keywords
Adult
Aged
Aged, 80 and over
Breast Neoplasms - therapy
Female
Gastrointestinal Neoplasms - therapy
Hospitalization - statistics & numerical data
Hospitals, County
Humans
Length of Stay - statistics & numerical data
Male
Marriage
Middle Aged
Neoplasms - drug therapy - radiotherapy - surgery - therapy
Outcome Assessment (Health Care)
Palliative Care - statistics & numerical data - utilization
Patient Admission - statistics & numerical data
Prostatic Neoplasms - therapy
Residence Characteristics
Retrospective Studies
Surgery Department, Hospital - utilization
Sweden - epidemiology
Terminal Care - statistics & numerical data - utilization
Urologic Neoplasms - therapy
Abstract
A retrospective study of patients with cancer diagnoses treated at a Swedish county hospital was carried out in order to analyse medical care utilization by incurable cancer patients. All 208 patients customarily treated at the Department of General Surgery in Ostersund Hospital for cancer diagnoses during 1 year were included in the study. The main outcome measures were: number of institutional days; admissions; duration of terminal hospitalization. The Department of General Surgery supplied 7570 of all 12,276 (62%) institutional days needed throughout the disease course. The terminal hospitalization (i.e. the period of continuous institutional care ending with the death of the patient) constituted 39% of all institutional days. The duration of the terminal hospitalization seemed to be unrelated to various diagnoses and demographic variables. Patients with cancer of the breast utilized most institutional days/patient (median 80 institutional days) during the disease course. Married patients and patients living within a 40 km radius of the hospital spent significantly more days at the Department of General Surgery during the last 6 months of life than did the unmarried and those living further afield.
PubMed ID
9158190 View in PubMed
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