FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2891929823> ?p ?o ?g. }

• W2891929823 abstract "10573 Background: Children with cancer are at risk of receiving high-intensity (HI) care at the end-of-life (EOL) and associated high symptom burden. The impact of palliative care (PC) delivered by generalists or of specialized pediatric palliative care (SPPC) on patterns of EOL care is unknown, with previous studies limited by small sample sizes or low response rates. Methods: Using a provincial registry, we assembled a retrospective cohort of Ontario children with cancer who died between 2000-2012 and who received care through a pediatric institution with a SPPC team and a clinical PC database. Patients were linked to population-based healthcare data capturing inpatient, outpatient, and emergency visits. Clinical PC databases were used to identify patients receiving SPPC. Remaining patients were categorized as having received either general PC (GPC) or no PC depending on the presence of PC associated physician billing or inpatient codes. We determined predictors of SPPC involvement, and whether either SPPC or GPC was associated with HI-EOL outcomes: ICU admission < 30 days from death, mechanical ventilation < 14 days from death, or in hospital death. Sensitivity analyses excluded treatment-related mortality (TRM) cases. Results: 572 patients met inclusion criteria. Children less likely to receive SPPC services included those with hematologic cancers [odds ratio (OR) 0.33, 95 th confidence interval (CI) 0.30-0.37; p < 0.001)], in the lowest income quintile (OR 0.44, 95CI 0.23-0.81; p = 0.009), and living at increased distance from the treatment center (OR 0.46, 95CI 0.40-0.52; p < 0.0001). In multivariate analysis, SPPC was associated with a 3-fold decrease in the odds of an EOL ICU admission (OR 0.32, 95CI 0.18-0.57), while GPC had no impact. Similar associations were seen with all other HI-EOL indicators. Excluding TRM had little impact. Conclusions: SPPC, but not GPC, is associated with lower intensity care at EOL. Access to such care however remains uneven. In the absence of randomized trials, these results provide the strongest evidence to date supporting the creation of SPPC teams. These results can be used to support PC advocacy and policy efforts." @default.
• W2891929823 created "2018-09-27" @default.
• W2891929823 creator A5002447665 @default.
• W2891929823 creator A5025148073 @default.
• W2891929823 creator A5030288470 @default.
• W2891929823 creator A5046066566 @default.
• W2891929823 creator A5047320493 @default.
• W2891929823 creator A5052730233 @default.
• W2891929823 creator A5060002817 @default.
• W2891929823 creator A5064992703 @default.
• W2891929823 creator A5066896093 @default.
• W2891929823 creator A5074833289 @default.
• W2891929823 creator A5079272153 @default.
• W2891929823 creator A5079984279 @default.
• W2891929823 date "2017-05-20" @default.
• W2891929823 modified "2023-10-13" @default.
• W2891929823 title "Predictors of specialized pediatric palliative care involvement and impact on patterns of end-of-life care in children with cancer: A population-based study." @default.
• W2891929823 doi "https://doi.org/10.1200/jco.2017.35.15_suppl.10573" @default.
• W2891929823 hasPublicationYear "2017" @default.
• W2891929823 type Work @default.
• W2891929823 sameAs 2891929823 @default.
• W2891929823 citedByCount "0" @default.
• W2891929823 crossrefType "journal-article" @default.
• W2891929823 hasAuthorship W2891929823A5002447665 @default.
• W2891929823 hasAuthorship W2891929823A5025148073 @default.
• W2891929823 hasAuthorship W2891929823A5030288470 @default.
• W2891929823 hasAuthorship W2891929823A5046066566 @default.
• W2891929823 hasAuthorship W2891929823A5047320493 @default.
• W2891929823 hasAuthorship W2891929823A5052730233 @default.
• W2891929823 hasAuthorship W2891929823A5060002817 @default.
• W2891929823 hasAuthorship W2891929823A5064992703 @default.
• W2891929823 hasAuthorship W2891929823A5066896093 @default.
• W2891929823 hasAuthorship W2891929823A5074833289 @default.
• W2891929823 hasAuthorship W2891929823A5079272153 @default.
• W2891929823 hasAuthorship W2891929823A5079984279 @default.
• W2891929823 hasConcept C121608353 @default.
• W2891929823 hasConcept C126322002 @default.
• W2891929823 hasConcept C159110408 @default.
• W2891929823 hasConcept C177713679 @default.
• W2891929823 hasConcept C2780879335 @default.
• W2891929823 hasConcept C2908647359 @default.
• W2891929823 hasConcept C2993561819 @default.
• W2891929823 hasConcept C2994186709 @default.
• W2891929823 hasConcept C512399662 @default.
• W2891929823 hasConcept C71924100 @default.
• W2891929823 hasConcept C99454951 @default.
• W2891929823 hasConceptScore W2891929823C121608353 @default.
• W2891929823 hasConceptScore W2891929823C126322002 @default.
• W2891929823 hasConceptScore W2891929823C159110408 @default.
• W2891929823 hasConceptScore W2891929823C177713679 @default.
• W2891929823 hasConceptScore W2891929823C2780879335 @default.
• W2891929823 hasConceptScore W2891929823C2908647359 @default.
• W2891929823 hasConceptScore W2891929823C2993561819 @default.
• W2891929823 hasConceptScore W2891929823C2994186709 @default.
• W2891929823 hasConceptScore W2891929823C512399662 @default.
• W2891929823 hasConceptScore W2891929823C71924100 @default.
• W2891929823 hasConceptScore W2891929823C99454951 @default.
• W2891929823 hasLocation W28919298231 @default.
• W2891929823 hasOpenAccess W2891929823 @default.
• W2891929823 hasPrimaryLocation W28919298231 @default.
• W2891929823 hasRelatedWork W2034781976 @default.
• W2891929823 hasRelatedWork W2041668464 @default.
• W2891929823 hasRelatedWork W2084088139 @default.
• W2891929823 hasRelatedWork W2149154292 @default.
• W2891929823 hasRelatedWork W2475122681 @default.
• W2891929823 hasRelatedWork W2599569404 @default.
• W2891929823 hasRelatedWork W2610637167 @default.
• W2891929823 hasRelatedWork W2770691427 @default.
• W2891929823 hasRelatedWork W2784336786 @default.
• W2891929823 hasRelatedWork W2800821513 @default.
• W2891929823 hasRelatedWork W2902973614 @default.
• W2891929823 hasRelatedWork W2904215135 @default.
• W2891929823 hasRelatedWork W2947926317 @default.
• W2891929823 hasRelatedWork W2994166075 @default.
• W2891929823 hasRelatedWork W3010649937 @default.
• W2891929823 hasRelatedWork W3015147224 @default.
• W2891929823 hasRelatedWork W3044989889 @default.
• W2891929823 hasRelatedWork W3195510180 @default.
• W2891929823 hasRelatedWork W3202863802 @default.
• W2891929823 hasRelatedWork W3204628822 @default.
• W2891929823 isParatext "false" @default.
• W2891929823 isRetracted "false" @default.
• W2891929823 magId "2891929823" @default.
• W2891929823 workType "article" @default.