FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W4379281024> ?p ?o ?g. }

• W4379281024 endingPage "e24150" @default.
• W4379281024 startingPage "e24150" @default.
• W4379281024 abstract "e24150 Background: Early referral to PC improves quality of life among patients with lung cancer and is associated with improvement in overall survival in patients with stage 4 disease. However, PC utilization remains low. Few studies examined the disparities in PC access and use in real life SCLC and NSCLC patient populations. Objective: To determine the prevalence of PC use among a sample of LC patients and assess the role of PC in facilitating directives and goals of care discussion. Methods: A retrospective cohort analysis was conducted utilizing a randomly selected subset of LC patients treated at the IU Simon Comprehensive Cancer Center between 1/1/18 and 12/31/20. We collected information on advanced directives in the form of designated medical decision maker (Healthcare representative or Healthcare power of attorney) and code status preferences (DNR or POST form). Signed DNR order/POST forms information, demographics (sex, race), LC stage, and LC type were analyzed using descriptive analyses. Chart search identified the dates of first palliative care visit and number of total palliative care visits. Results: Patient characteristics (n = 209): Females 51.7%; White 86.7%; NSCLC 88.5%; stage IV 44.1%. The percentage of total patients who were referred to palliative care was 21.1%. No significant difference in referral rates was found between NSCLC and SCLC patients. 22.3% of male patients and 19.8% of female patients were referred to PC (p = 0.61). No difference was noted in the percentage of white and non-white patients referred to PC (21% and 26.1%, p = 0.97). Palliative referral rates and time from diagnosis to first palliative contact was significantly associated with disease stage, as 27.9% of patients with stage 4 were referred to palliative compared to 15.6% of patients with stages 1-3 (p = 0.036); median time from diagnosis to first palliative contact in stage 4 patients was 355.7 days vs 573.7 days in stages 1-3. Disease stage was associated with the median time from diagnosis to signing POST/DNR forms: 213.6 days in stage 4 patients vs. 409.1 days in stage 1-3 patients. Discussing and signing POST/DNR and HCPOA/HCR forms was associated with palliative care referrals; 53.7% and 63.6% of those referred to palliative signed POST/DNR and HCPOA/HCR forms respectively vs. 11.4% and 16.9% for patients who were never referred to PC. Conclusions: Stage 4 LC was associated with higher likelihood of referral to palliative care than stages 1-3 but PC was underutilized in LC. Demographic factors (race, sex) were not significantly associated with PC referral rates. Patients referred to PC were more likely to address advanced directives than patients who were never offered PC. Strategies to increase palliative care utilization and barriers limiting PC utilization in LC patients need to be further investigated." @default.
• W4379281024 created "2023-06-05" @default.
• W4379281024 creator A5006565261 @default.
• W4379281024 creator A5012885625 @default.
• W4379281024 creator A5016759947 @default.
• W4379281024 creator A5033455121 @default.
• W4379281024 creator A5065124595 @default.
• W4379281024 creator A5072563637 @default.
• W4379281024 creator A5074428655 @default.
• W4379281024 creator A5084782563 @default.
• W4379281024 creator A5085472304 @default.
• W4379281024 date "2023-06-01" @default.
• W4379281024 modified "2023-09-26" @default.
• W4379281024 title "The association of demographic factors and disease stage on palliative care (PC) referral rates and completion of advanced directives in a lung cancer (LC) patient population." @default.
• W4379281024 doi "https://doi.org/10.1200/jco.2023.41.16_suppl.e24150" @default.
• W4379281024 hasPublicationYear "2023" @default.
• W4379281024 type Work @default.
• W4379281024 citedByCount "0" @default.
• W4379281024 crossrefType "journal-article" @default.
• W4379281024 hasAuthorship W4379281024A5006565261 @default.
• W4379281024 hasAuthorship W4379281024A5012885625 @default.
• W4379281024 hasAuthorship W4379281024A5016759947 @default.
• W4379281024 hasAuthorship W4379281024A5033455121 @default.
• W4379281024 hasAuthorship W4379281024A5065124595 @default.
• W4379281024 hasAuthorship W4379281024A5072563637 @default.
• W4379281024 hasAuthorship W4379281024A5074428655 @default.
• W4379281024 hasAuthorship W4379281024A5084782563 @default.
• W4379281024 hasAuthorship W4379281024A5085472304 @default.
• W4379281024 hasConcept C121608353 @default.
• W4379281024 hasConcept C126322002 @default.
• W4379281024 hasConcept C146357865 @default.
• W4379281024 hasConcept C151730666 @default.
• W4379281024 hasConcept C159110408 @default.
• W4379281024 hasConcept C194828623 @default.
• W4379281024 hasConcept C2776135927 @default.
• W4379281024 hasConcept C2776256026 @default.
• W4379281024 hasConcept C2776907518 @default.
• W4379281024 hasConcept C2779951463 @default.
• W4379281024 hasConcept C2908647359 @default.
• W4379281024 hasConcept C2994186709 @default.
• W4379281024 hasConcept C512399662 @default.
• W4379281024 hasConcept C71924100 @default.
• W4379281024 hasConcept C72563966 @default.
• W4379281024 hasConcept C86803240 @default.
• W4379281024 hasConcept C99454951 @default.
• W4379281024 hasConceptScore W4379281024C121608353 @default.
• W4379281024 hasConceptScore W4379281024C126322002 @default.
• W4379281024 hasConceptScore W4379281024C146357865 @default.
• W4379281024 hasConceptScore W4379281024C151730666 @default.
• W4379281024 hasConceptScore W4379281024C159110408 @default.
• W4379281024 hasConceptScore W4379281024C194828623 @default.
• W4379281024 hasConceptScore W4379281024C2776135927 @default.
• W4379281024 hasConceptScore W4379281024C2776256026 @default.
• W4379281024 hasConceptScore W4379281024C2776907518 @default.
• W4379281024 hasConceptScore W4379281024C2779951463 @default.
• W4379281024 hasConceptScore W4379281024C2908647359 @default.
• W4379281024 hasConceptScore W4379281024C2994186709 @default.
• W4379281024 hasConceptScore W4379281024C512399662 @default.
• W4379281024 hasConceptScore W4379281024C71924100 @default.
• W4379281024 hasConceptScore W4379281024C72563966 @default.
• W4379281024 hasConceptScore W4379281024C86803240 @default.
• W4379281024 hasConceptScore W4379281024C99454951 @default.
• W4379281024 hasIssue "16_suppl" @default.
• W4379281024 hasLocation W43792810241 @default.
• W4379281024 hasOpenAccess W4379281024 @default.
• W4379281024 hasPrimaryLocation W43792810241 @default.
• W4379281024 hasRelatedWork W1522234885 @default.
• W4379281024 hasRelatedWork W170157900 @default.
• W4379281024 hasRelatedWork W1976614369 @default.
• W4379281024 hasRelatedWork W2022341714 @default.
• W4379281024 hasRelatedWork W2042489430 @default.
• W4379281024 hasRelatedWork W2332607176 @default.
• W4379281024 hasRelatedWork W2559763929 @default.
• W4379281024 hasRelatedWork W3101018683 @default.
• W4379281024 hasRelatedWork W3215528831 @default.
• W4379281024 hasRelatedWork W4320731553 @default.
• W4379281024 hasVolume "41" @default.
• W4379281024 isParatext "false" @default.
• W4379281024 isRetracted "false" @default.
• W4379281024 workType "article" @default.