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Predictors and Outcomes of Palliative Care Consultations for Patients With Liver Disease: Results of a Cohort Study of 75 Million Medical Records.
- Source :
- American Journal of Hospice & Palliative Medicine; Sep2023, Vol. 40 Issue 9, p994-998, 5p
- Publication Year :
- 2023
-
Abstract
- Background: Liver transplant is the only cure for cirrhosis. We studied the impact of palliative care on patient care by conducting a population-based cohort study. Methods: We queried the Explorys database (IBM, New York) database for a diagnosis of 'cirrhosis' followed by 'palliative care consultation' and collected demographic and clinical data. Results: We identified 316,970 patients with cirrhosis. Palliative care was consulted for 10.9% (n = 34,600) of patients. Patients aged >65 [OR 1.33 (1.30-1.36), P <.0001], men [OR 1.13 (1.11-1.16), P <.0001], a diagnosis of hepatocellular carcinoma (HCC) [OR 2.53 (2.45-2.60), P <.0001] were more likely to receive a palliative care consultation. Patients for whom palliative care were consulted were less likely to undergo surgical procedures [OR.49 (.47-.50)]. Conclusion: Only about 1 in 10 cirrhotics received a palliative care consultation. Older patients, males, and patients with a diagnosis of HCC are more likely to receive palliative care. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 10499091
- Volume :
- 40
- Issue :
- 9
- Database :
- Complementary Index
- Journal :
- American Journal of Hospice & Palliative Medicine
- Publication Type :
- Academic Journal
- Accession number :
- 171103846
- Full Text :
- https://doi.org/10.1177/10499091231152229