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Outpatient Palliative Care Program: Impact on Home Death Rate in Brazil
Sarah Ananda Gomes1, Danielle Nunes Moura Silva1, Flavia Sorice1
1Oncoclinicas&Co - Medica Scientia Innovation Research (MEDSIR) /MedSir, Sao Paulo 04543-906, SP, Brazil.
Cancers
|April 13, 2024
Summary
An outpatient palliative care (OPC) program in Brazil significantly increased home and hospice deaths for cancer patients. This highlights OPC
Area of Science:
- Palliative Care
- Oncology
- Health Services Research
Background:
- Early palliative care improves cancer patient quality of life.
- Research on palliative care in developing countries is limited.
- Understanding end-of-life care location is crucial for patient-centered outcomes.
Purpose of the Study:
- To evaluate the impact of an outpatient palliative care (OPC) program on the location of death for cancer patients in Brazil.
- To identify factors influencing end-of-life care choices in a developing country context.
Main Methods:
- Retrospective study of 1980 cancer patients who died between January 2022 and December 2022.
- Data collected from medical records across 32 private cancer centers in Brazil.
- Analysis included demographics, cancer characteristics, and participation in the OPC program.
Main Results:
- 32.3% of patients participated in the OPC program.
- OPC patients showed a significantly higher rate of home/hospice deaths (19.6% vs. 10.4%, p < 0.001).
- OPC program participation was a strong predictor of home death (OR: 2.02, 95% CI: 1.54-2.64).
Conclusions:
- The outpatient palliative care program significantly increased home and hospice deaths among cancer patients.
- Specialized OPC programs can enhance end-of-life care, especially in resource-limited settings.
- Findings underscore the importance of addressing social, cultural, and healthcare access barriers in palliative care delivery.
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