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Alessandro C Rosa1, Arianna Bellini1, Michela Servadio1

  • 1Dipartimento di Epidemiologia del Ssr del Lazio, Asl Roma 1.

Recenti Progressi in Medicina
|November 17, 2024
PubMed
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This summary is machine-generated.

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Patients with central nervous system (CNS) tumors received less end-of-life care, including emergency services and opioid use, compared to other solid tumors. Socioeconomic position influenced care access for CNS patients.

Area of Science:

  • Oncology
  • Palliative Care
  • Health Services Research

Context:

  • End-of-life care pathways for Central Nervous System (CNS) tumors are understudied.
  • Regional healthcare data provides insights into care disparities.
  • Socioeconomic position (SEP) may influence access to end-of-life care.

Purpose:

  • To describe end-of-life care pathways for CNS tumor patients in the last 30 days of life.
  • To compare care indicators between CNS tumor patients and other solid tumor patients.
  • To assess the impact of socioeconomic position on end-of-life care access for CNS patients.

Summary:

  • Analysis of 2,795 patients revealed CNS tumor patients had reduced access to emergency services and hospitalizations compared to other solid tumors.
  • Opioid utilization was significantly lower in CNS patients.

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  • Higher socioeconomic position correlated with less ER access but more antitumor treatment for CNS patients.

    • Impact:

    • Highlights critical gaps in end-of-life care for vulnerable CNS tumor populations.
    • Demonstrates the utility of administrative databases for epidemiological monitoring of care pathways.
    • Informs strategies to improve equitable access to palliative and supportive care for cancer patients.