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Transition to noncu...
Transition to noncurative end-of-life care in paediatric oncology : a nationwide follow-up in Sweden
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- Jalmsell, Li (författare)
- Uppsala universitet,Centrum för forsknings- och bioetik,Uppsala universitet, Visby lasarett
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- Forslund, Martin (författare)
- Uppsala universitet,Pediatrik
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- Hansson, Mats G. (författare)
- Uppsala universitet,Centrum för forsknings- och bioetik
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- Henter, Jan-Inge (författare)
- Karolinska Institutet,Karolinska institutet
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- Kreicbergs, Ulrika (författare)
- Karolinska Institutet,Sophiahemmet Högskola,Karolinska institutet, Sophiahemmet
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- Frost, Britt-Marie, 1955- (författare)
- Uppsala universitet,Institutionen för kvinnors och barns hälsa,Barnonkologisk forskning/Pfeifer
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(creator_code:org_t)
- 2013-04-16
- 2013
- Engelska.
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Ingår i: Acta Paediatrica. - : Wiley. - 0803-5253 .- 1651-2227. ; 102:7, s. 744-748
- Relaterad länk:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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https://urn.kb.se/re...
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http://kipublication...
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https://urn.kb.se/re...
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Abstract
Ämnesord
Stäng
- Aim To estimate whether and when children dying from a malignancy are recognized as being beyond cure and to study patterns of care the last weeks of life. Methods A nationwide retrospective medical record review was conducted. Medical records of 95 children (60% of eligible children) who died from a malignancy 2007-2009 in Sweden were studied. Results Eighty-three children (87%) were treated without curative intent at the time of death. Children with haematological malignancies were less likely to be recognized as being beyond cure than children with brain tumours [relative risks (RR) 0.7; 95% confidence interval (CI) 0.6-0.9] or solid tumours (RR 0.8; 0.6-1.0). The transition to noncurative care varied from the last day of life to over four years prior to death (median 60days). Children with haematological malignancies were treated with a curative intent closer to death and were also given chemotherapy (RR 5.5; 1.3-22.9), transfusions (RR 2.0; 1.0-4.0) and antibiotics (RR 5.3; 1.8-15.5) more frequently than children with brain tumours the last weeks of life. Conclusion The majority of children dying from a malignancy were treated with noncurative intent at the time of death. The timing of a transition in care varied with the diagnoses, being closer to death in children with haematological malignancies.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Annan medicin och hälsovetenskap -- Övrig annan medicin och hälsovetenskap (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Other Medical and Health Sciences -- Other Medical and Health Sciences not elsewhere specified (hsv//eng)
Nyckelord
- Children with cancer
- End-of-life
- Paediatric oncology
- Palliative care
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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