In:
Journal of Clinical Oncology, American Society of Clinical Oncology (ASCO), Vol. 34, No. 3_suppl ( 2016-01-20), p. e266-e266
Abstract:
e266 Background: The Pain Control Center of Solofra (Italy) is managed with a mixed public / private using the funds provided by Law 39/1999 of the Italian Republic for the establishment of the hospice. The daily rate for each resident is € 281.09 and is paid entirely by the national health system. We have evaluated the treatment procedures and the clinical outcome on 282 consecutive patients enrolled from December 2012 to May 2015 at “Pain Control Center” of the Hospice. Methods: The following characteristics have been evaluated: patient gender, mean hospitalization time, differentiation between patients (pts) with and without cancer , tumor type, medical weapon use, venous access type, parenteral feeding, transfer in intensive care units, pain killer use. Results: 282/164 pt males 282/118 females, mean age 72.04 yr (range 18-92 yr, mean hospitalization time 38 days), 205/282 pt (72.69%) had tumor diseases and 77/282 pt (27.31%) non cancer diseases. % Types of cancer: lung 20, colorectal 13.6, breast 7.7, ovarian 3.1, bladder 4, gastric 6.8, prostate 4.5, hepatocellular and biliary tract 7.7, pancreas 2, head and neck 8.6, kidney 2.7, other tumors 19. The central venous accesses were already present at the time of hospitalization in 77/282 pt (27.30%); the central venous access were made on 65/282 (29.44%). 131/282 pt received either parenteral feeding while 39/282 pt enteral feeding. 11/282 pt were transferred to ICU and 189/273 pt (69.23%) deceased at hospice. Analgesic therapy with opiates was administered at 216/282 pt (76.59%). The most intensively treated pt were those with tracheostomy(4.96%) and followed by uretero and colostomy(11.34%). About 30% of pt required central venous access procedures. Conclusions: The present study shows the underestimation of the parenteral feeding and analgesic requirements by pts with chronic diseases. The results lead us to continue the experience of public / private collaboration to achieve greater effectiveness of care and improve the overall management of patients so peculiar.
Type of Medium:
Online Resource
ISSN:
0732-183X
,
1527-7755
DOI:
10.1200/jco.2016.34.3_suppl.e266
Language:
English
Publisher:
American Society of Clinical Oncology (ASCO)
Publication Date:
2016
detail.hit.zdb_id:
2005181-5
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