Journal article
Predictors and Outcomes of Palliative Care Consultations for Patients With Liver Disease: Results of a Cohort Study of 75 Million Medical Records
American journal of hospice & palliative medicine, v 40(9), pp 994-998
01 Sep 2023
PMID: 36655588
Featured in Collection : UN Sustainable Development Goals @ Drexel
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.
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Details
- Title
- Predictors and Outcomes of Palliative Care Consultations for Patients With Liver Disease: Results of a Cohort Study of 75 Million Medical Records
- Creators
- Nabeeha Mohy-ud-din - Allegheny Health NetworkAslam Syed - Allegheny Health NetworkCristina Strahotin - Allegheny Health NetworkMichael Babich - Allegheny Health Network
- Publication Details
- American journal of hospice & palliative medicine, v 40(9), pp 994-998
- Publisher
- Sage
- Number of pages
- 5
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Gastroenterology and Hepatology; General Internal Medicine
- Web of Science ID
- WOS:000922484200001
- Scopus ID
- 2-s2.0-85147449797
- Other Identifier
- 991022076808804721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Health Care Sciences & Services