作者
David Hui, Nico Nortje, Marina George, Kaycee Wilson, Diana L Urbauer, Caitlin A Lenz, Susannah Kish Wallace, Clark R Andersen, Tito Mendoza, Sajid Haque, Sairah Ahmed, Marvin Delgado-Guay, Shalini Dalal, Nisha Rathi, Akhila Reddy, Jennifer McQuade, Christopher Flowers, Peter Pisters, Thomas Aloia, Eduardo Bruera
发表日期
2023/1/20
期刊
Journal of Clinical Oncology
卷号
41
期号
3
页码范围
579-589
出版商
Wolters Kluwer Health
简介
PURPOSE
Many hospitals have established goals-of-care programs in response to the coronavirus disease 2019 pandemic; however, few have reported their outcomes. We examined the impact of a multicomponent interdisciplinary goals-of-care program on intensive care unit (ICU) mortality and hospital outcomes for medical inpatients with cancer.
METHODS
This single-center study with a quasi-experimental design included consecutive adult patients with cancer admitted to medical units at the MD Anderson Cancer Center, TX, during the 8-month preimplementation (May 1, 2019-December 31, 2019) and postimplementation period (May 1, 2020-December 31, 2020). The primary outcome was ICU mortality. Secondary outcomes included ICU length of stay, hospital mortality, and proportion/timing of care plan documentation. Propensity score weighting was used to adjust for differences in potential covariates …
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