Diagnosis-related differences in the quality of end-of-life care: A comparison between cancer and non-cancer patients

Vieri Lastrucci, Sara D'Arienzo, Francesca Collini, Chiara Lorini, Alfredo Zuppiroli, Silvia Forni, Guglielmo Bonaccorsi, Fabrizio Gemmi, Andrea Vannucci, Andres Azuero
2018 PLoS ONE  
Cancer, chronic heart failure (CHF), and chronic obstructive pulmonary disease (COPD) in the advanced stages have similar symptom burdens and survival rates. Despite these similarities, the majority of the attention directed to improving the quality of end-of-life (EOL) care has focused on cancer. Aim To assess the extent to which the quality of EOL care received by cancer, CHF, and COPD patients in the last month of life is diagnosis-sensitive. Methods This is a retrospective observational
more » ... e observational study based on administrative data. The study population includes all Tuscany region residents aged 18 years or older who died with a clinical history of cancer, CHF, or COPD. Decedents were categorized into two mutually exclusive diagnosis categories: cancer (CA) and cardiopulmonary failure (CPF). Several EOL care quality outcome measures were adopted. Multivariable generalized linear model for each outcome were performed.
doi:10.1371/journal.pone.0204458 fatcat:xwchcyguhfdmjdo24ruhs23rgu