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%A Hui, David; Elsayem, Ahmed; Palla, Shana; De La Cruz, Maxine; Li, Zhijun; Yennurajalingam, Sriram; Bruera, Eduardo
%T Discharge outcomes and survival of patients with advanced cancer admitted to an acute palliative care unit at a comprehensive cancer center.
%J Journal of palliative medicine, vol. 13, no. 1, pp. 49-57
%D 01/2010
%V 13
%N 1
%M eng
%B Acute palliative care units (APCUs) are new programs aimed at integrating palliative and oncology care. Few outcome studies from APCUs are available.
%K Adolescent, Adult, Aged, Aged, 80 and over, Cancer Care Facilities, Critical Care, Female, Humans, Male, Middle Aged, Neoplasm Staging, Neoplasms, Outcome Assessment (Health Care), Palliative Care, Patient Discharge, Retrospective Studies, Survival Analysis, Young Adult
%P 49
%L 57
%Y 10.1089/jpm.2009.0166
%W PHY
%G AUTHOR
%R 2010.......13...49H

@Article{Hui2010,
author="Hui, David
and Elsayem, Ahmed
and Palla, Shana
and De La Cruz, Maxine
and Li, Zhijun
and Yennurajalingam, Sriram
and Bruera, Eduardo",
title="Discharge outcomes and survival of patients with advanced cancer admitted to an acute palliative care unit at a comprehensive cancer center.",
journal="Journal of palliative medicine",
year="2010",
month="Jan",
volume="13",
number="1",
pages="49--57",
keywords="Adolescent",
keywords="Adult",
keywords="Aged",
keywords="Aged, 80 and over",
keywords="Cancer Care Facilities",
keywords="Critical Care",
keywords="Female",
keywords="Humans",
keywords="Male",
keywords="Middle Aged",
keywords="Neoplasm Staging",
keywords="Neoplasms",
keywords="Outcome Assessment (Health Care)",
keywords="Palliative Care",
keywords="Patient Discharge",
keywords="Retrospective Studies",
keywords="Survival Analysis",
keywords="Young Adult",
abstract="Acute palliative care units (APCUs) are new programs aimed at integrating palliative and oncology care. Few outcome studies from APCUs are available.",
issn="1557-7740",
doi="10.1089/jpm.2009.0166",
url="http://www.ncbi.nlm.nih.gov/pubmed/19824813",
language="eng"
}

%0 Journal Article
%T Discharge outcomes and survival of patients with advanced cancer admitted to an acute palliative care unit at a comprehensive cancer center.
%A Hui, David
%A Elsayem, Ahmed
%A Palla, Shana
%A De La Cruz, Maxine
%A Li, Zhijun
%A Yennurajalingam, Sriram
%A Bruera, Eduardo
%J Journal of palliative medicine
%D 2010
%8 Jan
%V 13
%N 1
%@ 1557-7740
%G eng
%F Hui2010
%X Acute palliative care units (APCUs) are new programs aimed at integrating palliative and oncology care. Few outcome studies from APCUs are available.
%K Adolescent
%K Adult
%K Aged
%K Aged, 80 and over
%K Cancer Care Facilities
%K Critical Care
%K Female
%K Humans
%K Male
%K Middle Aged
%K Neoplasm Staging
%K Neoplasms
%K Outcome Assessment (Health Care)
%K Palliative Care
%K Patient Discharge
%K Retrospective Studies
%K Survival Analysis
%K Young Adult
%U http://dx.doi.org/10.1089/jpm.2009.0166
%U http://www.ncbi.nlm.nih.gov/pubmed/19824813
%P 49-57

PT Journal
AU Hui, D
   Elsayem, A
   Palla, S
   De La Cruz, M
   Li, Z
   Yennurajalingam, S
   Bruera, E
TI Discharge outcomes and survival of patients with advanced cancer admitted to an acute palliative care unit at a comprehensive cancer center.
SO Journal of palliative medicine
JI J Palliat Med
PD Jan
PY 2010
BP 49
EP 57
VL 13
IS 1
DI 10.1089/jpm.2009.0166
LA eng
DE Adolescent; Adult; Aged; Aged, 80 and over; Cancer Care Facilities; Critical Care; Female; Humans; Male; Middle Aged; Neoplasm Staging; Neoplasms; Outcome Assessment (Health Care); Palliative Care; Patient Discharge; Retrospective Studies; Survival Analysis; Young Adult
AB Acute palliative care units (APCUs) are new programs aimed at integrating palliative and oncology care. Few outcome studies from APCUs are available.
ER

PMID- 19824813
OWN - NLM
STAT- MEDLINE
DA  - 20100106
DCOM- 20100402
LR  - 20141207
IS  - 1557-7740 (Electronic)
IS  - 1557-7740 (Linking)
VI  - 13
IP  - 1
DP  - 2010 Jan
TI  - Discharge outcomes and survival of patients with advanced cancer admitted to an
      acute palliative care unit at a comprehensive cancer center.
PG  - 49-57
LID - 10.1089/jpm.2009.0166 [doi]
AB  - BACKGROUND: Acute palliative care units (APCUs) are new programs aimed at
      integrating palliative and oncology care. Few outcome studies from APCUs are
      available. OBJECTIVES: We examined the frequency, survival, and predictors
      associated with home discharge and death in our APCU. METHODS: All patients
      discharged from the APCU between September 1, 2003 and August 31, 2008 were
      included. Demographics, cancer diagnosis, discharge outcomes, and overall
      survival from discharge were retrieved retrospectively. RESULTS: The 2568
      patients admitted to APCU had the following characteristics: median age, 59 years
      (range, 18-101); male, 51%; median hospital stay, 11 days; median APCU stay, 7
      days; and median survival 21 days (95% confidence interval [CI] 19-23 days). Five
      hundred ninety-two (20%), 89 (3%), and 1259 (43%) patients were discharged to
      home, health care facilities, and hospice, respectively, with a median survival
      of 60, 29, and 14 days, respectively (p < 0.001). Nine hundred fifty-eight (33%) 
      patients died during admission (median stay, 11 days). Compared to hospice
      transfers, home discharge (hazard ratio = 0.35, 95% CI 0.30-0.41, p < 0.001) was 
      associated with longer survival in multivariate analysis, with a 6-month survival
      of 22%. Multivariate logistic regression revealed that male gender, specific
      cancer primaries, and admissions from oncology units were associated with death
      in the APCU, while younger age and direct admissions to the APCU were associated 
      with home discharge. CONCLUSIONS: Our APCU serves patients with advanced cancer
      with diverse clinical characteristics and survival, and discharged home a
      significant proportion with survival greater than 6 months. RESULTS from this
      simultaneous care program suggest a pattern of care different from that of
      traditional hospice and palliative care services.
FAU - Hui, David
AU  - Hui D
AD  - Department of Palliative Care and Rehabilitation Medicine, The University of
      Texas MD Anderson Cancer Center, Houston, Texas 77030, USA.
FAU - Elsayem, Ahmed
AU  - Elsayem A
FAU - Palla, Shana
AU  - Palla S
FAU - De La Cruz, Maxine
AU  - De La Cruz M
FAU - Li, Zhijun
AU  - Li Z
FAU - Yennurajalingam, Sriram
AU  - Yennurajalingam S
FAU - Bruera, Eduardo
AU  - Bruera E
LA  - eng
GR  - R01CA122292-01/CA/NCI NIH HHS/United States
GR  - R01CRO1CA124481/CA/NCI NIH HHS/United States
GR  - R01NR010162-01A1/NR/NINR NIH HHS/United States
PT  - Journal Article
PT  - Research Support, N.I.H., Extramural
PT  - Research Support, Non-U.S. Gov't
PL  - United States
TA  - J Palliat Med
JT  - Journal of palliative medicine
JID - 9808462
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - *Cancer Care Facilities
MH  - *Critical Care
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Neoplasm Staging
MH  - Neoplasms/*classification/mortality/physiopathology
MH  - *Outcome Assessment (Health Care)
MH  - *Palliative Care
MH  - *Patient Discharge
MH  - Retrospective Studies
MH  - *Survival Analysis
MH  - Young Adult
PMC - PMC2883821
OID - NLM: PMC2883821
EDAT- 2009/10/15 06:00
MHDA- 2010/04/03 06:00
CRDT- 2009/10/15 06:00
AID - 10.1089/jpm.2009.0166 [doi]
PST - ppublish
SO  - J Palliat Med. 2010 Jan;13(1):49-57. doi: 10.1089/jpm.2009.0166.
TY  - JOUR
AU  - Hui, David
AU  - Elsayem, Ahmed
AU  - Palla, Shana
AU  - De La Cruz, Maxine
AU  - Li, Zhijun
AU  - Yennurajalingam, Sriram
AU  - Bruera, Eduardo
PY  - 2010/Jan/
TI  - Discharge outcomes and survival of patients with advanced cancer admitted to an acute palliative care unit at a comprehensive cancer center.
T2  - J Palliat Med
JO  - Journal of palliative medicine
SP  - 49
EP  - 57
VL  - 13
IS  - 1
KW  - Adolescent
KW  - Adult
KW  - Aged
KW  - Aged, 80 and over
KW  - Cancer Care Facilities
KW  - Critical Care
KW  - Female
KW  - Humans
KW  - Male
KW  - Middle Aged
KW  - Neoplasm Staging
KW  - Neoplasms
KW  - Outcome Assessment (Health Care)
KW  - Palliative Care
KW  - Patient Discharge
KW  - Retrospective Studies
KW  - Survival Analysis
KW  - Young Adult
N2  - Acute palliative care units (APCUs) are new programs aimed at integrating palliative and oncology care. Few outcome studies from APCUs are available.
SN  - 1557-7740
UR  - http://dx.doi.org/10.1089/jpm.2009.0166
UR  - http://www.ncbi.nlm.nih.gov/pubmed/19824813
ID  - Hui2010
ER  - 
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