CC BY-NC-ND 4.0 · Geburtshilfe Frauenheilkd 2025; 85(04): 434-442
DOI: 10.1055/a-2489-4730
GebFra Science
Original Article

Women with Gynecological Cancers Receiving Specialized Ambulatory Palliative Care (SAPV)

Article in several languages: English | deutsch
1   Institut für Allgemeinmedizin und ambulante Gesundheitsversorgung (IAMAG), Universität Witten/Herdecke, Witten, Germany (Ringgold ID: RIN12263)
,
Marie-Therese Schmitz
2   Institut für Medizinische Biometrie, Informatik und Epidemiologie (IMBIE), Universität Bonn, Bonn, Germany (Ringgold ID: RIN9374)
,
Ulrike Nitz
3   Westdeutsche Studiengruppe (WSG), Mönchengladbach, Germany
,
Katharina Ladermann
1   Institut für Allgemeinmedizin und ambulante Gesundheitsversorgung (IAMAG), Universität Witten/Herdecke, Witten, Germany (Ringgold ID: RIN12263)
,
Ulrich Grabenhorst
4   Verbund der SAPV-Teams in Nordrhein e.V., Viersen, Germany
› Author Affiliations

Abstract

Background

A dignified final phase of life spent at home is what many people with terminal cancer wish for. There are currently no studies with large datasets on the palliative care of patients with gynecological tumors in the home environment.

Material and Methods

Data from 5487 patients with gynecological-oncological disease who received specialized outpatient palliative care (SAPV) between 2017 and 2021 were included in the analysis.

Results

The analysis showed that 88.8% of the patients died in a home environment and that their symptom burden remained stable or even decreased slightly during treatment. The median duration of active SAPV was 23 days. Factors such as age, comorbidities, and symptom burden at the start of treatment influenced the survival time of patients. The SAPV team and relatives who provided care in the home environment were mostly very satisfied with the care provided.

Conclusion

The study provides important insights into the palliative care of patients with gynecological tumors and underscores the importance of SAPV for dignified end-of-life care.



Publication History

Received: 23 September 2024

Accepted after revision: 22 November 2024

Article published online:
23 January 2025

© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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