Subscribe to RSS

DOI: 10.1055/a-2489-4730
Women with Gynecological Cancers Receiving Specialized Ambulatory Palliative Care (SAPV)
Article in several languages: English | deutsch
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.
Keywords
palliative care - gynecological tumors - symptom burden - specialized ambulatory palliative care (SAPV) - home environmentPublication 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/).
Georg Thieme Verlag KG
Oswald-Hesse-Straße 50, 70469 Stuttgart, Germany
-
References/Literatur
- 1 Dasch B, Zahn PK. Place of Death Trends and Utilization of Outpatient Palliative Care at the End of Life—Analysis of Death Certificates (2001, 2011, 2017) and Pseudonymized Data From Selected Palliative Medicine Consultation Services (2017) in Westphalia, Germany. Dtsch Arztebl Int 2021; 118: 331-338
- 2 Ditscheid B, Krause M, Lehmann T. et al. [Palliative care at the end of life in Germany: Utilization and regional distribution]. Bundesgesundheitsbl 2020; 63: 1502-1510
- 3 Geist M, Keßler J, Bardenheuer H. Analyse der medizinischen Versorgung onkologischer und nichtonkologischer Palliativpatienten in der spezialisierten ambulanten Palliativversorgung (SAPV). Z Palliativmedizin 2018; 19: 149-155
- 4 Kratel U. Fortschritte in der ambulanten Palliative Care-Versorgung in Deutschland − Eine Bestandsaufnahme. Dtsch Z Onkol 2014; 46: 8-15
- 5 Weckbecker K, Puth M-T, Just J. et al. [Specialized Outpatient Palliative Care: Results of a Cross-Sectional Study]. Gesundheitswesen 2021; 83: 993-997
- 6 Just J, Schmitz M-T, Grabenhorst U. et al. Factors influencing length of survival in ambulatory palliative care – a cross sectional study based on secondary data. BMC Palliat Care 2021; 20: 1-9
- 7 Statistik NRW. Webseite: Sterblichkeitsstatistik NRW. Accessed September 02, 2024 at: https://statistik.nrw/gesellschaft-und-staat/gebiet-und-bevoelkerung/geburten-und-sterbefaelle/lebendgeborene-und-gestorbene
- 8 Zwiener I, Blettner M, Hommel G. Survival Analysis. Dtsch Arztebl Int 2011; 108: 163-169
- 9 Geist M, Keßler J, Bardenheuer H. Analyse der medizinischen Versorgung onkologischer und nichtonkologischer Palliativpatienten in der spezialisierten ambulanten Palliativversorgung (SAPV). Z Palliativmedizin 2018; 19: 149-155
- 10 Just J, Schmitz M-T, Grabenhorst U. et al. Factors influencing length of survival in ambulatory palliative care – a cross sectional study based on secondary data. BMC Palliat Care 2021; 20: 1-9
- 11 Just J, Schmitz M-T, Grabenhorst U. et al. Specialized Outpatient Palliative Care—Clinical Course and Predictors for Living at Home Until Death. Dtsch Arztebl Int 2022; 119: 327-332
- 12 Dasch B, Blum K, Gude P. et al. Place of Death: Trends Over the Course of a Decade: A Population-Based Study of Death Certificates From the Years 2001 and 2011. Dtsch Arztebl Int 2015; 112: 496-504
- 13 Dasch B, Zahn PK. Place of Death Trends and Utilization of Outpatient Palliative Care at the End of Life—Analysis of Death Certificates (2001, 2011, 2017) and Pseudonymized Data From Selected Palliative Medicine Consultation Services (2017) in Westphalia, Germany. Dtsch Arztebl Int 2021; 118: 331-338
- 14 Landeskrebsregister NRW. Jahresinzidenz. Accessed September 02, 2024 at: https://www.landeskrebsregister.nrw/online-jahresbericht/%23/tables/incidence