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 environment
