Lack of Palliative Mortality Prediction Tools for People with a Hematological Malignancy: Call for Action

Elise Button, Raymond Chan, Shirley Chambers, Jason Butler, Patsy Yates

Research output: Contribution to journalLetterpeer-review

5 Citations (Scopus)

Abstract

A substantial body of literature highlights the challenges that exist providing palliative and end-of-life care for people with a hematological malignancy. This group of patients commonly (1) receive aggressive care close to the end of life
(such as chemotherapy administration, emergency admissions, intensive care unit admissions); (2) die in hospital; and (3) have palliative care integrated later and less often compared to their solid tumor counterparts. Among other issues, a significant problem is reported to be difficulties in accurately predicting mortality at the end of life for these patients due to a fluctuating and unpredictable illness trajectory. There can often be potential for cure in the face of critical illness or advanced disease. People with a hematological malignancy who are nearing the end of their life can experience a swift change in the goals
of care from curative or life prolonging, to palliative.
Original languageEnglish
Pages (from-to)802-803
Number of pages2
JournalJournal of Palliative Medicine
Volume20
Issue number8
DOIs
Publication statusPublished - Aug 2017
Externally publishedYes

Keywords

  • Palliative Mortality
  • Hematological Malignancy
  • Prediction Tools

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