Service of Oncology, Hospital La Paz, 261-28046 Madrid, Spain.
Support Care Cancer. 2010 Sep;18(9):1231-4. doi: 10.1007/s00520-010-0903-0. Epub 2010 May 28.
The impact that palliative care services have had on admission to oncology services has not been well-defined. This retrospective study was undertaken in the oncology service of a general hospital where there is also a palliative care service.
The medical records of 397 patients (542 events) admitted during a period of 6 months at a single centre were reviewed.
The main final diagnoses were tumour progression, infection and chemotherapy administration. Seventeen percent of patients died during hospitalisation. The decision to withdraw active treatment was taken during this time in 11% of patients.
Key therapeutic decisions are commonly made during hospitalisation events of patients with cancer. Our results suggest that oncologists still take care of patients at the end of life, although this may highly depend on models of health care and admission criteria.
姑息治疗服务对肿瘤服务入院的影响尚未得到明确界定。本回顾性研究在一家综合医院的肿瘤服务中进行，该医院也设有姑息治疗服务。
对单一中心 6 个月期间收治的 397 名患者（542 例事件）的病历进行了回顾。
主要的最终诊断是肿瘤进展、感染和化疗管理。17%的患者在住院期间死亡。在此期间，11%的患者决定停止积极治疗。
癌症患者住院期间经常做出关键的治疗决策。我们的研究结果表明，肿瘤学家仍然在照顾生命末期的患者，尽管这可能高度依赖于医疗保健模式和入院标准。
