Background:Hospice and palliative care play key roles in facilitating goals-of-care discussions and managing symptoms in end-of-life (EOL) care for cancer patients. In this study, the association between completion of advance care planning (ACP), which refers to decisions regarding life-sustaining treatment, and hospice utilization in patients with cancer is examined.Methods:Data from the Korea-Clinical Data Utilization Network for Research Excellence were used. The study population included individuals diagnosed with one of the five leading causes of cancer-related deaths in South Korea. The association between the completion of ACP and hospice utilization was analyzed using multivariable logistic regression analysis.Results:The study population included 50,574 patients with terminal cancer, of whom 10,530 (20.8%) had received hospice care. Self-determined ACP was completed by 9271 (18.3%) participants and non-self-determined ACP by 8654 (17.1%). Patients with ACP were more likely to receive hospice care, with the self-determined group (OR, 5.46; 95% CI: 5.13–5.81) showing a stronger association than the non-self-determined group (OR, 1.27; 95% CI: 1.18–1.37).Conclusions:Patients with cancer who completed ACP were more likely to use hospice care services. These findings indicate the potential importance of ACP decisions in providing EOL care.
背景：在癌症患者的临终关怀中，安宁疗护与姑息治疗在促进治疗目标讨论及症状管理方面发挥着关键作用。本研究探讨了癌症患者完成预先护理计划（指关于维持生命治疗的决定）与安宁疗护使用之间的关联。 方法：本研究采用韩国临床数据卓越研究网络的数据。研究对象包括被诊断为韩国五大癌症死因之一的患者。通过多变量逻辑回归分析，评估完成预先护理计划与使用安宁疗护之间的关联。 结果：研究共纳入50,574例晚期癌症患者，其中10,530例（20.8%）接受了安宁疗护服务。完成自主决策型预先护理计划的患者有9,271例（18.3%），非自主决策型预先护理计划患者有8,654例（17.1%）。完成预先护理计划的患者更倾向于接受安宁疗护，其中自主决策型患者（OR=5.46，95% CI：5.13-5.81）的关联强度显著高于非自主决策型患者（OR=1.27，95% CI：1.18-1.37）。 结论：完成预先护理计划的癌症患者更可能使用安宁疗护服务。这些发现表明，预先护理计划决策在提供临终关怀方面具有潜在重要性。
肿瘤(癌症)患者之家