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Palliat Support Care. 2012 Dec;10(4):249-54. doi: 10.1017/S1478951511000976. Epub 2012 May 22.

Does gynecologic malignancy predict likelihood of a tertiary palliative care unit hospital admission? A comparison of local, provincial and national death rates.

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  • 1Department of Family Medicine, Section of Palliative Medicine, University of Manitoba, Winnipeg, Manitoba, Canada.
  • 2Department of Internal Medicine, University of Manitoba, Victoria General Hospital Winnipeg, Manitoba, Canada.

Abstract

OBJECTIVE:

The purpose of this study was to determine whether the presence of gynecologic malignancies predicts the likelihood of a tertiary palliative care unit hospital admission.

METHOD:

In this study, patients admitted to a specialized tertiary palliative care unit (TPCU) with gynecologic malignancies were compared to national and provincial death rates to determine if gynecologic malignancy predicts admission, and subsequent death, in a TPCU.

RESULTS:

Eighty-two gynecologic cancer patients were admitted to our TPCU over the 5- year study period. Out of all cancer deaths in the TPCU, death from ovarian cancer was 3.7% compared with 2.4% (p = 0.0068) of all cancer deaths in Manitoba and 2.3% (p = 0.0043) of all cancer deaths in Canada. Cervical cancer accounted for 1.7% of all our patients deaths compared with 0.7% (p = 0.0001) provincially and 0.6% (p = 0.0001) nationally. Uterine cancer deaths were not significantly different from the provincial and national death rates, whereas vulvar and fallopian cancers were too rare to allow for statistical analysis.

SIGNIFICANCE OF RESULTS:

Gynecologic cancers may be predictive of admission to a palliative care unit.

[PubMed - indexed for MEDLINE]
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