Aggressiveness of Cancer Care Near the End of Life: Is It a Quality-of-Care Issue?

Author:

Earle Craig C.1,Landrum Mary Beth1,Souza Jeffrey M.1,Neville Bridget A.1,Weeks Jane C.1,Ayanian John Z.1

Affiliation:

1. From the Division of Population Sciences, Department of Medical Oncology, Dana-Farber Cancer Institute; Department of Health Care Policy, Harvard Medical School; and the Division of General Medicine, Brigham and Women's Hospital, Boston, MA

Abstract

The purpose of this article is to review the literature and update analyses pertaining to the aggressiveness of cancer care near the end of life. Specifically, we will discuss trends and factors responsible for chemotherapy overuse very near death and underutilization of hospice services. Whether the concept of overly aggressive treatment represents a quality-of-care issue that is acceptable to all involved stakeholders is an open question.

Publisher

American Society of Clinical Oncology (ASCO)

Subject

Cancer Research,Oncology

Reference38 articles.

1. Rowland J, Mariotto A, Aziz N, et al: Cancer survivorship: United States, 1971-2001. MMWR 53:526,2004-529,

2. National Cancer Policy Board: Ensuring Quality Cancer Care . Washington, DC, National Academy Press, 1999

3. Identifying Potential Indicators of the Quality of End-of-Life Cancer Care From Administrative Data

4. Evaluating claims-based indicators of the intensity of end-of-life cancer care

5. Trends in the Aggressiveness of Cancer Care Near the End of Life

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