One-fifth of hospitalizations in advanced GI cancer avoidable

One-fifth of hospitalizations in advanced GI cancer avoidable

(HealthDay)—For patients with advanced gastrointestinal (GI) cancer, about 20 percent of hospitalizations are potentially avoidable, according to a study published online Jan. 13 in the Journal of Clinical Oncology.

Gabriel A. Brooks, M.D., and colleagues from the Dana-Farber Cancer Institute in Boston, and colleagues conducted a retrospective study to identify and characterize potentially avoidable hospitalization in with GI malignancies. A total of 201 hospitalizations were included for 154 unique patients (median age, 62 years) admitted to an inpatient medical oncology or palliative care service between December 2011 and July 2012.

The researchers found that the most common diagnosis was colorectal cancer (32 percent) and that most hospitalized patients (81 percent) had metastatic disease. More than half of hospitalizations (53 percent) were due to cancer symptoms and more than one-quarter (28 percent) were due to cancer treatment complications. Nineteen percent of hospitalizations were considered potentially avoidable by medical oncologists. Potentially avoidable hospitalizations were more likely among patients aged ≥70 years (odds ratio [OR], 2.63); those who had received advice from an oncologist to consider hospice (OR, 6.09); and those who had received three or more lines of chemotherapy (OR, 2.68). Higher 90-day mortality was observed after avoidable hospitalizations versus non-avoidable hospitalizations (OR, 6.4).

"Potentially avoidable hospitalizations are common in patients with advanced GI ," the authors write. "The majority of potentially avoidable hospitalizations occurred in patients with advanced treatment-refractory cancers near the end of life."

More information: Abstract
Full Text

add to favorites email to friend print save as pdf

Related Stories

Recommended for you

Putting the brakes on cancer

Dec 19, 2014

A study led by the University of Dundee, in collaboration with researchers at our University, has uncovered an important role played by a tumour suppressor gene, helping scientists to better understand how ...

Peanut component linked to cancer spread

Dec 19, 2014

Scientists at the University of Liverpool have found that a component of peanuts could encourage the spread and survival of cancer cells in the body.

User comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.