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Temporal trends and predictors of inpatient palliative care in metastatic upper urinary tract carcinoma: An observational study
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Temporal trends and predictors of inpatient palliative care in metastatic upper urinary tract carcinoma: An observational study
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Journal Article
Temporal trends and predictors of inpatient palliative care in metastatic upper urinary tract carcinoma: An observational study
2026
Overview
Patterns of inpatient palliative care use in patients with metastatic upper urinary tract carcinoma within the United States Why was the study done? Early implementation of palliative care in cancer treatment represents a well-established guideline recommendation for patients with advanced cancers. However, patterns of inpatient palliative care use in patients with metastatic upper urinary tract carcinoma are largely unknown. What did the researchers do? The research team examined temporal trends and predictors of palliative care use among inpatients with metastatic upper tract urinary tract carcinoma in the United States between 2008 and 2019. What did the researchers find? Of 3563 United States inpatients with metastatic upper urinary tract carcinoma, only a minority of 15% received inpatient palliative care. Between 2008 and 2019, the rate of inpatient palliative care significantly increased from 2 to 22%. In particular, the highest average annual increase in inpatient palliative care use was observed in inpatients with multiple metastases as well as those with bone or liver metastases. Even after accounting for other clinical and tumor characteristics, liver metastases, bone metastases, and contemporary years of admission were associated with use of inpatient palliative care. What do the findings mean? In the United States, inpatient palliative care use in metastatic upper urinary tract carcinoma was very low. Moreover, this study identified important differences in inpatient palliative care use according to the number as well as the location of metastatic sites. In consequence, the current observations validate the need to sensitize clinicians towards guideline-recommended implementation of inpatient palliative care use, regardless of the number and location of metastatic sites.
Publisher
SAGE Publications,SAGE Publishing
Subject
