Outcomes of Cancer Patients Who Seek Outpatient Visits Despite Post-chemotherapy Decline

Introduction: The medical needs of cancer patients are complex and increase with the disease’s progression. However, Japan’s aging population increased have produced challenges like a shortage hospital beds. Therefore, who completed chemotherapy recommended home-based care or referred to local palliative facilities, especially when treatment is no longer viable option outpatient visits become unfeasible. some still strive continue visits, which could result in pain possible urgent hospitalization. These may spend their final days hospital, not been desired outcome. we examined outcomes were care. Methods: study comprised 34 undergoing at Oncology Outpatient Department Edogawa Hospital owing difficulty attending visits. Data regarding recommendations obtained from lists social welfare interventions hospitalized patients. Patients classified based on whether they opted for caregivers’ caregiving capacity. Survival was analyzed using Kaplan-Meier curve log-rank test, groups compared Fisher's exact test. Results: median interval between initial consultation an oncologist date recommendation six half months. Home-based mostly because progression cachexia (23 cases) worsening symptoms (11 cases). survival 25 35 days, respectively. Ten refused Of them, it wished group (24 patients), only one required emergency room (ER) visit, while four non-home-based ER Regarding end-of-life care, 19 received home. Additionally, two lived alone whose caregivers deemed insufficient capacity remaining 24 patients, 22 Conclusion: short period indicates that would be beneficial family members, providers facilitate earlier referral wish home short-term achievable goals, such as next alleviate anxiety enable them live daily lives without constant awareness death. lead extended due lack readily accessible personnel, hospital-based can mentally physically strenuous primary caregiver. comprehensive information about options should provided early during informed decision-making.