By a News Reporter-Staff News Editor at Cancer Weekly -- Investigators publish new report on Lung Diseases and Conditions - Chronic Obstructive Pulmonary Disease. According to news reporting originating from London, United Kingdom, by NewsRx correspondents, research stated, “Mortality and symptom burden from chronic obstructive pulmonary disease (COPD) and lung cancer are similar but there is thought to be an inequality in palliative care support (PCS) between diseases. This nationally representative study assessed PCS for COPD patients within primary care in the UK.”
Our news editors obtained a quote from the research from Imperial College, “This was a cohort study using electronic healthcare records (2004-2015). Factors associated with receiving PCS were assessed using logistic regression for the whole cohort and deceased patients. There were 92 365 eligible COPD patients, of which 26 135 died. Only 7.8% of the whole cohort and 21.4% of deceased patients received PCS. Lung cancer had a strong association with PCS compared with other patient characteristics, including Global Initiative for Chronic Obstructive Lung Disease stage and Medical Research Council Dyspnoea score (whole cohort, lung cancer: OR 14.1, 95% CI 13.1-15; deceased patients, lung cancer: OR 6.5, 95% CI 6-7). Only 16.7% of deceased COPD patients without lung cancer received PCS compared with 56.5% of deceased patients with lung cancer. In patients that received PCS, lung cancer co-diagnosis significantly increased the chances of receiving PCS before the last month of life (1-6 versus <= 1 month pre-death: risk ratio 1.4, 95% CI 1.3-1.7). Provision of PCS for COPD patients in the UK is inadequate.”
According to the news editors, the research concluded: “Lung cancer, not COPD, was the dominant driver for COPD patients to receive PCS.”
For more information on this research see: Low uptake of palliative care for COPD patients within primary care in the UK. European Respiratory Journal , 2018;51(2):94-103. European Respiratory Journal can be contacted at: European Respiratory Soc Journals Ltd, 442 Glossop Rd, Sheffield S10 2PX, England. (Wiley-Blackwell - http://www.wiley.com/; European Respiratory Journal - http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1399-3003)
The news editors report that additional information may be obtained by contacting C.I. Bloom, Imperial Coll London, Natl Heart & Lung Inst, Resp Epidemiol Occupat Med & Public Hlth, London SW3 6LR, United Kingdom. Additional authors for this research include B. Slaich, D.R. Morales, L. Smeeth, P. Stone and J.K. Quint.
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CITATION: (2018-05-01), Findings from Imperial College Reveals New Findings on Chronic Obstructive Pulmonary Disease (Low uptake of palliative care for COPD patients within primary care in the UK), Cancer Weekly, 63, ISSN: 1532-4567, BUTTER® ID: 015572716
From the newsletter Cancer Weekly.
https://www.newsrx.com/Butter/#!Search:a=15572716
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