Presented by: Robrecht De Schreye
Proportions of patients will receive aggressive curative treatment close to the end of life. To evaluate to what extent end-of-life cancer care is appropriate or inappropriate within a health care system, population-level quality indicators can be used. We previously validated a set of indicators to measure appropriateness of end-of-life care for people with cancer using routinely collected population-level administrative data. The results can be used to support public health policy.
Aim: To measure appropriateness and inappropriateness of end-of-life care in people dying from cancer on a population level.
We link together 7 major Belgian routinely collected administrative databases with full-population information on health care use, cancer diagnostics and social, demographic and socio-economic variables. Indicators of appropriate and inappropriate end-of-life cancer care are calculated for the full population of persons dying of cancer based on an indicator set that has previously been validated using a RAND/UCLA appropriateness method.
Multivariable linear regression analysis is used to examine how the different dimensions of inappropriate or appropriate end-of-life cancer care are associated with diagnostic, social, demographic and socio-economic characteristics of the patient.
Results: In 2012 in Belgium, 26,464 (24.54% of all deaths) people died of cancer.
The extent of inappropriate end-of-life care within the Belgian health care system is measured by 14 indicators. Appropriateness of end-of-life cancer care is measured by 10 indicators.