TY  - JOUR
T1  - Real-World Experience of Home-Based Care for Terminal Gastric Cancer: Prognostic Factors and Health Outcomes
A1  - Claire Martin
A1  - Julien Robert
A1  - Sophie Bernard
A1  - Antoine Girard
JF  - Journal of Integrative Nursing and Palliative Care
JO  - J Integr Nurs Palliat Care
SN  - 3006-5550
Y1  - 2024
VL  - 5
IS  - 2
DO  - 10.51847/TVzSqHCRiw
SP  - 241
EP  - 248
N2  - With Japan’s population steadily aging, delivering healthcare services at home has become increasingly vital. Nevertheless, only a small proportion of patients with terminal cancer actually receive end-of-life care in a home setting, and forecasting the prognosis for those with terminal-stage gastric cancer continues to be difficult. To examine real-world clinical data from patients with terminal gastric cancer who received end-of-life care at home, to offer practical insights into their management and health outcomes. A two-center retrospective study. The study included terminal gastric cancer patients who passed away at home between 2021 and 2024 in Japan. In total, 27 individuals (14 males and 13 females) participated, with a median age of 78 years. We first reviewed the complete clinical trajectories of these patients throughout their home care period. Next, we conducted a comparative analysis by splitting the cohort into two groups based on the median overall survival (OS).  

The median OS while receiving home care was 22 days. Patients were categorized into a long OS group (OS-L) and a short OS group (OS-S). Strong opioid administration was documented in 22 patients, and home oxygen therapy was used by nine patients. In the OS-S group, the proportion of patients maintaining oral intake was markedly lower (25.0% vs. 66.7%, P = 0.032). Serum albumin levels also differed significantly between the groups (2.8 vs. 2.4 mg/dL, P = 0.038). Additionally, the neutrophil-to-lymphocyte ratio divided by albumin (NLR/albumin) was substantially elevated in the OS-S group relative to the OS-L group (1.0 vs. 2.3, P = 0.032). Oral intake status, serum albumin concentration, and the NLR/albumin ratio emerged as key prognostic indicators for patients with terminal gastric cancer receiving end-of-life care at home.  
UR  - https://journalinpc.com/article/real-world-experience-of-home-based-care-for-terminal-gastric-cancer-prognostic-factors-and-health-lsuwxi2ttfjaita
ER  -