Findings from University of North Carolina Provides New Data about Breast Cancer (Early supportive medication use and end-of-life care among Medicare…

Findings from University of North Carolina Provides New Data about Breast Cancer (Early supportive medication use and end-of-life care among Medicare beneficiaries with advanced breast cancer)

By a News Reporter-Staff News Editor at Insurance Weekly News -- Research findings on Oncology are discussed in a new report. According to news reporting from Chapel Hill, North Carolina, by VerticalNews journalists, research stated, "A randomized controlled trial of cancer patients has linked early supportive care with improved hospice use and less-aggressive end-of-life care. In practice, the early use of supportive interventions and potential impact on end-of-life care are poorly understood."

The news correspondents obtained a quote from the research from the University of North Carolina, "We sought to describe early use of medications to treat common breast cancer symptoms (pain, insomnia, anxiety, and depression) and to assess the relationship between early use of these treatments and end-of-life care. Secondary analysis of 2006-2012 SEER-Medicare data was performed. Women included had stage IV breast cancer and died within the observation period. We used modified Poisson regression to assess the relationship between supportive medication use in the 90 days post-diagnosis and several end-of-life care measures (hospice use, in-hospital death, chemotherapy receipt within 14 days of death, ICU admission, or > 1 hospitalization or emergency department/ED visit 30 days before death). Among the 947 women included, 68 % of women used at least one supportive medication in the 90 days following their diagnosis: 60.3 % used opioid pain medications and 28.3 % received non-opioid psychotropic medications. Early use of any supportive medications was not associated with end-of-life care. Similarly, we found no differences in end-of-life care between opioid pain medication users and non-users. However, we found that non-opioid psychotropic medication users were less likely to receive chemotherapy in the last 14 days of life (aRR 0.33, 95 % CI 0.12-0.88). Non-opioid psychotropic use was associated with some aspects of end-of-life care."

According to the news reporters, the research concluded: "Future research should consider alternative measures of palliative and supportive care use using administrative data sources."

For more information on this research see: Early supportive medication use and end-of-life care among Medicare beneficiaries with advanced breast cancer. Supportive Care in Cancer, 2016;24(8):3463-3472. Supportive Care in Cancer can be contacted at: Springer, 233 Spring St, New York, NY 10013, USA. (Springer - www.springer.com; Supportive Care in Cancer - www.springerlink.com/content/0941-4355/)

Our news journalists report that additional information may be obtained by contacting D.K. Check, University of North Carolina, UNC Eshelman Sch Pharm, Div Pharmaceut Outcomes & Policy, Kerr HallRoom 2203, Chapel Hill, NC 27599, United States. Additional authors for this research include D.L. Rosenstein and S.B. Dusetzina.

Keywords for this news article include: Chapel Hill, North Carolina, United States, North and Central America, Women's Health, Health Policy, Breast Cancer, Medicare, Oncology, University of North Carolina.

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