Comparing pediatric deaths with and without hospice support
dc.contributor.author | Dickens, David S. | en_US |
dc.date.accessioned | 2010-04-14T20:05:01Z | |
dc.date.available | 2011-03-01T16:26:47Z | en_US |
dc.date.issued | 2010-05 | en_US |
dc.identifier.citation | Dickens, David S. (2010). "Comparing pediatric deaths with and without hospice support Conflict of interest: The author has served as the medical director for the hospice team primarily utilized by the community at the time the study was conducted through the present. Although no direct compensation has ever been received, Hospice of Michigan gives the author's primary employer $10,000/year for salary support. Author also serves on the Foundation Board of Directors for Hospice of Michigan. ." Pediatric Blood & Cancer 54(5): 746-750. <http://hdl.handle.net/2027.42/69200> | en_US |
dc.identifier.issn | 1545-5009 | en_US |
dc.identifier.issn | 1545-5017 | en_US |
dc.identifier.uri | https://hdl.handle.net/2027.42/69200 | |
dc.description.abstract | Background Although pediatric hospice care is commonly accepted as a beneficial intervention, the incremental advantage over end-of-life care delivered without engaging hospice remains unknown. The primary objective of this study was to describe differences in pediatric end-of-life care when delivered with and without hospice support, as perceived by the medical provider. Procedure A retrospective survey of medical providers was conducted in 2005 over a 2-month period at a single institution, the Helen DeVos Children's Hospital (HDVCH). Medical providers with self-determined experience in pediatric end-of-life care were asked to separately provide positive and negative comments about their experience with hospice. Additionally they were asked to describe differences between children under their supervision who died with and without hospice care. Medical provider comments and comparisons of experiences in caring for children dying with and without hospice involvement are described. Results Out of 157 responders, 43 reported positive comments about the hospice intervention. Non-medical support and location of death were the most frequently cited benefits. Nineteen responders provided negative comments about hospice; all involving feelings of lost hope, intrusion, or distrust. When asked to directly compare deaths with and without hospice support, 44 of 51 (86%) responders favored hospice. The most cited reason for preferring hospice involvement was better provision of non-medical services. Conclusions The majority of pediatric providers in this survey observed an advantage to utilizing hospice care for dying children as compared to providing end-of-life care without hospice involvement. Pediatr Blood Cancer 2010;54:746–750. © 2010 Wiley-Liss, Inc. | en_US |
dc.format.extent | 85608 bytes | |
dc.format.extent | 3118 bytes | |
dc.format.mimetype | application/pdf | |
dc.format.mimetype | text/plain | |
dc.publisher | Wiley Subscription Services, Inc., A Wiley Company | en_US |
dc.subject.other | Life and Medical Sciences | en_US |
dc.subject.other | Cancer Research, Oncology and Pathology | en_US |
dc.title | Comparing pediatric deaths with and without hospice support | en_US |
dc.type | Article | en_US |
dc.rights.robots | IndexNoFollow | en_US |
dc.subject.hlbsecondlevel | Pediatrics | en_US |
dc.subject.hlbtoplevel | Health Sciences | en_US |
dc.description.peerreviewed | Peer Reviewed | en_US |
dc.contributor.affiliationother | Division of Pediatric Hematology/Oncology and Bone Marrow Transplantation, Department of Pediatrics & Human Development, Helen DeVos Children's Hospital, Michigan State University College of Human Medicine, Hospice of Michigan, Michigan ; Assistant Professor; Medical Director of Pediatric Programs. ; Division of Pediatric Hematology/Oncology and Bone Marrow Transplantation, Helen DeVos Children's Hospital, 100 Michigan St., Grand Rapids, MI 49503. | en_US |
dc.identifier.pmid | 20063424 | en_US |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/69200/1/22413_ftp.pdf | |
dc.identifier.doi | 10.1002/pbc.22413 | en_US |
dc.identifier.source | Pediatric Blood & Cancer | en_US |
dc.owningcollname | Interdisciplinary and Peer-Reviewed |
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