Rise in last‑weeks cancer chemotherapy sparks hospice debate
A study of 215,488 cancer deaths shows nearly 12 percent received chemotherapy in the final two weeks of life, up from 10 percent in 1993. Critics urge shifting focus to comfort, calling for earlier hospice and palliative care discussions to avoid futile, costly treatments.
MENTIONED IN THIS ARTICLE
Atlanta
Roy Herbst
University of Texas
M.D. Anderson Cancer Center
Houston
Craig Earle
Dana-Farber Cancer Institute
Harvard Medical School
Medicare
End-of-life chemo debate widens hospice focus in cancer care
A study shows many terminal cancer patients receive chemotherapy in final weeks despite futility. Experts call for shifting to comfort care and hospice, noting hospice enrollment in last three days rose from about 12 to 15 percent. Doctors vary in aggressiveness across the country, and predicting death remains unreliable. Newer targeted therapies may spare quality of life, yet realism is urged by advocates.
MENTIONED IN THIS ARTICLE
Herbst
Earle
Ellen Stovall
National Coalition For Cancer Survivorship
End of life cancer care under scrutiny in Medicare review
A Medicare record review finds cancer patients receive aggressive but often futile care at life’s end, with high chemotherapy use in the final weeks and many ICU stays. A separate Wisconsin doctor survey shows under-referral to specialists for advanced cancers, amid calls for better understanding of newer treatments.
MENTIONED IN THIS ARTICLE
Medicare
Ishaqi probe clears U S troops of misconduct in Iraq deaths
A U S military investigation found no misconduct by U S troops in the March Ishaqi raid north of Baghdad despite video showing slain children. Separate Haditha cases proceed. investigations into potential crimes and cover up continue amid related killings in western Iraq.
MENTIONED IN THIS ARTICLE
U.S
Ishaqi
Baghdad
Iraq
Haditha
al-Qaida
William Caldwell
Navy
Army
Donald Campbell
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