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Rising and falling trends in the use of chemotherapy and targeted therapy near the end of life in older patients with cancer

Journal of Clinical Oncology Jun 03, 2019

Fang P, et al. - In this investigation, researchers assessed the recent transformation of end-of-life (EOL) chemotherapy and targeted therapy practices nationally. They assessed the guideline-benchmarked measure of chemotherapy use within 14 days of EOL in SEER-Medicare in patients older than 65 years of age who died as a result of breast (n = 19,887), lung (n = 79,613), colorectal (n = 29,844), or prostate (n = 17,910) cancer between 2007 and 2013. With national benchmarking, chemotherapy declined to less than 5% within 14 days of EOL, with physicians taking up a comprehensive benchmark. Outcomes can inform current strategies to help achieve high-value practice of EOL oncology.
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