Diagnosis matters: the differing 
clinical trajectories for terminal prostate, 
lung and haematological cancers

William, Leeroy, Jackson, Kate, Bostanci, Adam, Ward, Jennifer, Martin, Peter, Pittman, Lise and Moore, Gaye 2015, Diagnosis matters: the differing 
clinical trajectories for terminal prostate, 
lung and haematological cancers, Australian family physician, vol. 44, no. 7, pp. 479-484.

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Title Diagnosis matters: the differing 
clinical trajectories for terminal prostate, 
lung and haematological cancers
Author(s) William, Leeroy
Jackson, Kate
Bostanci, Adam
Ward, Jennifer
Martin, PeterORCID iD for Martin, Peter orcid.org/0000-0002-1214-5149
Pittman, Lise
Moore, Gaye
Journal name Australian family physician
Volume number 44
Issue number 7
Start page 479
End page 484
Total pages 6
Publisher Royal Australian College of General
Place of publication East Melbourne, Vic.
Publication date 2015-07
ISSN 0300-8495
Keyword(s) Science & Technology
Life Sciences & Biomedicine
Primary Health Care
Medicine, General & Internal
General & Internal Medicine
LIFE
PLACE
END
DEATH
HOME
Summary BACKGROUND: There is a belief that end-of-life care issues are similar for all cancer patients, irrespective of their primary cancer diagnosis. This exploratory study into the terminal trajectories of three common cancers challenges this belief. METHODS: A retrospective, systematic, and mixed qualitative and quantitative medical record review of 30 deceased patients in 2010 was performed between two Victorian networks. The last 90 days of life were examined in three equally distributed cancer groups - prostate, lung and haematological. RESULTS: The trajectories for the three malignancies differed in temporal, symptomatic, supportive and interventional characteristics. DISCUSSION: Our study suggests diagnosis does indeed matter. The varying symptomatology for the different cancers markedly influenced clinical management, utilisation of palliative care services and the site of care and site of death. Our study suggests potential areas for better collaboration between general practitioners, community and specialist palliative care services. Emerging work supports our findings, but this area warrants further research.
Language eng
Field of Research 1117 Public Health and Health Services
1103 Clinical Sciences
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2015, Australian Family Physician
Persistent URL http://hdl.handle.net/10536/DRO/DU:30120606

Document type: Journal Article
Collections: Faculty of Health
School of Medicine
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