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“Let's Bring Her Home First

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1 “Let's Bring Her Home First
“Let's Bring Her Home First.” Patient Characteristics and Place of Death in Specialized Pediatric Palliative Home Care  Hans Ulrich Bender, MD, Martin Bernhard Riester, MD, Gian Domenico Borasio, MD, Monika Führer, MD  Journal of Pain and Symptom Management  Volume 54, Issue 2, Pages (August 2017) DOI: /j.jpainsymman Copyright © 2017 American Academy of Hospice and Palliative Medicine Terms and Conditions

2 Fig. 1 Incidence of new referrals and prevalence of patients on SPPHC in Munich on a yearly basis. ACT = Association for Children with Terminal Conditions; SPPHC = specialized pediatric palliative home care. Journal of Pain and Symptom Management  , DOI: ( /j.jpainsymman ) Copyright © 2017 American Academy of Hospice and Palliative Medicine Terms and Conditions

3 Fig. 2 Place of death in patients on SPPHC 2009–2015, ACT groups; number of patients and % of ACT group. ACT = Association for Children with Terminal Conditions; SPPHC = specialized pediatric palliative home care. Journal of Pain and Symptom Management  , DOI: ( /j.jpainsymman ) Copyright © 2017 American Academy of Hospice and Palliative Medicine Terms and Conditions

4 Fig. 3 Intensity of care: contacts per month in SPPHC according to ACT groups. ACT = Association for Children with Terminal Conditions; SPPHC = specialized pediatric palliative home care. Journal of Pain and Symptom Management  , DOI: ( /j.jpainsymman ) Copyright © 2017 American Academy of Hospice and Palliative Medicine Terms and Conditions

5 Fig. 4 Intermission and reactivation of care among ACT groups in %; ACT-1: n = 56, ACT-3: n = 76, ACT-4: n = 71 patients. ACT = Association for Children with Terminal Conditions. Journal of Pain and Symptom Management  , DOI: ( /j.jpainsymman ) Copyright © 2017 American Academy of Hospice and Palliative Medicine Terms and Conditions

6 Fig. 5 Survival rate (Kaplan-Meier) for the four ACT groups after admission to SPPHC. Note that some of the patients were admitted before July 2009, therefore periods of care longer than 76 months appear in the plot. P (ACT 1, 3, 4) < ACT = Association for Children with Terminal Conditions; SPPHC = specialized pediatric palliative home care. Journal of Pain and Symptom Management  , DOI: ( /j.jpainsymman ) Copyright © 2017 American Academy of Hospice and Palliative Medicine Terms and Conditions


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