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The Influence of Specialist Palliative Care in Aggressive End of Life Management of Patients with Advanced Cancer Cover

The Influence of Specialist Palliative Care in Aggressive End of Life Management of Patients with Advanced Cancer

Open Access
|Mar 2026

Figures & Tables

Figure 1.

Flow chart of the assessment of patients for eligibility. IOL – Institute of Oncology Ljubljana.
Flow chart of the assessment of patients for eligibility. IOL – Institute of Oncology Ljubljana.

Figure 2.

Frequency distribution of different anticancer treatments in the last month of life. * Patients receiving different modalities of treatment are included in all treatment groups corresponding to the therapies they received.
31 patients received a combination of modalities of treatment in the last month of life: 4 received systemic therapy and surgery, 26 received systemic therapy and radiotherapy, and one (1) patient received surgery and radiotherapy.
Frequency distribution of different anticancer treatments in the last month of life. * Patients receiving different modalities of treatment are included in all treatment groups corresponding to the therapies they received. 31 patients received a combination of modalities of treatment in the last month of life: 4 received systemic therapy and surgery, 26 received systemic therapy and radiotherapy, and one (1) patient received surgery and radiotherapy.

Multiple logistic regression analysis exploring the association between different predictors and aggressive medical care in the last month of life_

POR95% CI
Gender (male = REF)0.610.930.72 – 1.21
Age at death*< 0.0010.960.95 – 0.97
Year of death0.121.060.98 – 1.15
Prognosis of cancer
Low (REF)///
Intermediate0.301.240.83 – 1.85
High0.851.050.64 – 1.73
Type of cancer
Others (REF)///
Gastrointestinal0.410.830.53 – 1.30
Lung0.201.340.86 – 2.08
Breast0.431.240.73 – 2.09
Gynecological0.040.520.28 – 0.97
Urogenital0.550.870.55 – 1.38
Aggressive oncological treatment (Yes vs. No)< 0.0011.841.47 – 2.30
Specialist palliative care (No = REF)< 0.0010.250.15 – 0.40

Multiple logistic regression analysis exploring the association between different predictors and the use of aggressive anticancer treatment in the last month of life_

POR95% CI
Gender (male = REF)0.530.920.71 – 1.19
Age at death*< 0.0010.960.95 – 0.97
Year of death0.121.060.99 – 1.15
Prognosis of cancer
Low (REF)///
Intermediate0.221.280.86 – 1.92
High0.801.070.65 – 1.75
Type of cancer
Others (REF)///
Gastrointestinal0.380.820.53 – 1.28
Lung0.201.340.86 – 2.07
Breast0.351.280.76 – 2.15
Gynecological0.050.530.28 – 1.00
Urogenital0.870.870.55 – 1.39
Specialist palliative care (No = REF)< 0.0010.190.12 – 0.31
DOI: https://doi.org/10.2478/sjph-2026-0007 | Journal eISSN: 1854-2476 | Journal ISSN: 0351-0026
Language: English
Page range: 51 - 58
Submitted on: Sep 30, 2025
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Accepted on: Jan 20, 2026
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Published on: Mar 1, 2026
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2026 Nena Golob, Teja Oblak, Boštjan Šeruga, published by National Institute of Public Health, Slovenia
This work is licensed under the Creative Commons Attribution 4.0 License.