Dermatology 2013

Notes: Jolivot, Romuald

Benezeth, Yannick

Marzani, Franck

eng

2013/10/26 06:00

Int J Biomed Imaging. 2013;2013:978289. doi: 10.1155/2013/978289. Epub 2013 Sep 18.

URL: http://www.ncbi.nlm.nih.gov/pubmed/24159326

Author Address: National Electronic and Computer Technology Center, 112 Thailand Science Park, Phahonyothin Road, Khlong Nueng, Klong Luang, Pathumthani 12120, Thailand.

 

 

Reference Type:  Journal Article

Record Number: 4510Author: Journet-Tollhupp, J., Grange, F. and Bernard, P.

Year: 2013

Title: [Changes in mortality in the Reims University Hospital Dermatology Department (1996-2009)]

Journal: Ann Dermatol Venereol

Volume: 140

Issue: 2

Pages: 91-6

Date: Feb

Short Title: [Changes in mortality in the Reims University Hospital Dermatology Department (1996-2009)]

Alternate Journal: Annales de dermatologie et de venereologie

ISSN: 0151-9638 (Print)

0151-9638 (Linking)

DOI: 10.1016/j.annder.2012.10.591

Original Publication: Evolution de la mortalite dans le service de dermatologie du CHU de Reims (1996-2009).

Accession Number: 23395489

Keywords: Aged

Aged, 80 and over

Cause of Death

*Dermatology

Diagnosis-Related Groups

Female

France/epidemiology

Hospital Departments/*statistics & numerical data

Hospital Mortality/*trends

Hospitals, University/*statistics & numerical data

Humans

Infection/mortality

Male

Melanoma/mortality

Middle Aged

Palliative Care/utilization

Pemphigoid, Bullous/mortality

Retrospective Studies

Skin Neoplasms/mortality

Abstract: BACKGROUND: End-of-life care is becoming a daily concern of French dermatology departments. The aim of this single-centre retrospective study was to assess changes in mortality and end-of-life care in a university dermatology department over a 14-year period. PATIENTS AND METHODS: The medical records of all patients dying in our dermatology department from 1996 to 2009 were studied retrospectively. A descriptive analysis was performed together with a comparison between the two periods demarcated by the institution of the French National Cancer Plan at the end of 2002. RESULTS: The number of patients dying in the department rose by 33% from 108 for period 1 (1996-2002) to 144 for period 2 (2003-2009). The majority of patients presented metastatic melanoma, with doubling of numbers between the two periods. During period 2, 40 % of patients were managed in collaboration with the mobile palliative care team. CONCLUSION: This study shows an increase in the number of deaths in a French university hospital dermatology department over the 14-year period in question, ascribable mainly to an increase in the number of patients receiving end-of-life care for metastatic melanoma. Significant changes were noted in the management of these patients with an increase in palliative care procedures.

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