Impact of biopsychosocial screening program on hospital admissions: Observational study from a Brazilian cancer center.

Authors

Cristiane Decat Bergerot

Cristiane Decat Bergerot

Centro de Cancer de Brasilia, Instituto Unity de Ensino e Pesquisa, Brasilia, Brazil

Cristiane Decat Bergerot, Paulo Gustavo Bergerot, Lorena Nascimento Manrique Molina, Alici Natalia de Sousa Freitas, Karla Lúcia Lucia Nascimento, Errol James Philip, David Lee, Luana Sacchi, Jose Nazario, Natalia Barros Salgado Vieira, Joao Nunes Matos Neto, Marco Murilo Buso, Enrique Soto Pérez de Celis, Narjust Florez

Organizations

Centro de Cancer de Brasilia, Instituto Unity de Ensino e Pesquisa, Brasilia, Brazil, Centro de Cancer de Brasilia, Brasilia, Brazil, University of California, San Francisco, School of Medicine, San Francisco, CA, University of New Mexico, Albuquerque, NM, Instituto Unity de Ensino e Pesquisa, Brasilia, Brazil, HUB-UnB CETTRO, Brasilia, DF, Brazil, Instituto Nacional de Ciencias Medicas y Nutrición Salvador Zubirán, Mexico City, Mexico, Mayo Clinic, Rochester, MN

Research Funding

No funding received
None.

Background: The integration of biopsychosocial screening programs (BSP) has been promoted as a way by which to identify unmet needs and to provide tailored treatments to patients. Studies have reported mixed outcomes regarding the impact of such services on hospital admissions during cancer treatment. This study sought to evaluate the effect of a BSP on hospital admissions and length of stay among a large, heterogenous sample of patients diagnosed with cancer (March 2020 to December 2021). Methods: We enrolled consecutive patients diagnosed with cancer receiving treatment at a single institution located in the capital of Brazil. We assessed patients’ characteristics via chart review (e.g., age, sex, histology, hospital admission, length of hospitalization). In addition, as per the BSP protocol, patients were assessed via standardized self-report questionnaires (Distress Thermometer, FACT-G, Patient-Generated Subjective Global Assessment), and appropriate interventions are provided. This program was offered at no cost to all patients and engagement was voluntary. We compared the number of hospital admissions and length of stay between groups (patients who participated in the BSP vs. those who did not). Mixed linear models adjusted for selected characteristics (age, type of cancer and disease stage) were assessed. Results: A total of 1014 patients were included in this analysis. From the total sample, 84% participated in the BSP and 20% were hospitalized for an average of 9 days (ranging from 1-80 days). Mostly patients were female (63%), median age was 63 years old. Breast cancer (26%), hematological (18%), and gastrointestinal cancer (14%) were the most common types of cancer, and the majority had advanced disease (stage III-IV; 67%). Compared to those who engaged in the BSP, patient’s characteristics were well balanced, however, the proportion of patients hospitalized during their cancer treatment was higher among patients who did not participate in the BSP (27% vs 8%: P = 0.001), as was the length of hospitalization spent more days in the hospital than patients who has participated in the BSP (M = 9.5 days vs M = 4.2 days; P = 0.001). Conclusions: Our findings suggest the benefit of a BSP in reducing hospitalizations and length of stay among patients with cancer. An integrated model of care may assist in targeting patient’s unmet needs and may positively impact clinical and hospital-based outcomes. This is the first study to evaluate the effects of a BSP among a Brazilian population using real world data.

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Abstract Details

Meeting

2022 ASCO Quality Care Symposium

Session Type

Rapid Oral Abstract Session

Session Title

Rapid Abstract Session A

Track

Health Care Access, Equity, and Disparities,Technology and Innovation in Quality of Care,Quality, Safety, and Implementation Science

Sub Track

Access to and Utilization of Palliative and Supportive Care

Citation

J Clin Oncol 40, 2022 (suppl 28; abstr 72)

DOI

10.1200/JCO.2022.40.28_suppl.072

Abstract #

72

Abstract Disclosures

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