A Clinical View on the Palliative Care Challenges for Oncology Patients

Abstract Objectives. To improve the organization and delivery of palliative care for cancer patients based on the work analysis of the Cancer Center for the period from 2018 to 2023. Methods. From 2018 to 2023, 69,110 patients were grouped as follows: 1st – 36,443 patients of II-III stage, II clinical group, which received complex drug treatment according to the protocol and recommendations of the NCCN (according to nosologies); 2nd - 24,296 patients of IV stage, II clinical group, who received only drug treatment according to these recommendations and the clinical protocol; 3rd – 8,371 patients in IV stage, IV clinical group that received palliative care. Group 3 was further divided into subgroups: a) 3,022 patients who received inpatient palliative care (hospice); b) 5349 patients who received outpatient care. Results. Over the past two years, there has been a significant increase (p < 0.05) in the number of patients in all groups. In the structure of the second group, the preference of patients with localization of the mammary gland and organs of the abdominal cavity was determined - 14,938 patients (61.48%). The correlation of the contingent of patients who received palliative drug treatment with those who received palliative care was determined. Conclusion. It is possible to foresee patients receiving inpatient or mobile palliative care. Since there is a clinical course during hospitalization for palliative care, it is possible to foresee a certain set of measures taking into account a specific nosology.