{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T03:34:58Z","timestamp":1792035298571,"version":"4.4.0"},"reference-count":39,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T00:00:00Z","timestamp":1768348800000},"content-version":"vor","delay-in-days":13,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Medical Journal of Australia"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To determine how many people who die of cancer in Victoria receive palliative care and early palliative care (more than 3\u2009months before death); to assess the impact of early palliative care on the quality of end\u2010of\u2010life care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>Retrospective, population\u2010based cohort study; analysis of linked Victorian Cancer Registry data and routinely collected data for inpatient, non\u2010admitted health service and emergency department care during the 12\u2009months prior to death.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting, Participants<\/jats:title>\n                    <jats:p>Victorian adults who died of cancer during 1 January 2018\u201331 January 2023.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measures<\/jats:title>\n                    <jats:p>Proportions of people who received palliative care (any time) or early palliative care (more than 3\u2009months prior to death); likelihood of quality of end\u2010of\u2010life care measures: dying outside an acute hospital; chemotherapy, two or more emergency department visits, two or more hospital admissions during final 30\u2009days of life; advance care plan at death.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 53,305 people who died of cancer (mean age, 74.8\u2009years [standard deviation, 13.0\u2009years]; 29,527 men [55.4%]), palliative care was provided for 38,697 (72.6%); 17,409 people (32.7%) received early palliative care. The most frequent palliative care type was palliative approach to care (Z51.5 code; 33,974 people, 63.7%). The overall proportion of people who received palliative care did not change markedly during 2018\u20132022; the proportion who received early palliative care declined slightly, from 34.8% (95% confidence interval [CI], 33.6\u201335.9) to 33.0% (95% CI, 31.7\u201333.8). People who received early palliative care were more likely than people who received late palliative care to have an advance care plan (adjusted odds ratio [aOR], 1.46; 95% CI, 1.38\u20131.55) and to die outside hospital (aOR, 2.50; 95% CI, 2.37\u20132.64); they were less likely to have two or more of emergency department presentations (aOR, 0.75; 95% CI, 0.70\u20130.81), two or more hospital admissions (aOR, 0.58; 95% CI, 0.55\u20130.61) or chemotherapy (aOR, 0.51; 95% CI, 0.47\u20130.55) during their final 30\u2009days of life.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>72.6% of people who died of cancer in Victoria during 2018\u20132023 had received palliative care, but only 33% had received it early. End\u2010of\u2010life care may be improved by providing palliative care early. The low early palliative care rate, despite the potential for improved outcomes for people who receive it, indicates that action is needed.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.5694\/mja2.70128","type":"journal-article","created":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T02:39:54Z","timestamp":1768444794000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Early Palliative Care and Quality of End\u2010of\u2010Life Care for People With Terminal Cancer, Victoria, 2018\u20132023: A Retrospective, Population\u2010Based Cohort Study"],"prefix":"10.5694","volume":"224","author":[{"given":"Chris","family":"Schilling","sequence":"first","affiliation":[{"name":"The Melbourne School of Population and Global Health The University of Melbourne  Melbourne Victoria Australia"},{"name":"Centre for Palliative Care St Vincent's Hospital Melbourne  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olivia","family":"Wawryk","sequence":"additional","affiliation":[{"name":"The University of Melbourne  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2139-0100","authenticated-orcid":false,"given":"Anna","family":"Collins","sequence":"additional","affiliation":[{"name":"The University of Melbourne  Melbourne Victoria Australia"},{"name":"St Vincent's Hospital  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vijaya","family":"Sundararajan","sequence":"additional","affiliation":[{"name":"St Vincent's Hospital  Melbourne Victoria Australia"},{"name":"Melbourne Medical School The University of Melbourne  Melbourne Victoria Australia"},{"name":"St Vincent's Health Australia  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0830-4864","authenticated-orcid":false,"given":"Brian H.","family":"Le","sequence":"additional","affiliation":[{"name":"Parkville Integrated Palliative Care Service The Royal Melbourne Hospital  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Philip","sequence":"additional","affiliation":[{"name":"Centre for Palliative Care St Vincent's Hospital Melbourne  Melbourne Victoria Australia"},{"name":"The University of Melbourne  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,1,14]]},"reference":[{"key":"e_1_2_11_2_1","volume-title":"Cancer","author":"Dattani S."},{"key":"e_1_2_11_3_1","volume-title":"Palliative Care","author":"Cancer Council","year":"2023"},{"key":"e_1_2_11_4_1","first-page":"99","article-title":"A Review of the Trials Which Examine Early Integration of Outpatient and Home Palliative Care for Patients With Serious Illnesses","volume":"4","author":"Davis M. 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