ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2012
Recommending early integration of palliative care - does it work?
Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 5 of them syntheses that pooled it.
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Who cites it
17 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Existing psychological supportive care interventions for cervical cancer patients: a systematic review and meta-analysis.BMC public health · 2024Pooled it
- Clinical trials in palliative care: a systematic review of their methodological characteristics and of the quality of their reporting.BMC palliative care · 2017Pooled it
- Integrated palliative care in Europe: a qualitative systematic literature review of empirically-tested models in cancer and chronic disease.BMC palliative care · 2016Pooled it
- To what degree is palliative care integrated in guidelines and pathways for adult cancer patients in Europe: a systematic literature review.BMC palliative care · 2016Pooled it
- Integration of oncology and palliative care: a systematic review.The oncologist · 2015Pooled it
- Factors associated with supportive care needs in glioma patients in the neuro-oncological outpatient setting.Journal of neuro-oncology · 2017Trial
- Early Palliative Care-Health services research and implementation of sustainable changes: the study protocol of the EVI project.BMC cancer · 2015Trial
- The supportive care needs survey short form 34 (SCNS-SF34): translation and cultural adaptation into the Nepali language among patients with cervical cancer in Nepal.Health and quality of life outcomes · 2023Article
- Assessment of supportive care needs among cervical cancer patients under treatment in Nepal: a cross-sectional study.BMC women's health · 2023Article
- Impact, challenges and limits of inpatient palliative care consultations - perspectives of requesting and conducting physicians.BMC health services research · 2020Article
- What is palliative care? Perceptions of healthcare professionals.Scandinavian journal of caring sciences · 2019Article
- Early and late signs that precede dying among older persons in nursing homes: the multidisciplinary team's perspective.BMC geriatrics · 2018Article
- Supportive/palliative care in cancer patients: quo vadis?Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2016Article
- Translation of Supportive Care Needs Survey Short Form 34 (SCNS-SF34) into Italian and cultural validation study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2016Article
- Palliative care needs, symptoms, and treatment intensity along the disease trajectory in medical oncology outpatients: a retrospective chart review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2013Article
- Palliative care consultation service and palliative care unit: why do we need both?The oncologist · 2012Article
- Standardizing integration of palliative care into comprehensive cancer therapy--a disease specific approach.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2011Article
Corrections and comments
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Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn 2006, our comprehensive cancer center decided to implement early integration (EI) of palliative care (PC) by (a) literally adopting the WHO definition of PC into cancer care guidelines and (b) providing a PC consulting team (PCST) to provide EI on in- and outpatient wards. The experience with this approach was assessed to identify shortcomings.
methodsA retrospective systematic chart analysis of a 2-year period was performed.
resultsA total of 862 patients were treated (May 2006-April 2008). Many patients consulted by the PCST for the first time were already in a reduced performance status (ECOG 3 & 4: 40%) or experiencing burdening symptoms (i.e., dyspnoea 27%). After the first year (period A; "getting started"), the overall prevalence of symptoms identified on first PC contact decreased from seven to three, (p < 0.001) as well as surrogate measures for advanced disease (i.e., frailty: from 63% to 33%; CI: [-36%; -23%], p < 0.001).
conclusionSurrogate measures (symptom burden, performance status) indicate that PC was integrated earlier in the course of the disease after a 1-year phase of "getting started" with EI. Yet, the WHO recommendation alone was too vague to successfully trigger EI of PC. Therefore, the authors advocate the provision of disease specific guidelines to institutionalize EI of PC. Such guidelines have been developed for 19 different malignancies and are presented separately.
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