ArticleBMC palliative care2014
Characteristics of a palliative care consultation service with a focus on pain in a German university hospital.
Article in BMC palliative care, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 18 citations in OpenAlex.
- The OUTREACH study: oncologists of German university hospitals in rotation on a palliative care unit-evaluation of attitude and competence in palliative care and hospice.Journal of cancer research and clinical oncology · 2023Article
- [Applicability of QUIKS in conservatively treated tumor inpatients].Schmerz (Berlin, Germany) · 2022Article
- [Cooperation between intensive care and palliative care : The status quo in German Comprehensive Cancer Centers].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2021Article
- Anxiety, depression and psychosocial needs are the most frequent concerns reported by patients: preliminary results of a comparative explorative analysis of two hospital-based palliative care teams in Germany and Japan.Journal of neural transmission (Vienna, Austria : 1996) · 2020Article
- Impact, challenges and limits of inpatient palliative care consultations - perspectives of requesting and conducting physicians.BMC health services research · 2020Article
- The economic burden of disease of epithelial ovarian cancer in Spain: the OvarCost study.The European journal of health economics : HEPAC : health economics in prevention and care · 2019Article
- Do Korean Doctors Think a Palliative Consultation Team Would Be Helpful to Their Terminal Cancer Patients?Cancer research and treatment · 2017Article
- Cost-benefit analysis of ALK diagnosis vs. non-diagnosis in patients with advanced non-small cell lung cancer in Spain.Global & regional health technology assessmentArticle
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundA minority of patients with incurable and advanced disease receive specialised palliative care. Specialised palliative care services that complement the care of difficult and complex cases ought to be integrated with services that deliver general care for most patients. A typical setting in which this integrative concept takes place is the hospital setting, where patients suffering from incurable and advanced disease are treated in many different departments. The aim of the study is to investigate the profile and spectrum of a palliative care consultation service (PCCS) at a German university hospital with special reference to pain therapy.
methodsWe retrospectively analysed the PCCS documentation of three years.
resultsMost patients were referred from non-surgical departments, 72% were inpatients, and 28% were outpatients. 98% of the patients suffered from cancer. Counselling in pain therapy was one of the key aspects of the consultation: For 76% of all consulted patients, modifications of the analgesic regimen were recommended, which involved opioids in 96%. Recommendations on breakthrough-pain medication were made for 70% of the patients; this was an opioid in most cases (68%). The most commonly used opioid was morphine. For 17% of the patients, additional diagnostic procedures were recommended. Besides pain management palliative care consultation implied a wide range of recommendations and services: In addition to organising home care infrastructure, palliative care services supported patients and their families in understanding the life-limiting diseases. They also coordinated physical therapy and social and legal advice.
conclusionThis survey clearly shows that for a consultation service to support patients with incurable or advanced disease, a multi-disciplinary approach is necessary to meet the complex requirements of a needs-adapted palliative care in inpatient or outpatient settings. Timely integration of palliative expertise may support symptom control and may give the required advice to patients, their carers, and their families.
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