Delivery Strategies to Optimize Resource Utilization and Performance Status for Patients With Advanced Life-Limiting Illness: Results From the “Palliative Care Trial” [ISRCTN 81117481]

Abernethy, Amy P.; Currow, David C.; Shelby‐James, Tania; Rowett, Debra; May, Frank; Samsa, Gregory P.; Hunt, Roger; Williams, Helena; Esterman, Adrian; Phillips, Paddy A.

doi:10.1016/j.jpainsymman.2012.02.024

Cited by 83 publications

(84 citation statements)

References 36 publications

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“…However, the outcomes could be worth the eff ort. For example, two randomised controlled trials have shown that just one case-conference involving a PCP and a specialist palliative-care team confers benefi ts, including improved patient performance capacity, reduced hospital admissions and referrals to the emergency department, 249 and improved quality of life in the patient's last month of life. 250 PCPs also have a role in caring for the carers of people with advanced cancer.…”

Section: Facilitating Multidisciplinary Palliative Carementioning

confidence: 99%

The expanding role of primary care in cancer control

Rubin

Berendsen

Crawford

et al. 2015

The Lancet Oncology

448

450

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The nature of cancer control is changing, with an increasing emphasis, fuelled by public and political demand, on prevention, early diagnosis, and patient experience during and after treatment. At the same time, primary care is increasingly promoted, by governments and health funders worldwide, as the preferred setting for most health care for reasons of increasing need, to stabilise health-care costs, and to accommodate patient preference for care close to home. It is timely, then, to consider how this expanding role for primary care can work for cancer control, which has long been dominated by highly technical interventions centred on treatment, and in which the contribution of primary care has been largely perceived as marginal. In this Commission, expert opinion from primary care and public health professionals with academic and clinical cancer expertise-from epidemiologists, psychologists, policy makers, and cancer specialists-has contributed to a detailed consideration of the evidence for cancer control provided in primary care and community care settings. Ranging from primary prevention to end-of-life care, the scope for new models of care is explored, and the actions needed to eff ect change are outlined. The strengths of primary care-its continuous, coordinated, and comprehensive care for individuals and families-are particularly evident in prevention and diagnosis, in shared follow-up and survivorship care, and in end-of-life care. A strong theme of integration of care runs throughout, and its elements (clinical, vertical, and functional) and the tools needed for integrated working are described in detail. All of this change, as it evolves, will need to be underpinned by new research and by continuing and shared multiprofessional development.

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Section: Facilitating Multidisciplinary Palliative Carementioning

confidence: 99%

The expanding role of primary care in cancer control

Rubin

Berendsen

Crawford

et al. 2015

The Lancet Oncology

448

450

View full text Add to dashboard Cite

show abstract

“…Recognizing the significant supportive care needs among cancer patients and the role that palliative care plays in addressing these needs [1][2][3][4], multiple national and international professional organizations have called for increased integration of oncology and palliative care [5][6][7][8]. Since 2004, the European Society for Medical Oncology (EMSO) offered an incentive program of 'ESMO designated centers of integrated oncology and palliative care' based on 13 criteria that focused on the palliative carerelated processes, education, and research; however, these criteria did not explicitly include formal clinical structures [6].…”

Section: Introductionmentioning

confidence: 99%

Indicators of integration of oncology and palliative care programs: an international consensus

et al. 2015

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“…Understanding and considering this clinical entity is of importance for how we prepare and assist patients for the end of their lives, evaluate the impact a sudden death in the setting of a life-limiting illness has on the palliative care may help patients and families by setting realistic and desirable outcomes for the future and proactively creating crisis management plans (30). As part of this role, it is critical for clinicians to begin to explore ways to educate and help patients/families adapt to the idea of sudden death in the face of a progressive life-limiting illness.…”

mentioning

confidence: 99%

Prevalence of Sudden Death in Palliative Care: Data From the Australian Palliative Care Outcomes Collaboration

Ekström

Vergo

Ahmadi

et al. 2016

Journal of Pain and Symptom Management

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Delivery Strategies to Optimize Resource Utilization and Performance Status for Patients With Advanced Life-Limiting Illness: Results From the “Palliative Care Trial” [ISRCTN 81117481]

Abstract: A single case conference added to current specialized community-based palliative care reduced hospitalizations and better maintained performance status. Comparatively, patient/caregiver education was less effective; GP education was not effective.

Cited by 83 publications

References 36 publications

The expanding role of primary care in cancer control

The expanding role of primary care in cancer control

Indicators of integration of oncology and palliative care programs: an international consensus

Prevalence of Sudden Death in Palliative Care: Data From the Australian Palliative Care Outcomes Collaboration

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