Evaluating the Time to Palliative Care Referrals in Patients With Small-Cell Lung Cancer: A Single-Centre Retrospective Review

Watson, Geoffrey Alan; Saunders, Jean; Coate, Linda

doi:10.1177/1049909118775066

Cited by 3 publications

(3 citation statements)

References 40 publications

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“…PC service data held by the Australian PC Outcomes Collaboration would have provided more accurate data; however, linkage was not available. In Stage IIIC–IV, the median time from diagnosis to PC was consistent with previous studies (Duggan et al, 2019; Watson et al, 2018). Those studies also had a shorter median time from first treatment to PC of 30 days, possibly due to treatment urgency associated with prognosis, symptom management, and performance status.…”

Section: Discussionsupporting

confidence: 90%

“…A previous literature review undertaken by the primary researcher (S.S) explored PC utilization and timing from diagnosis and death. PC utilization in the hospital setting varied between 14% (USA, Huo et al, 2021) and 100% (Ireland, Watson et al, 2018), whereas our study reported 54%. Community PC was lower in our cohort (15%) compared to Craigs et al (2018), who found greater utilization compared to hospital PC (45% vs. 40%).…”

Section: Discussioncontrasting

confidence: 67%

“…PC is initially mentioned in the LC-OCP at the diagnosis, staging, (Duggan et al, 2019;Watson et al, 2018). Those studies also had a shorter median time from first treatment to PC of 30 days, possibly due to treatment urgency associated with prognosis, symptom management, and performance status.…”

Section: Discussionmentioning

confidence: 99%

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Mapping the clinical care pathways for advanced stage non‐small cell lung cancer patients in Victoria: A retrospective cohort study of supportive and palliative care

Smith

Sapkaroski

Brand

et al. 2023

Nursing & Health Sciences

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The lung cancer Optimal Care Pathway recommends supportive care and palliative care integration throughout its various steps, with early referral to appropriate services improving the quality of life in advanced stage non‐small cell lung cancer patients. Using Victorian Lung Cancer Registry data and linked administrative datasets, this retrospective cohort study mapped clinical care pathways of 525 Stage III–IV non‐small cell lung cancer patients in Victoria to 11 recommendations in the Optimal Care Pathway, identifying unwarranted variations in clinical care. Supportive care and palliative care delivery were further examined to understand the involvement and timing of specialist care teams. Our findings showed that palliative care utilization is highest at the time of treatment, despite recommendations that it should be provided early after diagnosis to improve patient outcomes and satisfaction. Early supportive care screening was observed in half the cohort and almost three‐quarters of the patients had been presented at a multidisciplinary meeting. Multidisciplinary meeting presentations and supportive care provide an opportunity to improve communication about palliative care needs and integration into routine clinical practice, such as at the time of treatment planning.

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Section: Discussionsupporting

confidence: 90%

Section: Discussioncontrasting

confidence: 67%

See 1 more Smart Citation

Mapping the clinical care pathways for advanced stage non‐small cell lung cancer patients in Victoria: A retrospective cohort study of supportive and palliative care

Smith

Sapkaroski

Brand

et al. 2023

Nursing & Health Sciences

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The Context of CALM

Rodin¹,

Hales²

2021

Managing Cancer and Living Meaningfully

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This chapter provides an overview of the range of psychotherapeutic interventions that have been applied to patients with advanced and metastatic cancer and the relationship of Managing Cancer and Living Meaningfully (CALM) to the field. Approaches to alleviate distress at the time of diagnosis of advanced or life-threatening cancer, those for patients near the end of life, and those for patients living with metastatic and advanced cancer are discussed. The latter include supportive-expressive, meaning-centered, cognitive-behavioural, mindfulness-based, and grief therapies tailored for individuals, groups, and families. Interventions tailored for the end of life, including Dignity Therapy, Short-Term Life Review, and narrative interventions, are reviewed. The barriers to the optimal delivery of psychosocial interventions for patients with advanced disease are also explored.

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Defining “early palliative care” for adults diagnosed with a life-limiting illness: A scoping review

Kircher

Hanna

Tranmer

et al. 2023

Preprint

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Background: Palliative care is for people suffering from life-limiting illnesses that focuses on providing relief from symptoms and stress of illness. Previous studies have demonstrated that specialist palliative care consultation delivered earlier in the disease process can enhance patients’ quality of life, reduce their symptom burden, reduce use of hospital-based acute care services and extend their survival. However, various definitions exist for the term early palliative care (EPC). Objective: To investigate how EPC has been defined in the literature for adults with life- limiting illnesses. Methods: This review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines and the follows the Joanna Briggs Institution methodology for scoping reviews. Results: We identified 116 articles between 2008-2020 which met inclusion criteria. Five categories of operational definitions for EPC emerged: 1) time-based (time from advanced cancer diagnosis to EPC initiation); 2) prognosis-based (prognosis or the ‘surprise question’); 3) location-based (access point within the healthcare system such as outpatient setting); 4) treatment-based (physician’s judgement or prior to specific therapies); and 5) symptom-based (using symptom intensity questionnaires). Many studies included patients with cancer (n=78), with the most common definition category being time-based (n =41). Amongst studies focusing on multiple or non-cancer diagnoses (n=38), the most common definition category was symptom-based (n =13). Conclusion: Our findings provide a useful reference point for those seeking to understand the scope and breadth of existing EPC definitions in cancer and non-cancer illnesses and contemplate their application within clinical practice

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Evaluating the Time to Palliative Care Referrals in Patients With Small-Cell Lung Cancer: A Single-Centre Retrospective Review

Cited by 3 publications

References 40 publications

Mapping the clinical care pathways for advanced stage non‐small cell lung cancer patients in Victoria: A retrospective cohort study of supportive and palliative care

Mapping the clinical care pathways for advanced stage non‐small cell lung cancer patients in Victoria: A retrospective cohort study of supportive and palliative care

The Context of CALM

Defining “early palliative care” for adults diagnosed with a life-limiting illness: A scoping review

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