Impact of Early Referral to Palliative Care in Patients with Interstitial Lung Disease

Rodrigo-Troyano, Ana; Alonso, Ana; Barril, Silvia; Fariñas, Oscar; Güell, Ernest; Pascual, Antonio; Castillo, Diego

doi:10.1089/jpm.2021.0458

Cited by 5 publications

(2 citation statements)

References 16 publications

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“…These patients have several distressing symptoms including breathlessness, fatigue, pain, anxiety, and depression, which can significantly diminish their HRQL [8,9]. However, a growing body of evidence has shown PC in both interstitial lung disease (ILD) and chronic obstructive pulmonary disease (COPD) is associated with a reduced risk of hospital admissions, emergency room visits, and hospital duration [10 ▪ ,11 ▪▪ ,12 ▪▪ ,13]. Moreover, several studies highlight significant relief of dyspnea following PC [14,15], often the most burdensome symptom in this population [16].…”

Section: Advanced Lung Diseasementioning

confidence: 99%

An update of palliative care in lung transplantation with a focus on symptoms, quality of life and functional outcomes

Rozenberg,

Andrawes,

Wentlandt

2024

Current Opinion in Pulmonary Medicine

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Purpose of review Palliative care (PC) in lung transplantation is increasingly acknowledged for its important role in addressing symptoms, enhancing functionality, and facilitating advance care planning for patients, families, and caregivers. The present review provides an update in PC management in lung transplantation. Recent findings Research confirms the effectiveness of PC for patients with advanced lung disease who are undergoing transplantation, showing improvements in symptoms and reduced healthcare utilization. Assessment tools and patient-reported outcome measures for PC are commonly used in lung transplant candidates, revealing discrepancies between symptom severity and objective measures such as exercise capacity. The use of opioids to manage dyspnea and cough in the pretransplant period is deemed safe and does not heighten risks posttransplantation. However, the integration of PC support in managing symptoms and chronic allograft dysfunction in the posttransplant period has not been as well described. Summary Palliative care support should be provided in the pretransplant and select peri-operative and posttransplant periods to help support patient quality of life, symptoms, communication and daily function.

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Section: Advanced Lung Diseasementioning

confidence: 99%

An update of palliative care in lung transplantation with a focus on symptoms, quality of life and functional outcomes

Rozenberg,

Andrawes,

Wentlandt

2024

Current Opinion in Pulmonary Medicine

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“…Integrated palliative care can enhance EoL care through anticipatory guidance, preparing patients and families, and proactively managing symptoms [52]. Early palliative care referral has been linked to reduced Eol hospitalizations [53]. Additionally, pulmonary fibrosis patients who receive palliative care tend to have optimized symptom therapies, ACP, and improved survival compared to those without palliative care [54,55].…”

Section: End-of-life Carementioning

confidence: 99%

Palliative care in advanced pulmonary fibrosis

Kalluri

2024

Current Opinion in Pulmonary Medicine

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Purpose of review Updated clinical practice guidelines for pulmonary fibrosis recommend early integrated palliative care using a primary palliative approach. Clinicians need to be aware of the various palliative interventions in order to implement guidelines’ recommendations. This review provides an update on evidence-based palliative therapies. Recent findings Literature review indicates early integration of palliative care in pulmonary fibrosis is feasible and meets patient needs. Key components of a primary palliative approach include comprehensive symptoms and needs screening, systematic symptom management using nonpharmacologic interventions, supplemental oxygen and opioids for dyspnea and cough. Patient-centered communication is essential for successful integration of palliative care. Early, iterative advance care planning in clinic to understand patient goals, values and preferences for current and future care, improves patient care and satisfaction. Prioritizing caregiver inclusion in clinics can address their needs. Collaborating with a multidisciplinary allied team facilitates integration of palliative care and supports patients throughout the disease course. Different models of palliative care delivery exist and can be adapted for local use. The use of artificial intelligence algorithms and tools may improve care and continuity. Summary Clinicians must develop competency in palliative care. Organizational and policy support is essential to enable seamless integration of palliative care throughout the care continuum.

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Diagnosis and management of hypersensitivity pneumonitis in adults: A position statement from the Thoracic Society of Australia and New Zealand

Barnes,

Corte,

Keir

et al. 2024

Respirology

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Hypersensitivity pneumonitis (HP) is an immune‐mediated interstitial lung disease (ILD) relating to specific occupational, environmental or medication exposures. Disease behaviour is influenced by the nature of exposure and the host response, with varying degrees of lung inflammation and fibrosis seen within individuals. The differentiation of HP from other ILDs is important due to distinct causes, pathophysiology, prognosis and management implications. This Thoracic Society of Australia and New Zealand (TSANZ) position statement aims to provide an up‐to‐date summary of the evidence for clinicians relating to the diagnosis and management of HP in adults, in the Australian and New Zealand context. This document highlights recent relevant findings and gaps in the literature for which further research is required.image

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Impact of Early Referral to Palliative Care in Patients with Interstitial Lung Disease

Cited by 5 publications

References 16 publications

An update of palliative care in lung transplantation with a focus on symptoms, quality of life and functional outcomes

An update of palliative care in lung transplantation with a focus on symptoms, quality of life and functional outcomes

Palliative care in advanced pulmonary fibrosis

Diagnosis and management of hypersensitivity pneumonitis in adults: A position statement from the Thoracic Society of Australia and New Zealand

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