Improvement in symptom burden within one day after palliative care consultation in a cohort of gynecologic oncology inpatients

“…, Lefkowits et al . ), it is crucial to support patients' physical, emotional, spiritual and social needs from diagnosis of the disease through treatment and beyond (Smith et al . ).…”

Section: Introductionmentioning

confidence: 99%

Palliative care needs of patients with gynaecologic cancer

Seven

Şahin

Yılmaz

et al. 2016

Journal of Clinical Nursing

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“…Even though the optimal time point and extent of PC is still in debate [2], there is little doubt of a general benefit [3]. It has shown to improve patients' quality of life and symptom control [4], to reduce psychological distress for patients and family caregivers [5,6], and to decrease health care costs due to for example less intensive care unit treatment [7]. It is anticipated that many patients facing an advanced, life-limiting disease would benefit from PC, and only a minority is provided with such service [8].…”

Section: Introductionmentioning

confidence: 99%

Impact, challenges and limits of inpatient palliative care consultations – perspectives of requesting and conducting physicians

Coym

Kanitz

Puls

et al. 2020

BMC Health Serv Res

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Background: Inpatient palliative care consultation (IPCC) teams have been established to improve care for patients with specialist palliative care (PC) needs throughout all hospital departments. The objective is to explore physicians' perceptions on the impact of IPCC, its triggers, challenges and limits, and their suggestions for future service improvements. Methods: A Qualitative study drawing on semi-structured interviews with 10 PC specialists of an IPCC team and nine IPCC requesting physicians from oncology and non-oncological departments of a university hospital. Analysis was performed using qualitative content analysis. Results: PC specialists and IPCC requesting physicians likewise considered organization of further care and symptom-burden as main reasons for IPCC requests. The main impact however was identified from both as improvement of patients' (and their caregivers') coping strategies and relief of the treating team. Mostly, PC specialists emphasized a reduction of symptom burden, and improvement of further care. Challenges in implementing IPCC were lack of time for both. PC specialists addressed requesting physicians' skepticism towards PC. Barriers for realization of IPCC included structural aspects for both: limited time, staff capacities and setting. PC specialists saw problems in implementing recommendations like disagreement towards their suggestions. All interviewees considered education in PC a sensible approach for improvement. Conclusions: IPCC show various positive effects in supporting physicians and patients, but are also limited due to structural problems, lack of knowledge, insecurity, and skepticism by the requesting physicians. To overcome some of these challenges implementation of PC education programs for all physicians would be beneficial.

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“…Similarly, in a retrospective review of 100 surgical patients who died from gynecologic cancers, Nevadunsky et al found that early palliative care consultation or integration (at least 30 days before death) was associated with less aggressive end‐of‐life care and lower direct hospital costs. Lastly, in a retrospective review of 95 surgical patients with gynecologic cancer, Lefkowits et al found that inpatient specialty palliative care consultation was associated with improved symptom management within 1 day of consultation.…”

Section: Palliative Care In Surgical Oncologymentioning

confidence: 99%

Evidence for integration of palliative care into surgical oncology practice and education

Moroney

Lefkowits

2019

Journal of Surgical Oncology

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High-quality data support multiple clinical benefits of integrating palliative care into routine oncology care. Though these data come largely from the medical oncology literature, data from surgical oncology populations support similar associations between palliative care integration and improved clinical outcomes, all without compromise in survival. This paper will review data supporting palliative care integration into oncology care, with a focus on surgical populations and recommendations for incorporating palliative care into surgical oncology. K E Y W O R D S education, palliative care, surgical oncology

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Improvement in symptom burden within one day after palliative care consultation in a cohort of gynecologic oncology inpatients

Cited by 45 publications

References 41 publications

Palliative care needs of patients with gynaecologic cancer

Palliative care needs of patients with gynaecologic cancer

Impact, challenges and limits of inpatient palliative care consultations – perspectives of requesting and conducting physicians

Evidence for integration of palliative care into surgical oncology practice and education

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