Integrating Palliative Care Into the Outpatient, Private Practice Oncology Setting

Muir, J. Cameron; Daly, Farrah N.; Davis, Malene S.; Weinberg, Richard; Heintz, Jessica; Paivanas, Thomas A.; Beveridge, Roy

doi:10.1016/j.jpainsymman.2009.12.017

Cited by 102 publications

(74 citation statements)

References 12 publications

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“…12 The literature on outpatient palliative care is limited. Several studies have described the experience of providing these clinics, [13][14][15][16] and a small number report outcomes. 2,17,18 The best example is the study which showed that early referral of all patients with newly diagnosed advanced lung cancer improved outcomes, including survival.…”

Section: Discussionmentioning

confidence: 99%

Palliative Care in the Outpatient Oncology Setting: Evaluation of a Practical Set of Referral Criteria

Glare

Semple

Stabler

et al. 2011

JOP

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Section: Discussionmentioning

confidence: 99%

Palliative Care in the Outpatient Oncology Setting: Evaluation of a Practical Set of Referral Criteria

Glare

Semple

Stabler

et al. 2011

JOP

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“…Others have reported significant increases in palliative care consultations and oncologist satisfaction with services after integrating these services into an outpatient oncology practice. 31 Those authors concluded that proximity and frequent clinical interactions ultimately built familiarity, trust, and an appreciation of the value of palliative care. Most hematologists/oncologists at our institution do not regularly attend on the inpatient oncology hospital services or inpatient consult services; hence, the opportunity to influence those individual providers remained limited.…”

Section: Discussionmentioning

confidence: 99%

Palliative Care Consultations in Patients With Cancer: A Mayo Clinic 5-Year Review

Kamal

Swetz

Carey

et al. 2011

JOP

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Purpose: We sought to characterize the aggregate features and survival of patients who receive inpatient palliative care consultation, particularly focusing on patients with cancer, to identify opportunities to improve clinical outcomes. Methods:We reviewed prospectively collected data on patients seen by the Palliative Care Inpatient Consult Service at Mayo Clinic (Rochester, MN) from January 2003 to September 2008. Demographics, consultation characteristics, and survival were analyzed using Kaplan-Meier survival curves and Cox survival models.

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“…A recent study on integrating palliative care into the outpatient, private practice setting (in the field of oncology) confirmed that this reduces patients' symptom burden. 36 b The EDSS is a method for quantifying MS level of disability and for monitoring changes in the level of disability over time. It is widely used in clinical trials and in the assessment of patients with MS.…”

Section: (Expanded Disability Status Scale [Edss]mentioning

confidence: 99%

Palliative Care for Severely Affected Patients with Multiple Sclerosis: When and Why? Results of a Delphi Survey of Health Care Professionals

Strupp

Romotzky

Galushko

et al. 2014

Journal of Palliative Medicine

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Background: Patients severely affected by multiple sclerosis (MS) present with complex symptoms and needs requiring an interdisciplinary care approach. Objective: Analysis of when and why specialized palliative care integration would be beneficial via examining health care professionals' attitudes. Design: A two-round online Delphi study and expert workshop were undertaken and analyzed descriptively. Setting/Subjects: Following an extensive online search, 164 professionals with expertise in treating and caring for severely affected patients with MS were contacted. Professionals included neurologists, urologists, general practitioners, MS nurses, speech therapists, physiotherapists, psychologists, and palliative care physicians. Forty-six consented to participate: 33 of 46 (71.4%) and 15 of 33 (45.5%) experts responded in the first and second round, respectively. Results: Consensus was reached among all respondents (100%) defining the term ''severely affected'': 78.8% and 86.7%, respectively, thought that specialized palliative care should begin once the disease has progressed (Expanded Disability Status Scale [EDSS] > 6 and nursing care required). When the need exists for communication about disease progression (93.3%), psychological support (93.3%), relatives support (93.3%), and pain medication (86.7%) specialized palliative care should be consulted. Specialized palliative homecare was rated (93.3%) ''very important.'' The workshop documented the paucity of home visits and specialized MS care in nursing homes. Conclusions: Our results clearly identified specific areas in which palliative care will likely prove to be a valuable asset in the treatment course of MS. This information should serve clinicians, indicating when to consider palliative care services and help further reduce or eliminate uncertainty about how palliative care can be integrated in the course of MS.

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Integrating Palliative Care Into the Outpatient, Private Practice Oncology Setting

Abstract: An embedded palliative care clinic integrated into an office-based oncology practice is feasible and may improve the quality of care. Formal study of this service delivery model is warranted.

Cited by 102 publications

References 12 publications

Palliative Care in the Outpatient Oncology Setting: Evaluation of a Practical Set of Referral Criteria

Palliative Care in the Outpatient Oncology Setting: Evaluation of a Practical Set of Referral Criteria

Palliative Care Consultations in Patients With Cancer: A Mayo Clinic 5-Year Review

Palliative Care for Severely Affected Patients with Multiple Sclerosis: When and Why? Results of a Delphi Survey of Health Care Professionals

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