Late Referrals to Specialized Palliative Care Service in Japan

Morita, Tatsuya; Akechi, Tatsuo; Ikenaga, Masakazu; Kizawa, Yoshiyuki; Kohara, Hiroyuki; Mukaiyama, T; Nakaho, Toshimichi; Nakashima, Nobuaki; Shima, Yasuo; Matsubara, Tatsuhiro; Uchitomi, Yosuke

doi:10.1200/jco.2005.12.107

Cited by 203 publications

(153 citation statements)

References 20 publications

(22 reference statements)

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“…Despite the generally positive perception among oncology practitioners, late referral to palliative care remains a significant barrier for optimal patient care. [21][22][23] Our recent data show that patients with advanced solid tumors were referred a median of 48 days before death, and those with hematologic malignancies were referred a median of 14 days before death. In contrast, the median time from advanced cancer diagnosis to death is 200 days, suggesting a significant delay in referral.…”

mentioning

confidence: 99%

Conceptual Models for Integrating Palliative Care at Cancer Centers

Bruera

Hui

2012

Journal of Palliative Medicine

119

104

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Palliative care programs are rapidly evolving in acute care facilities. Increased and earlier access has been advocated for patients with life-threatening illnesses. Existing programs would need major growth to accommodate the increased utilization. The objective of this review is to provide an update on the current structures, processes, and outcomes of the Supportive and Palliative Care Program at the University of Texas M.D. Anderson Cancer Center (UTMDACC), and to use the update as a platform to discuss the challenges and opportunities in integrating palliative and supportive services in a tertiary care cancer center. Our interprofessional program consists of a mobile consultation team, an acute palliative care unit, and an outpatient supportive care clinic. We will discuss various metrics including symptom outcomes, quality of end-of-life care, program growth, and financial issues. Despite the growing evidence to support early palliative care involvement, referral to palliative care remains heterogeneous and delayed. To address this issue, we will discuss various conceptual models and practical recommendations to optimize palliative care access.

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confidence: 99%

Conceptual Models for Integrating Palliative Care at Cancer Centers

Bruera

Hui

2012

Journal of Palliative Medicine

119

104

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“…A potential list of symptoms was compiled onto a chart review instrument (appendix 1) basing on available research reports on symptom burden in similar settings [9,24,31] and clinical experience. From available literature and clinical experience, an initial list of 54 symptoms inclusive of symptom groups like urinary symptoms that included dysuria, frequency and urgency and body swelling inclusive of facial, upper and lower limb swelling were used as in other studies of symptom prevalence [27].…”

Section: Data Collectionmentioning

confidence: 99%

Symptom Prevalence and Burden in Cancer Patients with and without HIV/AIDS Reffered for Palliative Care

Zirimenya¹,

Musoke²,

Hutt³

2015

JHS

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Abstract:The prevalence of cancer and that of HIV/AIDS is increasing in Uganda and throughout sub Saharan Africa. Unfortunately, little is known about the prevalence and burden of symptoms in patients with AIDS-Cancer and Cancer alone at first referral to a palliative care service. This study sets out to compare the prevalence and symptom burden between patients with AIDS-Cancer and those with Cancer only referred to a palliative care setting. Retrospective point prevalence survey of 150 randomly selected charts of patients referred to Hospice Africa Uganda (HAU) as per 2013. Of the 471 eligible patients' charts, 168 were randomly selected and only 150 were included in the study. A chart review instrument was used to extract information from the charts. Data were entered into Epidata version 3

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“…Studies suggest that late referrals to palliative care are inadequate to alter the quality and delivery of care provided to patients with cancer. 2,3 Previous research demonstrated that introducing PC soon after diagnosis of metastatic NSCLC was feasible and acceptable among patients. 4 However, less is known of the effect early integration of palliative care would have on patients' quality of life and end-of-life care.…”

Section: What Is Already Known?mentioning

confidence: 99%