Leeds eligibility criteria for specialist palliative care services

Bennett, Mike; Adam, Jane; Alison, D.L.; Hicks, Fiona; Stockton, Mike

doi:10.1191/026921600669491513

Cited by 15 publications

(10 citation statements)

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“…However, for all patients within our study population, the decision as to whether they received palliative care was made on rigorously applied eligibility criteria. 31 This provides greater confidence in asserting that most if not all of the 65% of patients in our cohort who were referred to palliative care had active, progressive advanced disease and a high symptom burden, and that most if not all of the 35% of patients who did not receive palliative care had stable inactive disease. It is therefore unlikely that a lower symptom burden or disease severity among the palliative care population explains more than a very small component of our observed results.…”

Section: Discussionmentioning

confidence: 71%

Is palliative care support associated with better quality end-of-life care indicators for patients with advanced cancer? A retrospective cohort study

et al. 2018

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ObjectivesThis study aimed to establish the association between timing and provision of palliative care (PC) and quality of end-of-life care indicators in a population of patients dying of cancer.SettingThis study uses linked cancer patient data from the National Cancer Registry, the electronic medical record system used in primary care (SystmOne) and the electronic medical record system used within a specialist regional cancer centre. The population resided in a single city in Northern England.ParticipantsRetrospective data from 2479 adult cancer decedents who died between January 2010 and February 2012 were registered with a primary care provider using the SystmOne electronic health record system, and cancer was certified as a cause of death, were included in the study.ResultsLinkage yielded data on 2479 cancer decedents, with 64.5% who received at least one PC event. Decedents who received PC were significantly more likely to die in a hospice (39.4% vs 14.5%, P<0.005) and less likely to die in hospital (23.3% vs 40.1%, P<0.05), and were more likely to receive an opioid (53% vs 25.2%, P<0.001). PC initiated more than 2 weeks before death was associated with avoiding a hospital death (≥2 weeks, P<0.001), more than 4 weeks before death was associated with avoiding emergency hospital admissions and increased access to an opioid (≥4 weeks, P<0.001), and more than 33 weeks before death was associated with avoiding late chemotherapy (≥33 weeks, no chemotherapy P=0.019, chemotherapy over 4 weeks P=0.007).ConclusionFor decedents with advanced cancer, access to PC and longer duration of PC were significantly associated with better end-of-life quality indicators.

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Section: Discussionmentioning

confidence: 71%

Is palliative care support associated with better quality end-of-life care indicators for patients with advanced cancer? A retrospective cohort study

et al. 2018

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“…Referral criteria are based on the Leeds Palliative Care Referral Criteria [23] and referrals are accepted from any health professional caring for hospital inpatients provided that the medical team is aware of and has agreed to the referral being made. 32.3% of the 99 patients who met GSF criteria had already been referred to the hospital palliative care service (see Table 3), two thirds of whom had a major diagnosis of cancer (n = 22).…”

Section: Resultsmentioning

confidence: 99%

“…Patients were screened using indicators that might suggest they were being managed in line with a palliative approach. These indicators were adopted from the UK study [8,23] and modified to the NZ context. These indicators comprised: evidence of an ACP, being on the Liverpool Care of the Dying Pathway, Referral to the Hospital Palliative Care Service, appropriate prescription of opioids, use of syringe driver for symptom control, presence of palliative care alert and documentation of a Palliative approach to resuscitation status in the case of respiratory or cardiac arrest.…”

Section: Methodsmentioning

confidence: 99%

Palliative care need and management in the acute hospital setting: a census of one New Zealand Hospital

et al. 2013

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BackgroundImproving palliative care management in acute hospital settings has been identified as a priority internationally. The aim of this study was to establish the proportion of inpatients within one acute hospital in New Zealand who meet prognostic criteria for palliative care need and explore key aspects of their management.MethodsA prospective survey of adult hospital inpatients (n = 501) was undertaken. Case notes were examined for evidence that the patient might be in their last year of life according to Gold Standards Framework (GSF) prognostic indicator criteria. For patients who met GSF criteria, clinical and socio-demographic information were recorded.ResultsNinety-nine inpatients met GSF criteria, representing 19.8% of the total census population. The patients’ average age was 70 years; 47% had a primary diagnosis of cancer. Two thirds had died within 6 months of their admission. Seventy-eight of the 99 cases demonstrated evidence that a palliative approach to care had been adopted; however documentation of discussion about goals of care was very limited and only one patient had evidence of an advance care plan.ConclusionOne fifth of hospital inpatients met criteria for palliative care need, the majority of whom were aged >70 years. Whilst over three quarters were concluded to be receiving care in line with a palliative care approach, very little documented evidence of discussion with patients and families regarding end of life issues was evident. Future research needs to explore how best to support ‘generalist’ palliative care providers in initiating, and appropriately recording, such discussions.

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“…It was hypothesised that high palliative care needs would be positively related to high palliative care needs measured by the POS , high distress scores on the DT and total distress score on the ESAS . Similarly, high levels of negative emotional and cognitive reactions were expected to correlate with high scores on the DT . In addition, perceived burden (PPCI) was expected to correlate positively with high scores on the DT.…”

Section: Methodsmentioning

confidence: 99%

Development and validation of a measurement tool to assess perceptions of palliative care

et al. 2012

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Leeds eligibility criteria for specialist palliative care services

Cited by 15 publications

References 0 publications

Is palliative care support associated with better quality end-of-life care indicators for patients with advanced cancer? A retrospective cohort study

Is palliative care support associated with better quality end-of-life care indicators for patients with advanced cancer? A retrospective cohort study

Palliative care need and management in the acute hospital setting: a census of one New Zealand Hospital

Development and validation of a measurement tool to assess perceptions of palliative care

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