Oncology to specialised palliative home care systematic transition: the Domus randomised trial

Benthien, Kirstine Skov; Diasso, Pernille D. K.; Heymann, Annika von; Nordly, Mie; Kurita, Geana Paula; Timm, Helle Ussing; Johansen, Christoffer; Kjellberg, Jakob; Maase, Hans von der; Sjögren, Per

doi:10.1136/bmjspcare-2020-002325

Cited by 13 publications

(7 citation statements)

References 28 publications

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“…Benthien K, Diasso P, von Heymann A / 2020 (Benthien et al, 2020) Oncology to specialised palliative home care systematic transition: the Domus randomised trial.…”

Section: Muestra Resultadomentioning

confidence: 99%

Sobrecarga de trabajo en cuidadores de pacientes en cuidados paliativos oncológicos: Una revisión bibliográfica

Villa Clavijo,

Feijoo Espinosa,

Huayllasaca Sarmiento

et al. 2023

Ciencia Latina

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El objetivo de este estudio es determinar cuál es el impacto que provoca la sobrecarga de trabajo en los cuidadores de pacientes en cuidados paliativos oncológicos. Los criterios de inclusión son: estudios cuantitativos, observacionales, experimentales, retrospectivos, transversales, prospectivos, longitudinales, originales, comunicaciones breves, revisiones sistemáticas; realizados en inglés o español, en mayores de 21 años, en cuidadores de pacientes oncológicos en etapa terminal; los criterios de exclusión fueron: estudios en cuidadores de pacientes no oncológicos, incompletos, revisiones bibliográficas, entrevistas, tesis de pregrado, posgrado y doctorado, publicaciones anteriores al 2018. Se realizó la búsqueda de datos en: SCOPUS, PubMed, Web of science, Taylor and francis, el 14 y 15/04/2023 y se presentaron los datos mediante tablas. Se recopilaron 24 artículos observándose la asociación entre la CdV y factores como: los estados funcionales del paciente, la etapa y la velocidad de progresión de la enfermedad, el apoyo social, las necesidades insatisfechas. El factor psicológico de la CdV cuidador-paciente se correlacionó a la sobrecarga, los factores clínicos y sociodemográficos. Además, la pérdida de ingresos y la productividad se relacionaron a dificultades económicas y carga de desarrollo. Las estrategias de intervención que se observaron fueron la psicoeducación multicomponente, apoyo emocional, cognitivo-conductual, la capacitación y el desarrollo de habilidades, terapia de pareja, el apoyo en la toma de decisiones, mindfulness, las terapias combinadas, y los cuidados paliativos. Comprender las necesidades de los cuidadores y pacientes contribuye a mejorar y priorizar los servicios de cuidados paliativos por parte de los profesionales de salud.

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“…Benthien K, Diasso P, von Heymann A / 2020 (Benthien et al, 2020) Oncology to specialised palliative home care systematic transition: the Domus randomised trial.…”

Section: Muestra Resultadomentioning

confidence: 99%

Sobrecarga de trabajo en cuidadores de pacientes en cuidados paliativos oncológicos: Una revisión bibliográfica

Villa Clavijo,

Feijoo Espinosa,

Huayllasaca Sarmiento

et al. 2023

Ciencia Latina

View full text Add to dashboard Cite

show abstract

“…Nineteen articles were included in this review. For two studies, three separate articles were published that looked at different outcomes, and these studies will be described as one study by Benthien et al [20][21][22] and by Rogers et al [23][24][25]…”

Section: Resultsmentioning

confidence: 99%

Effectiveness of transmural team-based palliative care in prevention of hospitalizations in patients at the end of life: A systematic review and meta-analysis

et al. 2022

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Background: Team-based palliative care interventions have shown positive results for patients at the end of life in both hospital and community settings. However, evidence on the effectiveness of transmural, that is, spanning hospital and home, team-based palliative care collaborations is limited. Aim: To systematically review whether transmural team-based palliative care interventions can prevent hospital admissions and increase death at home. Design: Systematic review and meta-analysis. Data sources: MEDLINE (Ovid), Embase (Ovid), CINAHL (Ebsco), PsychINFO (Ovid), and Cochrane Library (Wiley) were systematically searched until January 2021. Studies incorporating teams in which hospital and community professionals co-managed patients, hospital-based teams with community follow-up, and case-management interventions led by palliative care teams were included. Data was extracted by two researchers independently. Results: About 19 studies were included involving 6614 patients, of whom 2202 received an intervention. The overall pooled odds ratio of at least one hospital (re)admissions was 0.46 (95% confidence interval (CI) 0.34–0.68) in favor of the intervention group. The highest reduction in admission was in the hospital-based teams with community follow-up: OR 0.21 (95% CI 0.07–0.66). The pooled effect on home deaths was 2.19 (95% CI 1.26–3.79), favoring the intervention, with also the highest in the hospital-based teams: OR 4.77 (95% CI 1.23–18.47). However, studies had high heterogeneity regarding intervention, study population, and follow-up time. Conclusion: Transmural team-based palliative care interventions, especially hospital-based teams that follow-up patients at home, show an overall effect on lowering hospital admissions and increasing the number of patients dying at home. However, broad clinical and statistical heterogeneity of included studies results in uncertainty about the effect size.

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“…Thus, avoiding ineffective medical treatment at their end-of-life time is extremely important. Many researchers investigated the quality of life improvement and provide insight and guidance to patients with cancer at their end of life [34]; however, few studies have mentioned people with chronic diseases.…”

Section: Discussionmentioning

confidence: 99%

Analysis of Palliative Care Utilization and Medical Expenses among Patients with Chronic Diseases in Taiwan: A Population-Based Cohort Study

Lin

Huang

et al. 2022

IJERPH

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Palliative care (PC) is an important alternative treatment for patients with chronic diseases, particularly for those in the later stages of disease progression. This is because these diseases are often irreversible, with progressive worsening of symptoms. By encouraging the use of tranquility resources for good death and spiritual relief, PC can reduce the physical and psychological burden on patients at the end of their lives. Currently, most discussions on PC have focused on patients with cancers, and few have further discussed the differences in medical expenses between PC and emergency treatment in patients with chronic diseases at the end of their lives. This study analyzed the top three chronic diseases in patients who used PC resources in the past decade and identified the impact of emergency treatment on mean survival time and medical expenses based on the medical records from the National Health Insurance Research Database. In total, 4061 patients with chronic diseases who were admitted to hospice wards were included in this study; of them, 85 patients still received emergency treatment, including urinary catheterization, nasogastric intubation, and respirator use, at the end of their lives. The mean survival time of patients aged 50–64 years who received emergency treatment was longer than that of the same age group who did not receive emergency treatment. Different comparisons of the mean survival time and medical expenses using real-world data provides important insights regarding PC management that may assist in establishing health policies in the future.

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Oncology to specialised palliative home care systematic transition: the Domus randomised trial

Cited by 13 publications

References 28 publications

Sobrecarga de trabajo en cuidadores de pacientes en cuidados paliativos oncológicos: Una revisión bibliográfica

Sobrecarga de trabajo en cuidadores de pacientes en cuidados paliativos oncológicos: Una revisión bibliográfica

Effectiveness of transmural team-based palliative care in prevention of hospitalizations in patients at the end of life: A systematic review and meta-analysis

Analysis of Palliative Care Utilization and Medical Expenses among Patients with Chronic Diseases in Taiwan: A Population-Based Cohort Study

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