The COMPASS study: A descriptive study on the characteristics of palliative care team consultation for cancer patients in hospitals

Brinkman-Stoppelenburg, Arianne; Polinder, Suzanne; Meerum-Terwogt, Jetske; Nijs, Ellen de; Padt-Pruijsten, Annemiek van der; Peters, Liesbeth A; Vorst, Maurice van der; Zuylen, Lia van; Lingsma, Hester F.; Heide, Agnes van der

doi:10.1111/ecc.13172

Cited by 5 publications

(3 citation statements)

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“…Many studies have focused on palliative care in oncology patients [15][16][17][18]. In our sample, only half of the patients were diagnosed with cancer.…”

Section: Interpretation Of Findingsmentioning

confidence: 99%

Current practice of hospital-based palliative care teams: Advance care planning in advanced stages of disease: A retrospective observational study

van Doorne,

Willems,

Baks

et al. 2024

PLoS ONE

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Background Specialist palliative care teams are consulted during hospital admission for advice on complex palliative care. These consultations need to be timely to prevent symptom burden and maintain quality of life. Insight into specialist palliative care teams may help improve the outcomes of palliative care. Methods In this retrospective observational study, we analyzed qualitative and quantitative data of palliative care consultations in a six-month period (2017 or 2018) in four general hospitals in the northwestern part of the Netherlands. Data were obtained from electronic medical records. Results We extracted data from 336 consultations. The most common diagnoses were cancer (54.8%) and organ failure (26.8%). The estimated life expectancy was less than three months for 52.3% of all patients. Within two weeks after consultation, 53.2% of the patients died, and the median time until death was 11 days (range 191) after consultation. Most patients died in hospital (49.4%) but only 7.5% preferred to die in hospital. Consultations were mostly requested for advance care planning (31.6%). End-of-life preferences focused on last wishes and maintaining quality of life. Conclusion This study provides detailed insight into consultations of palliative care teams and shows that even though most palliative care consultations were requested for advance care planning, consultations focus on end-of-life care and are more crisis-oriented than prevention-oriented. Death often occurs too quickly after consultation for end-of-life preferences to be met and these preferences tend to focus on dying. Educating healthcare professionals on when to initiate advance care planning would promote a more prevention-oriented approach. Defining factors that indicate the need for timely palliative care team consultation and advance care planning could help timely identification and consultation.

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“…Many studies have focused on palliative care in oncology patients [15][16][17][18]. In our sample, only half of the patients were diagnosed with cancer.…”

Section: Interpretation Of Findingsmentioning

confidence: 99%

Current practice of hospital-based palliative care teams: Advance care planning in advanced stages of disease: A retrospective observational study

van Doorne,

Willems,

Baks

et al. 2024

PLoS ONE

View full text Add to dashboard Cite

show abstract

“…Many studies have focused on palliative care in oncology patients [17][18][19][20]. In our sample, only half of the patients were diagnosed with cancer.…”

Section: Interpretation Of Ndingsmentioning

confidence: 99%

Current Practice of Dutch Hospital-Based Palliative Care Teams: Advance Care Planning in Advanced Stages of Disease

Doorne

Willems

Baks

et al. 2021

Preprint

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Background: Specialist palliative care teams (PCT) are consulted during hospital admission for advice on complex palliative care. These consultations need to be timely to prevent symptom burden and maintain quality of life. Insight into specialist PCTs may help improve the outcomes of palliative care. Methods: In this retrospective observational study, we analyzed qualitative and quantitative data of palliative care consultations in a six-month period in four general hospitals in the northwestern part of the Netherlands. Data were obtained from electronic medical records. Results: We extracted data from 336 consultations. The most common diagnoses were cancer (54.8%) and organ failure (26.8%). 40.2% of patients were restricted to a chair or bed and 52.3% had an estimated life expectancy of less than three months. Within two weeks after consultation, 53.2% of the patients died, and the median time until death was 11 days (range 191) after consultation. Most patients died in hospital (49.4%) but only 7.5% preferred to die in hospital. Consultations were mostly requested for advance care planning (31.6%). End-of-life preferences focused on last wishes and maintaining quality of life. Conclusion: This study shows that palliative care consultations focus on terminal care and are more crisis-oriented than prevention-oriented. Death often occurs too quickly after consultation for end-of-life preferences to be met and these preferences tend to focus on dying. Educating healthcare professionals on when to initiate palliative care would promote a more prevention-oriented approach. Factors that indicate the need for timely PCT consultation should be defined.

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“…When introducing a PCCT on acute wards, patient satisfaction has improved [ 9 ] as well as perceptions of well-being [ 9 , 10 ]. Different studies have shown improvement in symptom distress [ 11 – 16 ] as well as no difference/improvements in symptom scores [ 17 ]. They also assists in that fewer patients are less admitted to, or die in intensive care units, as patients received less invasive procedures, and costs was thereby reduced [ 18 , 19 ].…”

Section: Introductionmentioning

confidence: 99%

Cultures that collide: an ethnographic study of the introduction of a palliative care consultation team on acute wards

et al. 2021

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Background Acute care and palliative care (PC) are described as different incompatible organisational care cultures. Few studies have observed the actual meeting between these two cultures. In this paper we report part of ethnographic results from an intervention study where a palliative care consultation team (PCCT) used an integrative bedside education approach, trying to embed PC principles and interventions into daily practice in acute wards. Purpose To study the meeting and interaction of two different care cultures, palliative care and curative acute wards, when a PCCT introduces consulting services to acute wards regarding end-of-life palliative care, focusing on the differences between the cultures. Methods An ethnographic study design was used, including observations, interviews and diary entries. A PCCT visited acute care wards during 1 year. The analysis was inspired by Spradleys ethnography. Results Three themes were found: 1) Anticipations meets reality; 2) Valuation of time and prioritising; and 3) The content and creation of palliative care. Conclusion There are many differences in values, and the way PC are provided in the acute care wards compared to what a PCCT expects. The didactic challenges are many and the PC require effort.

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The COMPASS study: A descriptive study on the characteristics of palliative care team consultation for cancer patients in hospitals

Cited by 5 publications

References 50 publications

Current practice of hospital-based palliative care teams: Advance care planning in advanced stages of disease: A retrospective observational study

Current practice of hospital-based palliative care teams: Advance care planning in advanced stages of disease: A retrospective observational study

Current Practice of Dutch Hospital-Based Palliative Care Teams: Advance Care Planning in Advanced Stages of Disease

Cultures that collide: an ethnographic study of the introduction of a palliative care consultation team on acute wards

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