ライフサイエンスコーパス: palliative care

1 ost often associated with symptoms requiring palliative care.

2 hrough 2014, of which 76,659 (1.5%) involved palliative care.

3 mpt treatment of early invasive cancers, and palliative care.

4 insurance) were also less likely to receive palliative care.

5 for heart transplantation, or initiation of palliative care.

6 ng improving access to effective hospice and palliative care.

7 dy expressed negative attitudes toward early palliative care.

8 tice gap between curative models of care and palliative care.

9 e barriers to timely referral and receipt of palliative care.

10 emoving ICU patients identified as receiving palliative care.

11 ome, and less likely to receive high-quality palliative care.

12 the key point of entry for timely access to palliative care.

13 l barriers to optimal health care, including palliative care.

14 models to further improve access to quality palliative care.

15 been routinely incorporated into oncology or palliative care.

16 st practices recognized for dissemination of palliative care.

17 he best possible care to patients, including palliative care.

18 tom relief and other essential components of palliative care.

19 members to explore challenges in delivering palliative care; 10 filmed semi-structured interviews wi

20 Specialist palliative care (37% versus 27%, p = 0.002) and AD inclu

21 (SOC) (103), investigational therapy (28) or palliative care (40); 9 died before treatment assignment

22 of family members agreed with the concept of palliative care (90.4%) with 17.3% of the family members

23 e have increased over time despite increased palliative care access.

24 is required to evaluate the cost effects of palliative care across the entire disease trajectory.

25 ve care guidelines, palliative care team and palliative care advice.

26 Pediatric palliative care aims to alleviate suffering and improve

27 odels, telehealth interventions, and primary palliative care also will be discussed.

28 ges to the quality measurement framework for palliative care and a new way to match palliative care s

29 The increased use of specialist palliative care and AD inclusion in hospital files of in

30 that a widely-held but paradoxical view that palliative care and dying patients are different from th

31 In contrast, community-based palliative care and hospice care are more appropriate fo

32 ering as defined by the Lancet Commission on Palliative Care and Pain Relief, by combining WHO mortal

33 ian responses should develop and incorporate palliative care and symptom relief strategies that addre

34 is very limited evidence about the need for palliative care and symptom relief to guide the implemen

35 s when making decisions on whether to select palliative care and transition to hospice or whether to

36 h increased caregiver willingness to endorse palliative care and withdraw life-sustaining agents in a

37 fessional role, education level, training in palliative care and years working in direct care.

38 ent developed vomiting and diarrhea, started palliative care, and died 60 hours after the fall.

39 acute palliative care units, community-based palliative care, and hospice care.

40 tinuum of cancer control, from prevention to palliative care, and in the development of high-quality

41 rapy, radiotherapy, treatment of recurrence, palliative care, and quality of survivorship.

42 uch as refractory breathlessness; short-term palliative care; and, in settings with limited access to

43 oration necessitate an appropriate and early palliative care approach.

44 Postgraduate diplomas in palliative care are available in Kenya, South Africa, Ug

45 and opportunities for earlier integration of palliative care are being explored.

46 logy organizations' recommendations of early palliative care as a cancer care best practice for patie

47 heir use, are self-management of ascites and palliative care at home.

48 er, in the Eastern Mediterranean Region, the palliative care available is variable and inconsistent.

49 The available evidence suggests that palliative care be widely adopted by clinicians in all o

50 Palliative care began in academic centers with specialty

51 nce-based delirium care for people receiving palliative care, both in specialist units, and the wider

52 The benefits of palliative care can only be realized through effective d

53 strated more complex dynamics, but expanding palliative care capacity to meet clinical guidelines and

54 ts (knowledge, attitude, and experiences) of palliative care, caregiver burden, family function, pati

55 sultation, protocol for family meetings, and palliative care clinicians embedded in ICU rounds).

56 lies, whether done by oncology clinicians or palliative care clinicians, requires patient-centered co

57 respond to information about prognosis from palliative care clinicians.

58 care in minority hospitals had lower odds of palliative care compared with those treated in white hos

59 norities had a lower likelihood of receiving palliative care compared with whites in any hospital str

60 Palliative care, compared with usual care, was statistic

61 f patients with primarily noncancer illness, palliative care, compared with usual care, was statistic

62 ility of any of one hospital-based resource (palliative care consultants) or four ICU-based resources

63 (median, 3 vs 2 d; p = 0.001), less frequent palliative care consultation (17.6% vs 32.4%; p = 0.0006

64 rather than PAC were more likely to receive palliative care consultation (OR, 4.44; 95% CI, 2.12 to

65 Intervention arm patients received a palliative care consultation from an interprofessional t

66 s and communication, propose indications for palliative care consultation in paediatric advanced hear

67 To investigate the use of palliative care consultation in patients with ESKD in th

68 Our study suggests that routine palliative care consultation may positively impact the c

69 The median time from palliative care consultation to death was 10 hours (inte

70 Early triggered palliative care consultation was associated with greater

71 Most (n = 225; 75%) reported that palliative care consultation was underutilized.

72 e-sustaining therapy, triggers for automated palliative care consultation, protocol for family meetin

73 ummarise attitudes and perceived barriers to palliative care consultation.

74 had an advance directive, and 28 (25%) had a palliative care consultation.

75 are; and, in settings with limited access to palliative care, consultation only in specific circumsta

76 Palliative care consultations may be underused at the en

77 spital bills for them), stillbirths averted, palliative care, contraception, and child physical and i

78 Palliative care education and guidelines for palliative care could improve the self-efficacy of care

79 Study findings show that although palliative care decreases symptom burden, it is still un

80 these principles of care, with more primary palliative care delivered by oncology clinicians.

81 care, overcoming disparities, and innovating palliative care delivery and reimbursement.

82 the attitudes of physicians and nurses about palliative care delivery in an ICU environment.

83 rs exist to the development and expansion of palliative care delivery in this region, including the a

84 t the experiences of - and preferences for - palliative care delivery in this setting.

85 ch of the five clinical models of specialist palliative care delivery, including outpatient clinics,

86 disagreement about the role of ICU nurses in palliative care delivery.

87 15 staff members about their experiences of palliative care delivery; 5 focus groups with 64 staff m

88 The Delirium in Palliative Care (DePAC) project was a two-phase sequenti

89 prioritization of both active treatments and palliative care, despite limited evidence that cancer is

90 view of peer-reviewed, published articles on palliative care development between 2005-16 for each Afr

91 ver, there is still minimal to no identified palliative care development in most African countries.

92 tients potentially benefitting from directed palliative care discussions and reduce the number of ICU

93 Yet, an increase in attention to primary palliative care (e.g., basic physical and emotional symp

94 Palliative care education and guidelines for palliative

95 r-resourced rural practices; and using novel palliative care education delivery methods to increase c

96 es, little partnership working, insufficient palliative care education for health-care professionals

97 urpose The early integration of oncology and palliative care (EIPC) improves quality of life (QOL) an

98 The evidence for palliative care exists predominantly for patients with c

99 n Expert Panel of members of the ASCO Ad Hoc Palliative Care Expert Panel to develop an update.

100 However, palliative care expertise is conspicuously inaccessible

101 community-based organisations with access to palliative care expertise.

102 tes in any hospital stratum, but the odds of palliative care for both white and minority intracerebra

103 The odds of receiving palliative care for both white and minority stroke patie

104 s are critical components of providing early palliative care for everyone everywhere.

105 Effective implementation of palliative care for ILD will require multidisciplinary p

106 ease during the study period in provision of palliative care for inpatients with ESKD, significant ra

107 und studies to clearly elucidate the role of palliative care for patients and families living with th

108 ncludes education, screening, treatment, and palliative care for refugees and nationals and prioritis

109 dations related to treatment, follow-up, and palliative care from the 2018 version of this guideline.

110 s included facility type and availability of palliative care guidelines, palliative care team and pal

111 Palliative care has evolved over the past five decades a

112 Early research studies on the economics of palliative care have reported a general pattern of cost

113 t palliative care services and 19 specialist palliative care health professionals (predominantly comm

114 ons and supplies can provide pain relief and palliative care; however, the practical availability of

115 Palliative care improves quality of life in patients wit

116 cology services (eg, paediatric oncology and palliative care), improving access to opioids, and devel

117 ients (11%), treatment was redirected toward palliative care in 14 patients (13%), and surveillance f

118 ation can introduce patients and families to palliative care in a nonthreatening way, build patient t

119 e team for more complex cases-is unique from palliative care in adults given its focus on care of the

120 ensive review on the development of national palliative care in Africa was undertaken 12 years ago, i

121 (Palliative Care in Heart Failure [PAL-HF]; NCT01589601).

122 In a secondary analysis of the PAL-HF trial (Palliative Care in Heart Failure), we analyzed differenc

123 While the evidence base for palliative care in HF is promising, it is still in its i

124 Palliative care in high-risk patients targeted by an Ear

125 ery in this region, including the absence of palliative care in national policies, little partnership

126 ceives the same priority as other aspects of palliative care in oncology.

127 ge and achieve health equity with respect to palliative care in patient groups that have been underst

128 plant recipients, and emphasizes the role of palliative care in patients with cardiorenal syndrome.

129 assess attitudes toward early integration of palliative care in pediatric oncology patient-parent pai

130 Much of the available data on palliative care in racial and ethnic minorities and peop

131 e the illness-related suffering and need for palliative care in Rohingya refugees and caregivers in B

132 tifies some of the challenges of integrating palliative care in rural and remote cancer care.

133 We also discuss the role of palliative care in supporting a holistic approach to sym

134 advance the field and improve integration of palliative care in the care of children with heart disea

135 ry capacity survey to identify the status of palliative care in the Eastern Mediterranean Region, inc

136 n of generic design principles for improving palliative care in the Emergency Department.

137 Limitations to understanding disparities in palliative care include the fact that much of the availa

138 are many delirium evidence-practice gaps in palliative care, including that the condition is under-r

139 robust evidence demonstrates that specialty palliative care integrated into oncology care improves p

140 nt autologous or allogeneic HCT to inpatient palliative care integrated with transplant care (n = 81)

141 Purpose Inpatient palliative care integrated with transplant care improves

142 Conclusion Inpatient palliative care integrated with transplant care leads to

143 Accumulating data demonstrate that early palliative care, integrated with oncology care, not only

144 ific, cultural, and system-based barriers to palliative care integration and optimal end-of-life care

145 Early palliative care integration for cancer patients is now t

146 enefit from, and are not a barrier to, early palliative care integration in oncology.

147 mptom-related causes, attitudes toward early palliative care integration, and patient-parent concorda

148 Among those who received the palliative care intervention (33 women and 42 men), wome

149 15, to usual care (UC) (n = 75) or UC plus a palliative care intervention (UC + PAL) (n = 75) at a si

150 and assessed for differential effects of the palliative care intervention by sex.

151 rs investigated whether an interdisciplinary palliative care intervention in addition to evidence-bas

152 An interdisciplinary palliative care intervention in advanced HF patients sho

153 there may be a sex disparity in response to palliative care intervention, suggesting that sex-specif

154 search is needed to define the standards for palliative care interventions and to refine the models t

155 studies show that advance care planning and palliative care interventions are associated with a redu

156 In this context, advance care planning and palliative care interventions designed to clarify patien

157 In addition, trials of home-based palliative care interventions have shown promise for imp

158 evidence from randomized clinical trials of palliative care interventions in HF.

159 th heart failure derive similar benefit from palliative care interventions remains unknown.

160 provement of depression resulting from early palliative care interventions; results for quality of li

161 Efforts are needed to adapt and integrate palliative care into community practice.

162 Immediate global action to integrate palliative care into health systems is an ethical and ec

163 procedures to guide integration of specialty palliative care into oncology have led to a proliferatio

164 idence regarding the need for integration of palliative care into routine oncology care and describes

165 clinical opinion (PCO) on the integration of palliative care into standard oncology care for all pati

166 Integration of palliative care into the routine care of children, adole

167 en and parents expressed opposition to early palliative care involvement (2 [1.6%] and 8 [6.2%]) or p

168 ents and their families may not need or want palliative care involvement early in the disease traject

169 Despite recognition that palliative care is an essential component of any humanit

170 An important part of palliative care is discussing preferences at end of life

171 Addressing the quality gap in ICU-based palliative care is limited by uncertainty about acceptab

172 ng a deeper understanding of the barriers to palliative care is necessary from patients, families, re

173 Palliative care is part of Parkinson disease management.

174 The incorrect perception that palliative care is synonymous with end-of-life care, wit

175 Although information on palliative care is unevenly distributed, the available i

176 rstanding of decision-making concepts (e.g., palliative care) is impaired; 5) treatment limitations a

177 ightingale Faculty of Nursing, Midwifery and Palliative Care, King's College London.

178 , suggesting that sex-specific approaches to palliative care may be needed to improve outcomes.

179 Palliative care may improve these outcomes by providing

180 could identify patients wishing to focus on palliative care measures.

181 utilizing clinical ethics consultation, and palliative care medicine clinicians.

182 erefore, little is known about whether early palliative care models are applicable in these low-resou

183 rs and mediators of the effect of integrated palliative care models on patient-reported outcomes and

184 Hence, adapting palliative care models, using culturally appropriate nov

185 Efficient patient-centred models of palliative care must be validated, taking into account r

186 These findings likely signal unmet palliative care needs among seriously ill patients with

187 necessary to understand hospice referral and palliative care needs of advanced HF patients.

188 Patients with glioma present with complex palliative care needs throughout their disease trajector

189 tic expectations about return home and unmet palliative care needs, suggesting the need for integrati

190 Palliative care nurses and physicians can be trained to

191 nce in palliative care unit populations; and palliative care nurses had unmet delirium knowledge need

192 Improving palliative care nurses' capabilities to recognize and as

193 ealth professionals (predominantly community palliative care nurses).

194 sts in medicine, surgery, radiation therapy, palliative care, nursing, and pathology, along with pati

195 ICU admissions for "palliative care of a dying patient" and "potential organ

196 Three thousand seven hundred "palliative care of a dying patient" and 1,115 "potential

197 stralia and New Zealand for the purposes of "palliative care of a dying patient" or "potential organ

198 sible evidence-based recommendations for the palliative care of adult patients with glioma, with the

199 tions, and provide a practical framework for palliative care of caregivers in oncology settings.

200 The effect of palliative care on important end-of-life outcomes in pat

201 vidence supporting the beneficial effects of palliative care on patient coping as well as the mechani

202 ents in coping mediated the effects of early palliative care on patient-reported outcomes.

203 ampled from four specialties (critical care, palliative care, oncology, and surgery).

204 has ever explored the willingness to receive palliative care or terminal withdrawal and the factors i

205 5, p < 0.001), and to not receive specialist palliative care (OR 1.13, 95% CI 1.07-1.19, p < 0.001).

206 e were more likely to not receive specialist palliative care (OR 1.26, 95% CI 1.07-1.49, p = 0.005).

207 arities, enhancing education and research in palliative care, overcoming disparities, and innovating

208 e; 10 filmed semi-structured interviews with palliative care patients or their family members; a co-d

209 We evaluated the impact of early integrated palliative care (PC) in patients with newly diagnosed lu

210 Historically, palliative care (PC) services have been underused in thi

211 Palliative care (PC) that has evolved from a focus on en

212 g group representing critical care medicine, palliative care, pediatric medicine, nursing, social wor

213 formational and supportive meetings led by a palliative care physician and nurse practitioner for sur

214 perts-a nephrologist and a general internist-palliative care physician-reflect on the care of a patie

215 Stand-alone palliative care policies exist in Malawi, Mozambique, Rw

216 Paediatric palliative care (PPC) endeavours to alleviate the suffer

217 urgical, mechanical circulatory support, and palliative care practices; advocates for the development

218 eys that assessed attitudes about specialist palliative care presence and integration into the ICU se

219 s leading to changes in Emergency Department-palliative care processes.

220 harge from a hospital that had an outpatient palliative care program (IRR, 0.90; 95% CI, 0.83 to 0.97

221 ng, as well as acceptability of 23 published palliative care prompts (triggers) for specialist consul

222 ric palliative oncology-encompassing primary palliative care provided by the multidisciplinary oncolo

223 linary oncology team as well as subspecialty palliative care provided by the palliative care team for

224 nterprofessional team led by board-certified palliative care providers within 48 hours of ICU admissi

225 patients with advanced cancer be referred to palliative care providers.

226 phine use remain common barriers to adequate palliative care provision.

227 at mentioned at least one dimension of WHO's palliative care public health strategy (implementation o

228 When used for palliative care purposes, chemotherapy and radiotherapy

229 The palliative care referral rate increased significantly, f

230 ionship was found between the CriSTAL score, palliative care referral, and in-hospital mortality in p

231 pilot study was to investigate the timing of palliative care referrals in patients receiving rapid re

232 Racial/ethnic differences in palliative care resource use after stroke have been reco

233 rtise to account for limited local specialty palliative care resources.

234 tional Assessment of Chronic Illness Therapy-Palliative Care scale (115.7 versus 120.3; P=0.27) score

235 tional Assessment of Chronic Illness Therapy-Palliative Care scale (FACIT-Pal), assessed at 6 months.

236 tional Assessment of Chronic Illness Therapy-Palliative Care scale (range, 0 [worst] to 184 [best]; m

237 tional Assessment of Chronic Illness Therapy-Palliative Care score mean difference, 4.7 [95% CI, -6.3

238 Each of these five models of specialist palliative care serve a different patient population alo

239 y less likely than white patients to receive palliative care services (adjusted odds ratio [aOR], 0.7

240 under the care of community-based specialist palliative care services and 19 specialist palliative ca

241 ite these substantial unmet needs, specialty palliative care services are infrequently consulted for

242 isparities is necessary to improve access to palliative care services for the vulnerable ESKD populat

243 formation showed an increased development of palliative care services in a subset of African countrie

244 Little is known about disparity in use of palliative care services in such patients in the inpatie

245 k for palliative care and a new way to match palliative care services to patients with advanced cance

246 lyses from RCTs in the 2012 PCO on providing palliative care services to patients with cancer and/or

247 creening, pathology, oncology, surgical, and palliative care services, although some examples of inno

248 revention, improving cancer surveillance and palliative care services, and developing targeted treatm

249 ent, disease management, rehabilitation, and palliative care services, coordinated across the differe

250 ith advanced cancer should receive dedicated palliative care services, early in the disease course, c

251 of patients with early or advanced cancer to palliative care services.

252 it presents many challenges in oncologic and palliative care settings.

253 th increasing numbers of deaths from cancer, palliative care should be available to relieve suffering

254 Because ASCO guidelines state that palliative care should be provided concurrently with oth

255 f life and increased family understanding of palliative care significantly associated with increased

256 Here, 2 oncologists, 1 of whom is also a palliative care specialist, debate the guideline and dis

257 Integration of palliative care specialists in the ICU is broadly accept

258 patients, family and friend caregivers, and palliative care specialists to update the 2012 American

259 ion; differences arise from diverse roles of palliative care specialists within cancer care globally.

260 The multidisciplinary palliative care task force of the European Association o

261 using the CriSTAL tool to stimulate earlier Palliative Care Team (PCT) referral served as an underly

262 availability of palliative care guidelines, palliative care team and palliative care advice.

263 l competency training for all members of the palliative care team and referring providers needs to be

264 subspecialty palliative care provided by the palliative care team for more complex cases-is unique fr

265 pports that timely involvement of specialist palliative care teams can enhance the care delivered by

266 ng the growing demand for the involvement of palliative care teams in the management of the dying pat

267 Referral of patients to interdisciplinary palliative care teams is optimal, and services may compl

268 Areas of palliative care that currently lack evidence and thus de

269 The demand for palliative care to be integrated throughout the cancer t

270 , acceptability, and efficacy of integrating palliative care to improve the quality of life and care

271 therapy, orthopaedic surgery and specialist palliative care to minimize the impact of metastatic bon

272 The delivery of palliative care to patients with advanced cancer and the

273 ng in this population, highlight the role of palliative care to promote effective coping strategies i

274 patient preferences for communication about palliative care topics, best practices for communication

275 .22 [1.53-3.21] and 3.11 [2.05-4.71]; formal palliative care training (1.71 [1.32-2.21]); working in

276 to diagnosis and treatment (five practices), palliative care (two practices), imaging (two practices)

277 domized clinical trial conducted at an acute palliative care unit at MD Anderson Cancer Center, Texas

278 erate to high rate of delirium occurrence in palliative care unit populations; and palliative care nu

279 and Northern Ireland (four hospices and one palliative care unit).

280 hrombosis in patients admitted to specialist palliative care units (SPCUs).

281 clinics, inpatient consultation teams, acute palliative care units, community-based palliative care,

282 including those receiving care in specialist palliative care units.

283 ogy, systems of care and nursing practice in palliative care units.

284 ed to the extent of practice deficiencies in palliative care units.

285 pidemiology, systems and nursing practice in palliative care units.

286 exity may benefit from an admission to acute palliative care units.

287 f serious health-related suffering requiring palliative care until 2060 by world regions, age groups,

288 We sought to determine whether palliative care use after intracerebral hemorrhage and i

289 r contributor to explain race disparities in palliative care use after stroke.

290 We compared palliative care use among minority groups (black, Hispan

291 e the association between race/ethnicity and palliative care use within and between the different hos

292 08, p < 0.001), and not receiving specialist palliative care was more likely (OR 1.03, 95% CI 1.02-1.

293 Palliative care was not significantly associated with di

294 d working in a facility where guidelines for palliative care were available (1.39 [1.03-1.88]).

295 from surgery, anesthesia, critical care, and palliative care were notified of the patient's frailty a

296 was based on a series of trials showing that palliative care, when added to standard oncology treatme

297 rong indicators for expert multidisciplinary palliative care, which incorporates assessment and manag

298 Early integration of palliative care with respiratory, primary care, and reha

299 eeds, suggesting the need for integration of palliative care within the long-term acute care hospital

300 e cancer trajectory, combined with a limited palliative care workforce, means that new models of care