ライフサイエンスコーパス: palliative

1 iative: 0.987, 0.977-0.996; p=0.00034; NSCLC palliative: 0.987, 0.976-0.998; p=0.0015).

2 ative: 1.045, 1.013-1.079; p=0.00033; breast palliative: 0.987, 0.977-0.996; p=0.00034; NSCLC palliat

3 urative: 3.371, 1.554-7.316; p<0.0001; NSCLC palliative: 2.667, 2.109-3.373; p<0.0001), and for patie

4 liative: 6.241, 4.180-9.319; p<0.0001; NSCLC palliative: 3.384, 2.276-5.032; p<0.0001).

5 ative: 6.057, 1.333-27.513; p=0.0021; breast palliative: 6.241, 4.180-9.319; p<0.0001; NSCLC palliati

6 ocietal and health professional attitudes to palliative and end-of-life care.

7 uch as prophylaxis in MDR and XDR contacts), palliative and patient-orientated care aspects, and medi

8 ancer should be offered early, comprehensive palliative and supportive services to maximise benefit.

9 Current treatments are mainly palliative and underscore the unmet clinical need for im

10 glioblastomas, however, chemotherapy remains palliative because of the development of multidrug resis

11 d seven for curative breast cancer, four for palliative breast cancer, five for curative NSCLC, and s

12 m Asia and Australia, and 11 from Europe) on palliative cancer care rated 39 needs-based criteria and

13 n at 23 weeks and 6 days), 20 (19%) received palliative care (17 born at 22 weeks and 3 born at 23 we

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

15 between patients receiving and not receiving palliative care (code V66.7).

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

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

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

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

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

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

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

23 erapy delivered to high-risk families during palliative care and continued into bereavement reduced t

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

25 alth policy that supports the integration of palliative care and investment in systems of health care

26 there was no significant association between palliative care and survival.

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

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

29 oration necessitate an appropriate and early palliative care approach.

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

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

32 The requirement to make palliative care available to patients with cancer is inc

33 gned to the intervention (n=81) were seen by palliative care clinicians at least twice a week during

34 respond to information about prognosis from palliative care clinicians.

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

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

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

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

39 d, randomized clinical trial of ED-initiated palliative care consultation for patients with advanced

40 In-hospital advance care planning and palliative care consultation have the potential to resul

41 nd Relevance: Emergency department-initiated palliative care consultation in advanced cancer improves

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

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

44 hospital advance care planning and ICU-based palliative care consultation were systematically provide

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

46 Palliative care consultations may be underused at the en

47 Palliative care consultations within the high-risk popul

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

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

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

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

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

53 15 staff members about their experiences of palliative care delivery; 5 focus groups with 64 staff m

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

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

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

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

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

59 However, palliative care expertise is conspicuously inaccessible

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

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

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

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

64 c human right, access to adult and pediatric palliative care for millions of individuals in need in l

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

66 arding interventions to introduce or improve palliative care for surgical patients is further limited

67 plus ribavirin is more cost-effective than a palliative care for treatment of HCV genotype 1 and 6 in

68 Patients receiving palliative care had higher Charlson comorbidity scores (

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

70 Inpatient palliative care improves symptom management and patient

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

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

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

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

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

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

77 Future work might explore access to palliative care in the community and related health care

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

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

80 chnology to deliver efficient, collaborative palliative care in the ICU setting to the right patient

81 a lack of appreciation for the importance of palliative care in the ICU.

82 However, the role of palliative care in the treatment of patients undergoing

83 ent-parent attitudes toward aspects of early palliative care included child participants being more l

84 Utilization of palliative care increased from 4.3% in 2007 to 16.2% in

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

86 Purpose Inpatient palliative care integrated with transplant care improves

87 Conclusion Inpatient palliative care integrated with transplant care leads to

88 Early palliative care integration for cancer patients is now t

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

90 at include daily rounding by an intensivist, palliative care integration, and expansion of the role o

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

92 15, to usual care (UC) (n = 75) or UC plus a palliative care intervention (UC + PAL) (n = 75) at a si

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

94 An interdisciplinary palliative care intervention in advanced HF patients sho

95 tober 31, 2014, in which patient outcomes of palliative care interventions for adult surgical patient

96 udy Selection: Randomized clinical trials of palliative care interventions in adults with life-limiti

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

98 Rigorous evaluations of standardized palliative care interventions measuring meaningful patie

99 usions and Relevance: In this meta-analysis, palliative care interventions were associated with impro

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

101 e ago, the major obstacles to integration of palliative care into the intensive care unit (ICU) were

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

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

104 differences may help explain the benefit of palliative care involvement in conflict and could be the

105 Palliative care is an interdisciplinary service and an o

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

107 Palliative care is now recognized as an essential compon

108 re is evidence that the quality of ICU-based palliative care is often suboptimal.

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

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

111 Palliative care may improve these outcomes by providing

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

113 ty problem is the lack of scalable ICU-based palliative care models that use technology to deliver ef

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

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

116 nts, whose clinical trajectories and broader palliative care needs require greater focus.

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

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

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

120 Improving palliative care nurses' capabilities to recognize and as

121 ealth professionals (predominantly community palliative care nurses).

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

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

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

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

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

127 er hospital and those admitted to an ICU for palliative care or awaiting organ donation.

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

129 ich they might request the implementation of palliative care or withdrawal of mechanical ventilation

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

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

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

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

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

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

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

137 Importance: The use of palliative care programs and the number of trials assess

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

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

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

141 When used for palliative care purposes, chemotherapy and radiotherapy

142 A palliative care referral should occur at first visit.

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

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

145 National Cancer Institute, National Palliative Care Research Center, and Cambia Health Found

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

147 tional Assessment of Chronic Illness Therapy-palliative care scale (FACIT-Pal) instrument (range, 0-1

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

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

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

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

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

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

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

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

156 alist (intensivist, nurse, social worker) or palliative care specialist.

157 We enrolled 11 palliative care specialists and 25 intensivists.

158 At least 2 structured family meetings led by palliative care specialists and provision of an informat

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

160 tion to examine potential differences in how palliative care specialists manage conflict with surroga

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

162 Palliative care specialists used 55% fewer task-focused

163 rmine whether there were differences between palliative care specialists' and intensivists' use of ta

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

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

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

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

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

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

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

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

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

173 including those receiving care in specialist palliative care units.

174 ll the humane and ethical obligation to make palliative care universally available.

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

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

177 hospital characteristics appear to influence palliative care use among intracerebral hemorrhage patie

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

179 An apparent increasing trend of palliative care utilization in intracerebral hemorrhage

180 Palliative care was associated consistently with improve

181 In the meta-analysis, palliative care was associated with statistically and cl

182 erebral hemorrhage patients with and without palliative care were identified from the 2007-2011 Natio

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

184 Objective: To determine the association of palliative care with quality of life (QOL), symptom burd

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

186 Nearly half (46%) of the patients saw palliative care within 1 month before death; however, on

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

188 In 2016, the palliative care workforce has expanded markedly and ther

189 [n = 52] vs 17.8% [n = 23]) to indicate that palliative care would have been helpful for treating the

190 e the limited number of providers trained in palliative care, an immature evidence base, and a lack o

191 logy, radiation oncology, surgical oncology, palliative care, and advocacy experts and conducted a sy

192 cology, surgical oncology, gastroenterology, palliative care, and advocacy experts and conducted a sy

193 cology, surgical oncology, gastroenterology, palliative care, and advocacy experts to conduct a syste

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

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

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

197 ington reported being enrolled in hospice or palliative care, as did patients in Belgium.

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

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

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

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

202 Palliative care, defined as patient- and family-centered

203 hood cancers; and widespread availability of palliative care, including opioids.

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

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

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

207 ced with an acute choice between surgery and palliative care, seniors viewed this either as a choice

208 s a cognitive screen, had never been seen by palliative care, spoke English or Spanish, and presented

209 e is growing appreciation of the benefits of palliative care, whether provided by a generalist (inten

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

211 osts (peg 2a- 747,718vs. peg 2b- 819,921 vs. palliative care- 1,169,121 Thai baht) and more in QALYs

212 n QALYs (peg 2a- 13.44 vs. peg 2b- 13.14 vs. palliative care- 11.63 years) both in HCV genotypes 1 an

213 on, diagnosis, surgery, other treatment, and palliative care--are increasingly needed in low-income a

214 ts with chronic critical illness, the use of palliative care-led informational and emotional support

215 dy expressed negative attitudes toward early palliative care.

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

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

218 emoving ICU patients identified as receiving palliative care.

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

220 ant or cost-saving in Thailand compared to a palliative care.

221 f patients suitable for outpatient specialty palliative care.

222 hemorrhage patients, 32,159 (10.3%) received palliative care.

223 ision regarding a choice between surgery and palliative care.

224 ization measures compared with those without palliative care.

225 n many LMICs have greatly improved access to palliative care.

226 y blistering disorder, is usually treated by palliative care.

227 was used to construct a predictive model of palliative care.

228 n completed and especially in the context of palliative care.

229 ary or tertiary care hospitals to outpatient palliative care.

230 for heart transplantation, or initiation of palliative care.

231 ng improving access to effective hospice and palliative care.

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

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

234 reached on 36 minor criteria for specialist palliative-care referral.

235 erated adaptive biased coin design to either palliative chemoradiotherapy or radiotherapy alone for t

236 INTERPRETATION: Palliative chemoradiotherapy showed a modest, but not st

237 We studied change in skeletal muscle during palliative chemotherapy in patients with mCRC and its as

238 the third lumbar vertebra before and during palliative chemotherapy.

239 stic parameter when deciding for adjuvant or palliative chemotherapy.

240 Mortality/survival following palliative extubation, time to death or discharge, facto

241 The intention for EOL surgery was primarily palliative, followed by cancer-directed, nonmalignancy-d

242 c effect of drugs, as well as to distinguish palliative from effective treatments.

243 rain injuries associated with corrective and palliative heart surgery to antenatal and preoperative f

244 (131)I-MIBG has essentially been only palliative in paraganglioma/pheochromocytoma patients.

245 EOL surgery for palliative intent increased whereas other intents decrea

246 n criteria included receiving treatment with palliative intent, preoperative RT, non-external-beam RT

247 se of EOL surgery in Taiwan is primarily for palliative intent.

248 avoid underutilizing potentially beneficial, palliative-intent surgery and overutilizing cancer-direc

249 agement of solid tumors, with therapeutic or palliative intents, for decades.

250 twice a week during HCT hospitalization; the palliative intervention was focused on management of phy

251 uding the integrated provision of active and palliative management strategies.

252 nterventions to slow disease progression and palliative measures to improve quality of life should bo

253 urrent infections with treatments limited to palliative measures.

254 l oncology, psychiatry, nursing, hospice and palliative medicine, communication skills, health dispar

255 indicates that less invasive therapeutic or palliative modalities may be more appropriate in this en

256 linicians, may be a vehicle to address unmet palliative needs earlier and throughout the illness cour

257 rgency departments among older patients with palliative needs has led to the development of several s

258 ncer, five for curative NSCLC, and seven for palliative NSCLC.

259 of cancer is extremely difficult and usually palliative only.

260 astatic breast cancer patients is limited to palliative options and represents an unmet clinical need

261 Several palliative options such as cardiac resynchronization the

262 ocedural outcomes and survival to next-stage palliative or reparative surgery between patients underg

263 s those who received SACT previously (breast palliative: OR 2.326 99% CI 1.634-3.312; p<0.0001; NSCLC

264 In this multicenter comparison of palliative PDA stent and BT shunt for infants with ducta

265 We defined recovery from critical illness as Palliative Performance Scale score of greater than or eq

266 ailty scale were independently predictive of Palliative Performance Scale score of less than 60.

267 Of the 434 patients (82%) whose Palliative Performance Scale was known at 12 months, 50%

268 s are easily diagnosed but treated only with palliative pharmacological or invasive therapy.

269 nresectable tumors embolization is used as a palliative procedure.

270 Treatment of Cancer Quality of Life Core 15 Palliative (QLQ-C15-PAL) at the same time points.

271 atients, as do some other approaches such as palliative radiation therapy.

272 ation in kidneys, creating preconditions for palliative radionuclide therapy.

273 er treatment and in a number of curative and palliative regimens.

274 e of radiotherapy is commonly prescribed for palliative relief of malignant dysphagia in patients wit

275 nd decreased with age for patients receiving palliative SACT (breast curative: odds ratio [OR] 1.085,

276 s receiving their first reported curative or palliative SACT versus those who received SACT previousl

277 plication as a curative (seizure freedom) or palliative (seizure reduction) measure for both lesional

278 diotherapy alone for dysphagia relief in the palliative setting.

279 vant chemotherapy as appropriate, and in the palliative setting.

280 by sex and use in adjuvant or neoadjuvant vs palliative setting.

281 ted treatment for malignant dysphagia in the palliative setting.

282 To compare outcomes after palliative stenting vs stoma creation in patients with M

283 Palliative stenting vs stoma creation.

284 Palliative surgery for congenital heart disease has allo

285 ith peritoneal carcinomatosis and died after palliative surgery.

286 art disease, who may have undergone previous palliative surgical procedures, may be unsuitable for ve

287 ons confer survival advantages compared with palliative therapies for hepatocellular carcinoma (HCC),

288 g the pathogenesis of AD, the development of palliative therapies is still lacking.

289 ucocorticoid treatment represents a standard palliative treatment for Duchenne muscular dystrophy (DM

290 ged 65 years and older deemed fit enough for palliative treatment had more toxicities or a worse outc

291 red SEMS is an effective and safe method for palliative treatment of MBO.

292 e three times higher than those recommending palliative treatment only (40.41 vs 12.19; p < 0.01).

293 mmendations for further medical treatment or palliative treatment only at the end of life may influen

294 commend continuing full medical treatment or palliative treatment only.

295 antly shorter progression-free survival upon palliative treatment with cetuximab plus chemotherapy or

296 l therapeutic alternatives are available for palliative treatment.

297 onchoscopic lung volume reduction (bLVR) are palliative treatments aimed at reducing hyperinflation i

298 r, we reviewed the evidence on commonly used palliative treatments and their effect on quality of lif

299 better understand the benefits and burden of palliative treatments for patients with recurrent head a

300 Treatment is palliative, with the principle goals of pain relief, pre