ライフサイエンスコーパス: palliative care

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

2 emoving ICU patients identified as receiving palliative care.

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

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

5 f patients suitable for outpatient specialty palliative care.

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

7 ision regarding a choice between surgery and palliative care.

8 ization measures compared with those without palliative care.

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

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

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

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

13 ary or tertiary care hospitals to outpatient palliative care.

14 ining treatment and the shift to comfort and palliative care.

15 , guided by histology, with early concurrent palliative care.

16 was least recommended in advanced cancer or palliative care.

17 in Western medicine for pain management and palliative care.

18 on management, and six (30%) were started on palliative care.

19 for heart transplantation, or initiation of palliative care.

20 ng improving access to effective hospice and palliative care.

21 dy expressed negative attitudes toward early palliative care.

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

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

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

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

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

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

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

29 combination or single-agent chemotherapy or palliative care alone for those with PS 2; afatinib, erl

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

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

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

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

34 isk of bias (n = 5), the association between palliative care and QOL was attenuated but remained stat

35 There was no association between palliative care and survival (hazard ratio, 0.90; 95% CI

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

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

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

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

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

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

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

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

44 transition to palliative care, facilitating palliative care, and providing dignified care through to

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

46 te the extent of volunteers' contribution to palliative care, and their role in direct patient care,

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

48 oration necessitate an appropriate and early palliative care approach.

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

50 hdrawal of aggressive treatment and shift to palliative care are lacking in the literature.

51 Supportive care and palliative care are now recognised as critical component

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

53 e to provide background on the importance of palliative care as it pertains to patients with advanced

54 ttings; and health professional education in palliative care as part of licensure requirements.

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

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

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

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

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

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

61 dard transplant care (n=79) could be seen by palliative care clinicians on request.

62 respond to information about prognosis from palliative care clinicians.

63 critically ill patients merit assessment by palliative care clinicians; the demand for palliative ca

64 Although outpatient specialty palliative-care clinics improve outcomes, there is no co

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

66 hematologic malignancy, the use of inpatient palliative care compared with standard transplant care r

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

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

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

70 Inpatient palliative care consultation (IPCC) may help address bar

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

72 ention participants received a comprehensive palliative care consultation by the inpatient team, incl

73 Earlier palliative care consultation during hospital admission i

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

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

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

77 luation was 969 patients; 256 were seen by a palliative care consultation team, and 713 received usua

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

79 h advanced cancer randomized to ED-initiated palliative care consultation vs care as usual.

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

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

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

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

84 ferences (p = 0.019) and a trend toward more palliative care consultations (p = 0.056).

85 Palliative care consultations may be underused at the en

86 Palliative care consultations within the high-risk popul

87 ons and outpatient visits decreased, whereas palliative care consults and enrollment in hospice incre

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

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

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

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

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

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

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

95 15 staff members about their experiences of palliative care delivery; 5 focus groups with 64 staff m

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

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

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

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

100 ence of locoregional disease, and 4 received palliative care due to distant metastases.

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

102 atus, and social supports and should receive palliative care early.

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

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

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

106 However, palliative care expertise is conspicuously inaccessible

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

108 lding, recognizing the need to transition to palliative care, facilitating palliative care, and provi

109 lung cancer), and environmental (low SES; no palliative care) factors associated with an increased ri

110 environmental (low socioeconomic status, no palliative care) factors associated with an increased ri

111 Palliative care focuses on communication, shared decisio

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

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

114 Palliative care for CGs should be initiated as early as

115 ha 2a or alpha 2b and ribavirin with a usual palliative care for genotype 1 and 6 HCV patients.

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

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

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

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

120 ath of transitioning from aggressive care to palliative care for their significant other in the inten

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

122 Patients receiving palliative care had higher Charlson comorbidity scores (

123 resses the research question: Does timing of palliative care have an impact on its effect on cost?

124 s with haematological malignancies receiving palliative care have similar symptoms and patterns of ph

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

126 data sharing to identify patients in need of palliative care, identification of better care and payme

127 Inpatient palliative care improves symptom management and patient

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

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

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

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

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

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

134 We explored utilization of palliative care in spontaneous intracerebral hemorrhage

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

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

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

138 identify interventions to improve access to palliative care in the hospital for all patients with ad

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

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

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

142 data on the impact of volunteer services in palliative care in thirteen citation databases up to May

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

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

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

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

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

148 Purpose Inpatient palliative care integrated with transplant care improves

149 Conclusion Inpatient palliative care integrated with transplant care leads to

150 Early palliative care integration for cancer patients is now t

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

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

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

154 15, to usual care (UC) (n = 75) or UC plus a palliative care intervention (UC + PAL) (n = 75) at a si

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

156 An interdisciplinary palliative care intervention in advanced HF patients sho

157 We assessed the effectiveness of a nurse-led palliative care intervention on patient-reported outcome

158 Awareness of and access to palliative care interventions align with the American He

159 vide estimates of the magnitude of effect of palliative care interventions and advance care planning

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

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

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

163 For trials evaluating palliative care interventions in the ICU setting, we fou

164 e questions: 1) Do advance care planning and palliative care interventions lead to a reduction in ICU

165 Rigorous evaluations of standardized palliative care interventions measuring meaningful patie

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

167 Full integration of supportive and palliative care into breast cancer programmes requires a

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

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

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

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

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

173 Palliative care is an interdisciplinary service and an o

174 Previous studies report that early palliative care is associated with clinical benefits, bu

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

176 Importance: The delivery of palliative care is not standard of care within most emer

177 Palliative care is now recognized as an essential compon

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

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

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

181 eded to ensure the resource of volunteers in palliative care is used appropriately and effectively.

182 findings do not support routine or mandatory palliative care-led discussion of goals of care for all

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

184 Palliative care may improve these outcomes by providing

185 ticipants were enrolled, and 69 allocated to palliative care (mean [SD], 55.1 [13.1] years) and 67 we

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

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

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

189 ve care needs screening tool that identified palliative care needs for 62% neuro-ICU patients.

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

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

192 We developed a palliative care needs screening tool consisting of four

193 We developed a brief palliative care needs screening tool that identified pal

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

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

196 ical or neurosurgical ICU are likely to have palliative care needs.

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

198 Improving palliative care nurses' capabilities to recognize and as

199 ealth professionals (predominantly community palliative care nurses).

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

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

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

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

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

205 Objective: To assess the effect of inpatient palliative care on patient- and caregiver-reported outco

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

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

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

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

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

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

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

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

214 rials have supported integrated oncology and palliative care (PC); however, optimal timing has not be

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

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

217 College London, Cicely Saunders Institute of Palliative Care, Policy & Rehabilitation, UK.

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

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

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

221 Application of palliative care principles concerning symptom relief, go

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

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

224 llocation recommendations for supportive and palliative care programmes in low-income and middle-inco

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

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

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

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

229 When used for palliative care purposes, chemotherapy and radiotherapy

230 A palliative care referral should occur at first visit.

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

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

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

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

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

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

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

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

239 This finding questions present limited palliative care service use by patients with haematologi

240 y palliative care clinicians; the demand for palliative care services among critically ill patients i

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

242 policies for the provision of comprehensive palliative care services during hospitalization, includi

243 reimbursement for comprehensive delivery of palliative care services for patients with advanced card

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

245 ological malignancies are less likely to use palliative care services than are patients with solid tu

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

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

248 All studies were in adult palliative care services.

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

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

251 n quality and survival suggesting that early palliative care should be more widely implemented.

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

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

254 We enrolled 11 palliative care specialists and 25 intensivists.

255 Palliative care specialists and intensivists.

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

257 We found that palliative care specialists engage in less task-focused

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

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

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

261 Palliative care specialists used 55% fewer task-focused

262 The palliative care specialists were all attending physician

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

264 t was prepared to guide critical care staff, palliative care specialists, and others who practice in

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

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

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

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

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

270 re were less likely than those not receiving palliative care to attend the emergency department in th

271 s, and care delivery organizations establish palliative care training, certification, and/or licensur

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

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

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

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

276 including those receiving care in specialist palliative care units.

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

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

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

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

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

282 Independent predictors of palliative care use were older age (odds ratio, 4.06; 95

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

284 ere independently associated with absence of palliative care use.

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

286 Palliative care was associated consistently with improve

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

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

289 Patients receiving palliative care were less likely than those not receivin

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

291 ues to consider a choice between surgery and palliative care, whereas others view this as a simple ch

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

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

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

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

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

297 lenge clinicians to provide patient-centered palliative care within a complex and often uncertain pro

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

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

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