A new palliative care consultation team at the oncology department of a university hospital: an assessment of initial efficiency and effectiveness.

Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer
Ana De SantiagoCarlos Centeno

Abstract

Palliative care consultation teams (PCCT) in acute hospitals have increased in number over recent years. To assess whether these teams are both efficient in their role within a palliative care centre and effective in the care that is provided for patients, we reviewed the initial activity of a new PCCT at the Oncology Department of Clínica Universidad de Navarra, a European Society for Medical Oncology-designated centre of integrated oncology and palliative care. All patients evaluated by the PCCT over the first 3 years of its activity were included. Data about diagnosis, demographic characteristics, survival and initial symptom burden were evaluated using the Edmonton Symptom Assessment System (ESAS); whenever possible, a follow-up ESAS for inpatients was collected within 1 week from the electronic charts and analysed retrospectively. The PCCT evaluated 611 cancer patients within the initial 3 years of the service commencing. On the first visit, 392 patients (64%) completed the ESAS evaluation. Of those that completed the ESAS, 43% were outpatients, 52% had gastrointestinal tumours, and 16% died within a month. The evaluated patients had an average of six uncontrolled symptoms (≥4/10). The most common moderate to severe sympto...Continue Reading

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Citations

Feb 23, 2013·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Karin OechsleAnja Mehnert
Nov 1, 2012·Neuro-oncology·Esther LinPeter Eastman
Feb 20, 2014·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Annette Sand StrömgrenGeana Paula Kurita
Apr 27, 2016·Journal of Pain and Symptom Management·Marieke H J van den Beuken-van EverdingenDaisy J A Janssen
May 15, 2016·BMC Palliative Care·Eduardo GarraldaCarlos Centeno
Aug 11, 2016·Cancer Research and Treatment : Official Journal of Korean Cancer Association·Hye-Young ShimSo-Jung Park
Sep 9, 2017·Current Opinion in Supportive and Palliative Care·Rocío Rojí, Carlos Centeno
May 8, 2014·The American Journal of Hospice & Palliative Care·Koji AmanoEmi Sato
Feb 15, 2014·The American Journal of Hospice & Palliative Care·Di DengFrieda Law
Sep 18, 2016·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Maria FriedrichsenAnna Milberg
Sep 23, 2020·BMJ Supportive & Palliative Care·Elene JanberidzeMartin Loučka

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