Palliative care consultation service and palliative care unit: why do we need both?

The Oncologist
Jan GaertnerRaymond Voltz

Abstract

Palliative care (PC) infrastructure has developed differently around the globe. Whereas some institutions consider the palliative care unit (PCU) a valuable component, others report that the sole provision of a state-of-the art palliative care consultation service (PCCS) suffices to adequately care for the severely ill and dying. To aid institutional planning, this study aimed at gathering patient data to distinguish assignments of a concomitantly run PCU and PCCS at a large hospital and academic medical center. Demographics, Eastern Cooperative Oncology Group performance status, symptom/problem burden, discharge modality, and team satisfaction with care for all 601 PCU and 851 PCCS patients treated in 2009 and 2010 were retrospectively analyzed. Patients admitted to the PCU versus those consulted by the PCCS: (a) had a significantly worse performance status (odds ratio [OR], 1.48); (b) were significantly more likely to suffer from severe symptoms and psychosocial problems (OR, 2.05), in particular concerning physical suffering and complexity of care; and (c) were significantly much more likely to die during hospital stay (OR, 11.03). For patients who were dying or in other challenging clinical situations (suffering from variou...Continue Reading

References

Dec 1, 1982·American Journal of Clinical Oncology·M M OkenP P Carbone
Feb 13, 2002·Journal of Palliative Medicine·Philip H Santa-EmmaRobert M Taylor
Apr 9, 2002·European Journal of Cancer : Official Journal for European Organization for Research and Treatment of Cancer (EORTC) [and] European Association for Cancer Research (EACR)·A S StrömgrenP Sjogren
Jun 18, 2002·Journal of Pain and Symptom Management·Lukas RadbruchUNKNOWN Working Group on the Core Documentation for Palliative Care Units in Germany
May 30, 2003·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Lukas RadbruchDieter Schulenberg
Mar 30, 2004·Palliative Medicine·Friedemann NauckUNKNOWN Working Group on the Core Documentation for Palliative Care Units in Germany
Dec 14, 2004·Journal of Pain and Symptom Management·Jennifer TakesakaDavid Casarett
Apr 30, 2005·Journal of Palliative Medicine·J C AhronheimD E Meier
Dec 15, 2005·Journal of Palliative Medicine·R Sean MorrisonDiane E Meier
Feb 28, 2006·Journal of Palliative Medicine·Irene J Higginson
Sep 12, 2007·Palliative Medicine·Charles F von Gunten
Sep 29, 2007·Palliative Medicine·John Ellershaw
Oct 3, 2007·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Christoph OstgatheRaymond Voltz
Mar 13, 2008·Journal of Palliative Medicine·Navneet DhillonEduardo Bruera
Jun 25, 2008·The American Journal of Hospice & Palliative Care·Mitsunori MiyashitaYasuo Shima
Sep 19, 2009·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Christoph OstgatheUNKNOWN Hospice and Palliative Care Evaluation (HOPE) Working Group in Germany
Aug 18, 2010·Journal of Medical Ethics·Sabine Salloch, Christof Breitsameter
Sep 18, 2010·BMJ : British Medical Journal·John EllershawDeborah Murphy
Oct 13, 2010·Palliative Medicine·Christoph OstgatheUNKNOWN Hospice and Palliative Care Evaluation (HOPE) Working Group
Nov 9, 2010·The American Journal of Hospice & Palliative Care·David HuiEduardo Bruera
Jan 29, 2011·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Stephanie StielFrank Elsner
Feb 22, 2011·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Jan GaertnerRaymond Voltz
Mar 25, 2011·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Jan GaertnerRaymond Voltz
Apr 12, 2011·The American Journal of Hospice & Palliative Care·Ahmed ElsayemNada A Fadul
Apr 22, 2011·Health and Quality of Life Outcomes·Claudia BauseweinUNKNOWN PRISMA
May 31, 2011·Journal of Pain and Symptom Management·Sally A NortonTimothy E Quill
Jun 28, 2011·The Journal of Supportive Oncology·Areej El-JawahriJennifer S Temel
Nov 11, 2011·Journal of Pain and Symptom Management·Stephanie StielLukas Radbruch

❮ Previous
Next ❯

Citations

Mar 7, 2014·Journal of Palliative Medicine·Peter EastmanBrian Le
Aug 15, 2012·Health Policy·Jan GaertnerStephanie Stock
Apr 8, 2015·Journal of Pain and Symptom Management·Jeremy D NathanielNathan E Goldstein
Aug 22, 2014·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Franziska KötzschCarsten Klein
May 15, 2013·The American Journal of Hospice & Palliative Care·Serife EtiPeter Selwyn
Oct 2, 2019·European Journal of Cancer Care·Arianne Brinkman-StoppelenburgAgnes van der Heide
Jun 6, 2013·Current Opinion in Oncology·Jan GaertnerRaymon Voltz
Aug 9, 2020·Medizinische Klinik, Intensivmedizin und Notfallmedizin·J BerendtM Neukirchen
Jun 25, 2015·Asian Pacific Journal of Cancer Prevention : APJCP·Didem KafadarMahmut Gumus
May 30, 2013·American Society of Clinical Oncology Educational Book·Mellar P DavisDaniel Morganstern

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology
Soko SetoguchiJennifer S Haas
The New England Journal of Medicine
Jennifer S TemelThomas J Lynch
Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology
Craig C EarleJohn Z Ayanian
© 2022 Meta ULC. All rights reserved