Palliative care in a national cancer center: results in 1987 vs. 1993 vs. 2000

Journal of Pain and Symptom Management
Franco De ConnoCarla Ripamonti

Abstract

In the last few years, palliative care for advanced and terminal cancer patients has undergone considerable evolution. We determined the characteristics of patients admitted to the 4-bed Palliative Care Unit (PCU) of the National Cancer Institute (NCI) of Milan in 1987, 1993 and 2000 to evaluate how our diagnostic and therapeutic approaches have changed over the years. We reviewed the charts of every patient admitted to the PCU in 1987, 1993, and the first ten months of 2000. We recorded demographic data; the primary tumor sites; the main reason for admission; the types of therapies administered (oncologic, analgesic, surgical, neurosurgical analgesic procedures, and supportive therapy); the type and number of cardiological, radiological and endoscopic examinations, as well as specialist consultations; the duration of stay and eventual death on the Unit. There were no significant differences regarding gender, age, primary tumor site and death in hospital of the patients admitted during these years. The time spent in hospital increased over time (P = 0.006). A significant increase was observed in the percentage of patients admitted for supportive therapy (P < 0.001) and investigation concerning the stage of the disease (P < 0.00...Continue Reading

References

Feb 1, 1990·Journal of Pain and Symptom Management·E BrueraR N MacDonald
Dec 9, 1989·BMJ : British Medical Journal·N J MacdonaldM G Dunnigan
Jan 1, 1986·Journal of Pain and Symptom Management·V VentafriddaF De Conno
Oct 26, 1994·JAMA : the Journal of the American Medical Association·R M McCannA Groth-Juncker
Oct 1, 1993·Journal of Pain and Symptom Management·F I Burge
Oct 1, 1994·Journal of Pain and Symptom Management·S Watanabe, E Bruera
Nov 13, 1993·Lancet·J S MorleyG Leng
Dec 1, 1993·Pain·F De ConnoV Ventafridda
Jan 1, 1994·European Journal of Cancer : Official Journal for European Organization for Research and Treatment of Cancer (EORTC) [and] European Association for Cancer Research (EACR)·S SørensenH H Hansen
Mar 1, 1993·Journal of Clinical Gastroenterology·J G Stagias, P Marignani
Oct 1, 1995·Palliative Medicine·C Gleeson, D Spencer
Jul 1, 1996·Journal of Pain and Symptom Management·M MontiE Cunietti
Jun 1, 1996·European Journal of Cancer : Official Journal for European Organization for Research and Treatment of Cancer (EORTC) [and] European Association for Cancer Research (EACR)·F De ConnoV Ventafridda
Oct 1, 1996·Annals of Oncology : Official Journal of the European Society for Medical Oncology·E BrueraC Ripamonti
Apr 16, 1998·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·E Bruera
Jun 17, 1999·The New England Journal of Medicine·M M WolfeG Singh
Sep 4, 1999·Palliative Medicine·C A Jenkins, E Bruera
May 2, 2000·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·S MercadanteL Groff
Sep 16, 2000·Journal of Pain and Symptom Management·C Hawkins, G W Hanks
Sep 19, 2000·Journal of Pain and Symptom Management·C Benedetti, E D Dickerson
Nov 30, 2000·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·M KlokeO Kloke
Apr 18, 2001·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·M P Davis, D Walsh
Jun 13, 2001·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·F De ConnoL Saita
Jun 30, 2001·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·C RipamontiUNKNOWN Working Group of the European Association for Palliative Care
Jul 4, 2001·Drugs·C Ripamonti, E D Dickerson
Aug 11, 2001·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·S MercadanteA Casuccio
Jan 12, 2002·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Aminah JatoiBrad Christensen
Oct 7, 2006·Current Opinion in Gastroenterology·B Cryer

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Citations

Jul 13, 2005·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Mellar P Davis
Jul 19, 2006·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Emilia BarciaSofia Negro
Apr 7, 2005·Journal of Nuclear Cardiology : Official Publication of the American Society of Nuclear Cardiology·Daniel A PrymaH William Strauss
Nov 26, 2010·Journal of Nutrition for the Elderly·Roschelle A Heuberger
Oct 8, 2009·Journal of Palliative Medicine·Eric Prommer
Mar 3, 2010·Journal of Palliative Medicine·John BrysonCamilla Zimmermann
Apr 11, 2014·Journal of Palliative Medicine·Christopher R HoneyC Michael Honey
Jul 6, 2014·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Matthew G KestenbaumJ Cameron Muir
Dec 17, 2009·Internal Medicine Journal·B R Ensor, T P Middlemiss
Aug 29, 2014·The American Journal of Hospice & Palliative Care·Eric Prommer
Sep 23, 2014·The Cochrane Database of Systematic Reviews·Carmen StraubeSebastian Straube
Apr 1, 2006·Cancer Research and Treatment : Official Journal of Korean Cancer Association·Jin Oh Kang

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