Palliative Care Initiation in Chronic Obstructive Pulmonary Disease: Prognosis-Based, Symptoms-Based or Needs-Based?

International Journal of Chronic Obstructive Pulmonary Disease
Ruxandra-Mioara RajnoveanuDaniela Mosoiu

Abstract

The absence or late initiation of palliative care (PC) in chronic obstructive pulmonary disease (COPD) is multidimensional. To provide palliative care from the moment of COPD diagnosis remains utopic. Even the advanced forms or the end-of-life stages benefit late or never from these services. In this context, the research questions for the present systematic review were focused on the prognosis variables or multicomponent indices in COPD patients alongside the symptoms and unmet needs, which may be useful for the palliative care initiation. The aim was to help clinicians to identify not only the tools reliable to predict poor survival in COPD patients but also to identify the criteria for appropriateness for early palliative care onset. The search included systematic reviews and reviews published in English in the PUBMED database from Jan 1, 2015 to Jan 6, 2020. From a total of 202 findings, after applying filters, using additional sources, and eliminating duplicates, the search strategy screened 16 articles, out of which 10 were selected and included. A Preferred Reporting Items for Systematic Review and Meta-analysis Protocols (PRISMA-P) flow diagram was constructed. The main domains identified as barriers in providing pallia...Continue Reading

References

Jun 9, 2006·American Journal of Respiratory and Critical Care Medicine·Linda NiciUNKNOWN ATS/ERS Pulmonary Rehabilitation Writing Committee
Nov 9, 2007·The European Respiratory Journal·J R Curtis
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Apr 23, 2016·The European Respiratory Journal·Lucas BoeckDaiana Stolz
May 11, 2016·Oman Medical Journal·Abdulaziz Al-Mahrezi, Zahid Al-Mandhari
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Jun 12, 2018·American Journal of Respiratory and Critical Care Medicine·David M G Halpin

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Software Mentioned

PRISMA
RADboud Indicators of Palliative Care Needs ( RAD - PAC
Supportive and Palliative Care Indicators Tool ( SPICT )
Necesidades Paliativas ( NECPAL )

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