The needs, models of care, interventions and outcomes of palliative care in the Caribbean: a systematic review of the evidence

BMC Palliative Care
Sandhya Maharaj, Richard Harding

Abstract

Palliative care provision is expanding in low and middle income countries. Services are developing in the Caribbean in response to the region's ageing population, the significant burden of cancer, non-communicable diseases and HIV/AIDS. Appraisal of the existing evidence on palliative care needs, models of care, interventions and outcomes in the Caribbean is essential to inform emerging practice and future research. Systematic review and narrative synthesis. Following implementation of a search strategy, titles, abstracts and full texts were screened. Data from nine studies were synthesized. The Qualsyst tools were used to assess the quality of quantitative and qualitative studies. Data were extracted into a common table, and themes were generated from the available peer review evidence using narrative synthesis. Nine papers were retained for appraisal. Eight papers described palliative care needs in the Caribbean. The needs for analgesia, support for patients, education and training of staff in palliative care and palliative care services were identified in the literature. Models of care for palliative care in the Caribbean were not described in great depth (n = 2 papers) and no intervention studies were found. Outcomes of pal...Continue Reading

References

Oct 4, 2003·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Seetharaman HariharanRamesh Jonnalagadda
Apr 30, 2005·BMJ : British Medical Journal·Scott A MurrayAziz Sheikh
Jun 7, 2005·Lancet·Richard Harding, Irene J Higginson
Jul 26, 2006·Cambridge Quarterly of Healthcare Ethics : CQ : the International Journal of Healthcare Ethics Committees·Cheryl Cox Macpherson
Aug 18, 2006·Respiratory Medicine·C BauseweinI J Higginson
May 8, 2007·Journal of Pain and Symptom Management·Jan StjernswärdFrank D Ferris
Jul 10, 2007·Journal of Pain and Symptom Management·Isabel Torres VigilCharles S Cleeland
May 30, 2008·Omega·Ronald Marshall, Patsy Sutherland
Nov 27, 2008·Australasian Journal on Ageing·Lily LeeSonya Girdler
Jul 23, 2009·Annals of Internal Medicine·David MoherUNKNOWN PRISMA Group
Feb 27, 2010·European Journal of Cancer : Official Journal for European Organization for Research and Treatment of Cancer (EORTC) [and] European Association for Cancer Research (EACR)·Richard HardingUNKNOWN PRISMA
Mar 13, 2012·Anesthesiology Clinics·Joan L Huffman
Sep 29, 2012·Journal of Pain and Symptom Management·Thomas LynchDavid Clark
Apr 9, 2013·The Lancet Oncology·Richard HardingIrene Higginson
May 29, 2014·Cambridge Quarterly of Healthcare Ethics : CQ : the International Journal of Healthcare Ethics Committees·Cheryl Cox MacphersonMuge Akpinar-Elci
Dec 10, 2014·International Journal of Health Policy and Management·David P Chinitz, Victor G Rodwin
Nov 21, 2015·BMJ Supportive & Palliative Care·Helen MitchellAnnmarie Nelson

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Citations

Feb 24, 2017·Journal of Surgical Oncology·Madhuri AreSuresh Reddy
Mar 24, 2018·Palliative Medicine·Anne-Lore ScherrensBenedicte Deforche
Aug 7, 2018·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Wynne E MorrisonJennifer Hwang
Jun 5, 2020·International Journal of Occupational Safety and Ergonomics : JOSE·Gonzalo BravoHéctor Castellucci
Sep 16, 2020·Journal of Cancer Survivorship : Research and Practice·Mariya B SotirovaIseult M Wilson
Mar 19, 2019·The Milbank Quarterly·Catherine J EvansMatthew Maddocks
Sep 12, 2020·Journal of Pain and Symptom Management·Huei ChungPing Guo
Nov 5, 2019·Journal of Pain and Symptom Management·Sophie PaskJason W Boland
Jan 7, 2018·Journal of Pain and Symptom Management·Maryellen PottsSuparna Qanungo
May 20, 2021·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Jordan CurryCynthia C Forbes
Aug 10, 2019·The Lancet Oncology·Diana SarfatiJames Hospedales

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Software Mentioned

QualSyst
PRISMA
Endnote

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