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Latest & greatest articles for palliative care
The Trip Database is a leading resource to help health professionals find trustworthy answers to their clinical questions. Users can access the latest research evidence and guidance to answer their clinical questions. We have a large collection of systematic reviews, clinical guidelines, regulatory guidance, clinical trials and many other forms of evidence. If you wanted the latest trusted evidence on palliative care or other clinical topics then use Trip today.
This page lists the very latest high quality evidence on palliative care and also the most popular articles. Popularity measured by the number of times the articles have been clicked on by fellow users in the last twelve months.
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Instruments to Measure Outcomes in Pediatric PalliativeCare: A Systematic Review. Pediatric palliativecare (PPC) is intended to promote children's quality of life by using a family-centered approach. However, the measurement of this multidimensional outcome remains challenging.To review the instruments used to assess the impact of PPC interventions.Five databases (Embase, Scopus, The Cochrane Library, PsychInfo, Medline) were searched.Inclusion criteria were as follows: definition of PPC used (...) checklist.Nineteen of 2150 articles met the eligibility criteria. Researchers in 15 used quantitative methods, and 9 were of moderate quality. Multidimensional outcomes included health-related quality of life, spiritual well-being, satisfaction with care and/or communication, perceived social support, and family involvement in treatment or place-of-care preferences. PPC interventions ranged from home-based to hospital and respite care. Only 15 instruments (of 23 reported) revealed some psychometric properties
The nurse's role in palliativecare: A qualitative meta-synthesis. To explore how nurses, across various health systems, describe their role in providing palliativecare for patients with life-threatening illnesses.Despite the fact that nurses make up the largest group of healthcare professionals, little is known about their role in palliativecare, across health services.A qualitative systematic review of studies.A search was made for relevant articles, published between January 2000-June 2016 (...) . Twenty-eight articles were selected and analysed using thematic synthesis.The themes that emerged from the analysis were as follows: Being available, which gave nurses a pivotal role in palliativecare and paved the way for Being a coordinator of care for patients and relatives, as well as for other health personnel. Doing what's needed was to handle an enormous breadth of activities, always in a holistic framework of understanding. Being attentively present and dedicated as well as using flexible
Effect of PalliativeCare for Patients with Heart Failure. Palliativecare might be beneficial to heart failure. However, the results remain controversial. We conducted a systematic review and meta-analysis to explore the effect of palliativecare on heart failure.PubMed, Embase, Web of Science, EBSCO, and Cochrane library databases were systematically searched. Randomized controlled trials (RCTs) assessing the effect of palliativecare versus usual care on heart failure were included. Two (...) investigators independently searched articles, extracted data, and assessed the quality of included studies. The primary outcome was readmission. Meta-analysis was performed using random-effect model.Five RCTs involving 545 patients were included in the meta-analysis. Overall, compared with control intervention, palliativecare intervention was found to significantly reduce the readmission [Std. mean difference = 0.79; 95% confidence intervals (CI) = 0.23 to 1.35; P = 0.006], Edmonton Symptom Assessment
Integrated outpatient palliativecare for patients with advanced cancer: A systematic review and meta-analysis. 30488781 2019 12 02 2020 03 18 1477-030X 33 2 2019 02 Palliative medicine Palliat Med Integrated outpatient palliativecare for patients with advanced cancer: A systematic review and meta-analysis. 123-134 10.1177/0269216318812633 Fulton Jessica J JJ 0000-0003-4055-1475 1 Durham VA Health Care System, Durham, NC, USA. 2 Department of Psychiatry and Behavioral Sciences, Duke University (...) of General Internal Medicine, Department of Medicine, Duke University Medical Center, Durham, NC, USA. eng IK2 RX002348 RX RRD VA United States K08 HS023681 HS AHRQ HHS United States Journal Article Meta-Analysis Systematic Review 2018 11 29 England Palliat Med 8704926 0269-2163 IM Palliat Med. 2019 Feb;33(2):121-122 30799732 Adult Aged Aged, 80 and over Ambulatory Care standards Delivery of Health Care, Integrated standards Female Hospice and PalliativeCare Nursing standards Humans Male Middle Aged
Barriers to specialist palliativecare in interstitial lung disease: a systematic review. Current guidelines recommend palliativecare based on individual needs for patients with idiopathic pulmonary fibrosis. However, patients with interstitial lung disease (ILD) are less likely to receive specialist palliativecare services compared with patients with malignant disease. The aim of this review is to summarise recent studies addressing barriers to referring patients to specialist palliative (...) care services.PubMed, Embase, Medline and Web of Science were reviewed to identify relevant publications. Studies were selected if they examined the frequency of specialist palliativecare referral and/or addressed issues surrounding access to palliativecare services for patients with ILD.Ten studies with a total of 4073 people with ILD, 27 caregivers and 18 healthcare professionals were selected and analysed. Frequency of palliativecare referrals ranged from 0% to 38%. Delay in palliativecare
A Systematic Review in Support of the National Consensus Project Clinical Practice Guidelines for Quality PalliativeCare, Fourth Edition. Palliativecare continues to be a rapidly growing field aimed at improving quality of life for patients and their caregivers.The purpose of this review was to provide a synthesis of the evidence in palliativecare to inform the fourth edition of the National Consensus Project Clinical Practice Guidelines for Quality Palliative Care.Ten key review questions (...) addressing eight content domains guided a systematic review focused on palliativecare interventions. We searched eight databases in February 2018 for systematic reviews published in English from 2013, after the last edition of National Consensus Project guidelines was published, to present. Experienced literature reviewers screened, abstracted, and appraised data per a detailed protocol registered in PROSPERO. The quality of evidence was evaluated using the Grading of Recommendations, Assessment
Findings From a Thematic Synthesis of Key Messages From a PalliativeCare Research Network: The KINDLE Project. Effective palliativecare requires a strong evidence base to advance clinical practice and policy-making. Calls for more collaborative and strategic approaches to research have resulted in the development of research networks at national and wider regional levels.The aim was to synthesize the learning arising from the activities of the PalliativeCare Research Network from the island (...) -reviewed publications, conference presentations, reports, and web/social media posts.The synthesis of dissemination products identified 4 key themes relating to palliativecare research and practice: (1) addressing the needs of patients while recognizing the caregiver role, (2) equal access to connected services, (3) general and specific needs in palliativecare research, and (4) challenges in palliativecare research.The key themes identified relate to challenges in both practice and research
Control Conditions That Are Neither Usual Care Nor No Treatment in Randomized Trials of Psychoeducational PalliativeCare Interventions: A Systematic Review. Determining intervention efficacy depends as much on the control group as on the intervention, but little attention has been given to the control condition in psychoeducational trials in palliative care.To examine (1) research practice regarding control conditions that are neither usual care nor no-treatment controls in randomized trials (...) of psychoeducational palliativecare interventions and (2) the rationale and completeness of the descriptions of control conditions in trial reports.PubMed, EMBASE, PsycINFO, and Web of Science were searched. After screening 1603 articles, 70 full-text articles were assessed for eligibility. The final sample included 9 trial reports. We used the Delphi list for quality assessment and the modified intervention taxonomy checklist to assess active intervention and control conditions.Four trials used an attention
Is palliativecare cost-effective in low-income and middle-income countries? A mixed-methods systematic review. Of the 40 million people globally in need of palliativecare (PC), just 14% receive it, predominantly in high-income countries. Within fragile health systems that lack PC, incurable illness is often marked by pain and suffering, as well as burdensome costs. In high-income settings, PC decreases healthcare utilisation, thus enhancing value. Similar cost-effectiveness models are lacking (...) and includes a quality appraisal.Our search identified 10 eligible papers that included palliative and economic outcomes in low-income and middle-income countries. Four provided true cost-effectiveness analyses in comparing the costs of PC versus alternative care, with PC offering cost savings, favourable palliative outcomes and positive patient-reported and family-reported outcomes.Despite the small number of included studies, wide variety of study types and lack of high-quality studies, several patterns
A Systematic Review of Training in Symptom Management in PalliativeCare within Postgraduate Medical Curriculums. Symptom management is a priority area within palliativecare core competencies for generalist providers. Although several educational initiatives exist, a comprehensive evidence synthesis on the effectiveness of symptom management training on trainees' learning and patient-reported outcomes is lacking.The objective of this study was to determine the effectiveness of training (...) in symptom management in palliativecare providers in nonpalliative specialties.This is a systematic review following Best Evidence Medical Education methods from searches of MEDLINE, EMBASE, ERIC, CINAHL, PsycINFO, Cochrane database of systematic, Clinical Trials.gov, and ISRCTN databases to September 2017. Prospective controlled studies testing the impact of symptom management educational interventions on physicians in training in nonpalliative specialties were included. Data were summarized
Supportive and palliativecare in people with cirrhosis: international systematic review of the perspective of patients, family members and health professionals. People with cirrhosis have unmet needs, which could benefit from a palliativecare approach. Developing effective services needs to be based on evidence from those with personal experience. This review aims to explore; patient and family perspectives of perceived needs including communication; health professionals' perspectives (...) on delivery of care and improving palliativecare between specialities.A literature search was conducted in Medline, Embase and CINAHL using key words reporting on the perspectives of patients with liver cirrhosis (18 years and over), family members or health professionals on the provision of care in liver cirrhosis. Study quality was assessed using the Mixed Methods Appraisal Tool. Qualitative and quantitative findings were grouped together according to the main relevant themes identified.Nineteen
/10.1056/NEJMra1404684 http://www.ncbi.nlm.nih.gov/pubmed/26287850?tool=bestpractice.com To palliate comes from the Latin word 'palliare', meaning 'to cloak', or to ease symptoms without curing the underlying disease. The primary goal of palliativecare is to provide quality of life for the patient and family 2018 19. A good death at home: home palliativecare services keep people where they want to be A good death at home: home palliativecare services keep people where they want to be | Evidently (...) Palliativecare Top results for palliativecare - Trip Database or use your Google+ account Liberating the literature ALL of these words: Title only Anywhere in the document ANY of these words: Title only Anywhere in the document This EXACT phrase: Title only Anywhere in the document EXCLUDING words: Title only Anywhere in the document Timeframe: to: Combine searches by placing the search numbers in the top search box and pressing the search button. An example search might look like (#1 or #2
Complementary and Alternative Medicine in Hospice and PalliativeCare: A Systematic Review. The aim of palliativecare is to improve quality of life for patients with serious illnesses by treating their symptoms and adverse effects. Hospice care also aims for this for patients with a life expectancy of six months or less. When conventional therapies do not provide adequate symptom management or produce their own adverse effects, patients, families, and caregivers may prefer complementary (...) or alternative approaches in their care.The objectives of this study were to evaluate the available evidence on the use of complementary or alternative medicine (CAM) in hospice and palliativecare and to summarize their potential benefits.A defined search strategy was used in reviewing literature from major databases. Searches were conducted using base terms and the symptom in question. Symptoms included anxiety, pain, dyspnea, cough, fatigue, insomnia, nausea, and vomiting. Studies were selected
General practice palliativecare: patient and carer expectations, advance care plans and place of death-a systematic review. With an increasing ageing population in most countries, the role of general practitioners (GPs) and general practice nurses (GPNs) in providing optimal end of life (EoL) care is increasingly important.To explore: (1) patient and carer expectations of the role of GPs and GPNs at EoL; (2) GPs' and GPNs' contribution to advance care planning (ACP) and (3) if primary care (...) involvement allows people to die in the place of preference.Systematic literature review.Papers from 2000 to 2017 were sought from Medline, Psychinfo, Embase, Joanna Briggs Institute and Cochrane databases.From 6209 journal articles, 51 papers were relevant. Patients and carers expect their GPs to be competent in all aspects of palliativecare. They valued easy access to their GP, a multidisciplinary approach to care and well-coordinated and informed care. They also wanted their care team to communicate
Indicators of integration at ESMO Designated Centres of Integrated Oncology and PalliativeCare A recent international consensus panel identified 13 major indicators to assess the level of integration between oncology and palliativecare. We examined these indicators among European Society for Medical Oncology (ESMO) Designated Centres (ESMO-DCs) of Integrated Oncology and PalliativeCare (PC) and determined the centre characteristics associated with greater integration.This is a preplanned (...) secondary analysis of a recent survey to characterise the structure, processes and outcomes of the palliativecare programmes at ESMO-DCs. We assessed the level of integration using 13 major indicators. We calculated two PalliativeCare and Oncology Integration Indexes consisting of all 13 indicators (PCOI-13, range 0-13) and 9 of the 13 indicators (PCOI-9, range 0-9), with a higher index indicating greater integration.The survey response rate was 152/184 (83%). Among the 13 major indicators
Improving delirium recognition and assessment for people receiving inpatient palliativecare: a mixed methods meta-synthesis. Delirium is a serious acute neurocognitive condition frequently occurring for hospitalized patients, including those receiving care in specialist palliativecare units. There are many delirium evidence-practice gaps in palliativecare, including that the condition is under-recognized and challenging to assess.To report the meta-synthesis of a research project (...) investigating delirium epidemiology, systems and nursing practice in palliativecare units.The Delirium in PalliativeCare (DePAC) project was a two-phase sequential transformative mixed methods design with knowledge translation as the theoretical framework. The project answered five different research questions about delirium epidemiology, systems of care and nursing practice in palliativecare units. Data integration and metasynthesis occurred at project conclusion.There was a moderate to high rate
Humor Assessment and Interventions in PalliativeCare: A Systematic Review Background: The central goal of palliativecare is to optimize the quality of life of patients suffering from life-limiting illnesses, which includes psychosocial and spiritual wellbeing. Research has demonstrated positive correlations between humor and laughter with life satisfaction and other aspects of wellbeing, and physiological symptoms can be improved by humorous stimuli. Objectives: The aim of this review (...) is to evaluate humor interventions and assessments that have been applied in palliativecare and to derive implications for future research. Methods: A systematic review of four databases identified 13 included studies. Criteria for inclusion were peer-reviewed English-language studies on humor interventions or assessments in a palliativecare context. Results: Two studies on humor interventions and 11 studies on humor assessment were included in the systematic review. Most of these studies were about
Mu-opioid antagonists for opioid-induced bowel dysfunction in people with cancer and people receiving palliativecare. Opioid-induced bowel dysfunction (OIBD) is characterised by constipation, incomplete evacuation, bloating, and gastric reflux. It is one of the major adverse events of treatment for pain in cancer and in palliativecare, resulting in increased morbidity and reduced quality of life.This is an update of two Cochrane reviews. One was published in 2011, Issue 1 on laxatives (...) and methylnaltrexone for the management of constipation in people receiving palliativecare; this was updated in 2015 and excluded methylnaltrexone. The other was published in 2008, Issue 4 on mu-opioid antagonists (MOA) for OIBD. In this updated review, we only included trials on MOA (including methylnaltrexone) for OIBD in people with cancer and people receiving palliative care.To assess the effectiveness and safety of MOA for OIBD in people with cancer and people receiving palliative care.We searched
A narrative literature review of palliativecare regarding patients with idiopathic pulmonary fibrosis The aim of this study was to examine the reported characteristics of extant studies on palliativecare for patients with idiopathic pulmonary fibrosis.Narrative review.A comprehensive search of the following electronic databases in English and Japanese commenced from 2002 - December 2017. Eligibility criteria was determined by the inclusion and exclusion criteria.Nineteen articles were (...) eligible. The characteristics of palliativecare for patients with idiopathic pulmonary fibrosis were symptoms relief, start time of palliativecare and palliativecare needs of patients and care partners. Also, patients' education of disease management including advanced care planning and developing a palliativecare system by the healthcare provider including multidisciplinary professional teams was identified. The care provided was a "care conference" and integrated palliativecare was carried out