Targeted Palliative Care Accessibility Models for patients in a resource‐limited setting: Review of alternatives in inaccessible zones

2021 ◽  
Author(s):  
Pritik A. Shah ◽  
Marcos R. Tovani‐Palone ◽  
Aditya Chandrashekar
Keyword(s):  
Palliative Care ◽  
Resource Limited Setting ◽  
Resource Limited ◽  
Limited Setting

Access to Palliative Care Services and Clinical Outcomes of Patients With Solid Malignancy-Associated Myelophthisis in a Resource-Limited Setting

2020 ◽  
pp. 104990912096996
Author(s):  
Cesar Vargas-Serafin ◽  
Aldo A. Acosta-Medina ◽  
Kevin Teran-De-la-Sancha ◽  
Jesus Delgado-de-la-Mora ◽  
María T. Bourlon ◽  
...  
Keyword(s):  
Palliative Care ◽  
Clinical Outcomes ◽  
Median Number ◽  
Resource Limited Setting ◽  
Therapeutic Interventions ◽  
Solid Malignancy ◽  
Resource Limited ◽  
Transfusion Requirements ◽  
The Impact ◽  
Limited Setting

Background: Myelophthisis (MPT) has been associated with a dreadful prognosis. Patients’ access to palliative care (PC) and factors influencing its clinical outcomes are poorly described. Our aim was to analyze the impact of patient- and disease-specific characteristics on survival of patients with MPT and describe their use of PC in a resource-limited setting. Methods: Retrospective study including patients with solid tumor MPT, diagnosed between 1996 and 2018. Results: Seventy patients ( median 58 years) were included. 58% were synchronously diagnosed with MPT at time of primary tumor diagnosis. Most common oncologic diagnoses were prostate (25.7%), gastrointestinal (20%), and breast (18.6%) neoplasms. Median overall survival (OS) was 1.9 months. Primaries other than prostate, breast, and lung (HR 1.37, 95% CI 1.15 - 1.8; p = 0.02) and transfusion requirements (HR 2.8, 95% CI 1.01 – 7.9; p = 0.04) were independently associated with decreased OS. Administration of multiple systemic therapeutic interventions (HR 0.15, 95% CI 0.06 – 0.39; p = 0.01) was the sole factor improving OS. Assessment by PC was pursued in 51.4% of patients. The median number of consults per patient was two, with no difference in assessment rate or consult number across different primaries ( P = 0.96). Four cases of palliative sedation were reported, all performed by the primary care team. Conclusion: MPT is highly heterogeneous and risk stratification to optimize the use of therapeutic interventions in unison with palliative interventions is needed to maximize efforts toward improving patient quality of life. There is an alarming need of PC services in the multidisciplinary management of patients within developing regions.

Abstract #288 Dyslipidemia in Childhood Type 1 Diabetes in India: Prevalence Correlates and Management Challenges in a Resource Limited Setting

2019 ◽  
Vol 25 ◽  
pp. 117
Author(s):  
S Chandraprabha ◽  
T Jayalakshmi ◽  
Reshma Vijay ◽  
Kavitha Muniraj ◽  
Muralidhara Krishna ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Resource Limited Setting ◽  
Resource Limited ◽  
Childhood Type 1 Diabetes ◽  
Childhood Type ◽  
Limited Setting

Obstacles facing gastrointestinal endoscopy in a resource-limited setting

2018 ◽  
Vol 56 (08) ◽  
pp. e354-e354
Author(s):  
A Ebigbo ◽  
M Schlander ◽  
G Anigbo ◽  
U Ijoma ◽  
H Messmann
Keyword(s):  
Gastrointestinal Endoscopy ◽  
Resource Limited Setting ◽  
Resource Limited ◽  
Limited Setting

HIV Drug Resistance Testing in a Resource Limited Setting with High Viral Diversity: The First Twenty Eight Months Experience

2017 ◽  
Vol 15 (4) ◽  
Author(s):  
Elodie Teclaire Ngo-Malabo ◽  
Paul Alain Ngoupo ◽  
Serge Alain Sadeuh-Mba ◽  
Emmanuel Akongnwi ◽  
Robert Banaï ◽  
...  
Keyword(s):  
Drug Resistance ◽  
Resource Limited Setting ◽  
Resistance Testing ◽  
Viral Diversity ◽  
Hiv Drug Resistance ◽  
Drug Resistance Testing ◽  
Resource Limited ◽  
Limited Setting

Limited surface examination to evaluate potential teratogens in a resource‐limited setting

2021 ◽  
Author(s):  
Lewis B. Holmes ◽  
Hanah Z. Nasri ◽  
Anne‐Therese Hunt ◽  
Rebecca Zash ◽  
Roger L. Shapiro
Keyword(s):  
Resource Limited Setting ◽  
Resource Limited ◽  
Surface Examination ◽  
Limited Surface ◽  
Limited Setting

Surgical management of pelvic organ prolapse in a high‐volume resource‐limited setting

2021 ◽  
Author(s):  
Mukanire Ntakwinja ◽  
Ali Borazjani ◽  
Ziga Vodusek ◽  
Albert Mwembo Tambwe ◽  
Denis Mukwege
Keyword(s):  
Pelvic Organ Prolapse ◽  
Surgical Management ◽  
High Volume ◽  
Pelvic Organ ◽  
Resource Limited Setting ◽  
Resource Limited ◽  
Limited Setting
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