Effectiveness of Hospital Palliative Care Teams for Cancer Inpatients: A Systematic Review

2016 ◽  
Vol 19 (11) ◽  
pp. 1156-1165 ◽  
Author(s):  
Grace Meijuan Yang ◽  
Shirlyn Hui-Shan Neo ◽  
Shawn Zhi Zheng Lim ◽  
Lalit Kumar Radha Krishna
Keyword(s):  
Systematic Review ◽  
Palliative Care ◽  
Palliative Care Teams

A systematic review of the integration of palliative care in dementia management

2019 ◽  
Vol 18 (4) ◽  
pp. 495-506 ◽  
Author(s):  
Helen Senderovich ◽  
Sivarajini Retnasothie
Keyword(s):  
Systematic Review ◽  
Palliative Care ◽  
End Of Life ◽  
Symptom Management ◽  
Healthcare Providers ◽  
Cross Sectional ◽  
Prescribing Behavior ◽  
Palliative Care Consultation ◽  
Palliative Care Teams ◽  
The Impact

AbstractObjectiveDementia is a progressive illness with a complex biopsychosocial constellation of symptoms faced by millions of individuals and families worldwide. Palliative care teams have specialized in symptom management and end-of-life care for decades; however, the role of palliative care in dementia management is not yet well elucidated. The aim of this systematic review was to understand the impact of palliative care in dementia management.MethodThis systematic review was conducted using a prospective study protocol. Medline and PubMed were searched from January 1, 1998 to October 2017. Eligible studies included single-blind cluster, two-arm parallel cluster, or unblinded randomized controlled trials (RCTs), observational studies, retrospective cohort studies, cross-sectional studies, concurrent mixed methods study, qualitative study, and Delphi studies.ResultsFour key themes were identified in this review: goals of care and end-of-life conversations, symptom management, emergency room visits, and prescribing behavior. In each domain, palliative care consultation either showed benefit or was postulated to have benefit if implemented.Significance of resultsAlthough the literature to support or refute thematic conclusions is not large, there was a trend toward patient care benefit across several domains. Large RCTs with longer follow-up across different settings should be undertaken to solidify the themes and trends outlined in this review. Understanding the views of healthcare providers including referral sources (i.e., general practitioners and specialists) through qualitative research could optimize palliative care referrals, implement palliative care recommendations, and improve a targeted palliative care education curriculum.

scholarly journals Palliative care for terminally ill patients in the intensive care unit: Systematic review and metaanalysis

2016 ◽  
Vol 15 (3) ◽  
pp. 376-383 ◽  
Author(s):  
Belmira D.C.P.C.C. Martins ◽  
Reinaldo A. Oliveira ◽  
Antonio J.M. Cataneo
Keyword(s):  
Systematic Review ◽  
Intensive Care Unit ◽  
Palliative Care ◽  
Intensive Care ◽  
Length Of Stay ◽  
Risk Ratio ◽  
Intervention Group ◽  
Terminally Ill ◽  
Terminally Ill Patients ◽  
Palliative Care Teams

AbstractObjective:The purpose of our systematic review was to determine whether the introduction of palliative care (PC) teams reduces length of stay and/or mortality for terminally ill patients (TIPs) in an intensive care unit (ICU).Method:We hoped to examine studies that compared TIPs in an ICU who received end-of-life care following implementation of a PC team (intervention group) to those who received care where PC teams had not yet been introduced (control group). We searched MEDLINE via PubMed, LILACS, Scopus, Embase, and Cochrane CENTRAL (search conducted in December of 2015) without language restrictions. Our outcome measures were length of stay in an ICU, presented as an average difference with a corresponding 95% confidence interval (CI95%), and mortality in the ICU, presented as a risk ratio with a corresponding CI95%. Two of our authors independently extracted all of the data.Results:Of the 399 publications identified, 27 were selected for full-text analysis and 19 were excluded, leaving 8 articles for inclusion, which involved a total of 7,846 patients. A metaanalysis of mortality in the ICU was conducted with four studies. Lower mortality was found in the intervention group: risk ratio = 0.78 (CI95% = 0.70–0.87), p < 0.00001, I2 = 18%. Length of stay in the ICU was presented as a mean and standard deviation in four studies, and the result was a reduction of ~2.5 days in the length of stay with application of the intervention: mean = –2.44 days (CI95% = –4.41 to –0.48), p = 0.01, I2 = 86%.Significance of results:Introduction of palliative care teams can reduce mortality rates in the ICU, and perhaps shorten length of stay in the ICU for terminally ill patients.

Mobile Palliative Care Teams Hit the Road

2009 ◽  
Vol 2 (5) ◽  
pp. 1-17
Author(s):  
PATRICE WENDLING
Keyword(s):  
Palliative Care ◽  
The Road ◽  
Palliative Care Teams

Non-invasive ventilation in palliative care: a systematic review

2020 ◽  
Vol 110 (6) ◽  
Author(s):  
Teresa Diaz de Teran ◽  
Elena Barbagelata ◽  
Catia Cilloniz ◽  
Antonello Nicolini ◽  
Tommaso Perazzo ◽  
...  
Keyword(s):  
Systematic Review ◽  
Palliative Care ◽  
Invasive Ventilation ◽  
Non Invasive ◽  
Non Invasive Ventilation

A Systematic Review on Barriers to Palliative Care in Oncology

2021 ◽  
pp. 104990912098328
Author(s):  
Jyotsana Parajuli ◽  
Judith E. Hupcey
Keyword(s):  
United States ◽  
Systematic Review ◽  
Palliative Care ◽  
Full Text ◽  
Literature Search ◽  
Intervention Development ◽  
The United States ◽  
Care Utilization ◽  
Review Of Literature ◽  
Meta Analyses

The number of people with cancer and the need for palliative care among this population is increasing in the United States. Despite this growing need, several barriers exist to the utilization of palliative care in oncology. The purpose of this study was to synthesize the evidence on the barriers to palliative care utilization in an oncology population. A systematic review of literature was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. PubMed, CINAHL, and Psych Info databases were used for the literature search. Articles were included if they: 1) focused on cancer, (2) examined and discussed barriers to palliative care, and c) were peer reviewed, published in English, and had an accessible full text. A total of 29 studies (8 quantitative, 18 qualitative, and 3 mixed-methods) were identified and synthesized for this review. The sample size of the included studies ranged from 10 participants to 313 participants. The barriers to palliative care were categorized into barriers related to the patient and family, b) barriers related to providers, and c) barriers related to the healthcare system or policy. The factors identified in this review provide guidance for intervention development to mitigate the existing barriers and facilitate the use palliative care in individuals with cancer.

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