scholarly journals 10th World Research Congress of the European Association for Palliative Care (EAPC)

2018 ◽  
Vol 32 (1_suppl) ◽  
pp. 3-330 ◽  
2004 ◽  
Vol 2 (1) ◽  
pp. 1-2 ◽  
Author(s):  
WILLIAM BREITBART

Stresa, a small town on the shores of the Lago Maggiore, about one hour north of Milan, Italy, was the site of the Third Research Forum of the European Association for Palliative Care (EAPC). From June 3 through 6, 2004, researchers from all across Europe, as well as investigators from North America, Australia, Japan, and Israel, gathered to review the state of palliative care research and set an agenda for the future. The setting was bucolic and tranquil; the official language was English; the accents were diverse; the accommodations were grand; the ambiance was intimate and insouciant; the dinners were elegant; the dress was stylish; the organization was impeccable; and the scholarship was of the highest level. All this, perhaps, was to be expected of an EAPC event, hosted by an Executive Scientific Committee and Research Committee headed by Franco De Conno of the Instituto di Tumori of Milano, Italy, and his colleagues. What was unexpected, however, was the prominence of research on psychosocial, existential, and spiritual aspects of palliative care at this critically important, international, palliative care research forum. Clearly, 2004 marks an important milestone for the entry of research in psychosocial and existential issues into the mainstream of academic palliative care. Palliative and Supportive Care, having just successfully completed its inaugural year of publication in 2003, is now extraordinarily and uniquely well placed to be the preeminent international palliative care journal for research in the psychosocial, existential, and spiritual aspects of palliative care.


Author(s):  
Úrsula Bueno do Prado Guirro ◽  
Carla Corradi Perini ◽  
José Eduardo de Siqueira

Resumo: Introdução: Os cuidados paliativos fazem parte da atividade profissional do médico generalista e devem ser ensinados durante a graduação. A European Association for Palliative Care descreveu as dez competências centrais em cuidados paliativos, e é necessário avaliar a aquisição delas durante a graduação dos profissionais de saúde. Não existiam instrumentos para avaliar a aquisição das competências. Objetivo: Este estudo teve como objetivos desenvolver e validar um instrumento denominado PalliComp para avaliar a aquisição de competências em cuidados paliativos entre estudantes de Medicina. Método: Trata-se de estudo transversal de validação de instrumento de pesquisa, em que os autores desenvolveram 30 afirmativas baseadas nas competências e as submeteram à avaliação de médicos especialistas e docentes brasileiros por meio de etapas da metodologia Delphi, com critérios previamente estabelecidos (qualidade da redação, adequação do conteúdo à competência e qualidade geral do item). Os especialistas atribuíram notas e puderam apontar correções para cada item. A aprovação ocorreria quando as notas médias ultrapassassem 70%. Após a aprovação, aplicou-se o instrumento em uma amostra de estudantes de Medicina matriculados no oitavo semestre. Com vistas à validação, os dados foram avaliados por meio dos testes esfericidade de Bartlett, Kaiser-Meyer-Olkin (KMO) e coeficiente de alfa de Cronbach. Resultado: Dos 33 médicos especialistas e docentes localizados no país, 24 aceitaram participar da avaliação do conteúdo. A aprovação ocorreu na quarta rodada da metodologia Delphi. Das 30 afirmativas inicialmente desenvolvidas, restaram 24 na versão final do instrumento. Dos 80 estudantes matriculados, 71 responderam ao PalliComp. O estudo estatístico mostrou que se tratava de uma matriz de identidade com correlação adequada (teste de Bartlett p < 0,001), padrões de correlação relativamente compactos e pouco dispersos (KMO = 0,63), e consistência interna (coeficiente alfa de Cronbach = 0,73). Conclusão: Foi possível desenvolver e validar o instrumento PalliComp para avaliar a aquisição de competências em cuidados paliativos entre os estudantes de Medicina.


2019 ◽  
Vol 26 ◽  
Author(s):  
Cristina Lasmarias ◽  
Sara Delgado Giron ◽  
Judith AC Rietjens ◽  
Ida J Korfage ◽  
Xavier Gómez-Batiste

2019 ◽  
Vol 33 (7) ◽  
pp. 726-742 ◽  
Author(s):  
Rose Miranda ◽  
Frances Bunn ◽  
Jennifer Lynch ◽  
Lieve Van den Block ◽  
Claire Goodman

Background: The European Association for Palliative Care White Paper defined optimal palliative care in dementia based on evidence and expert consensus. Yet, we know little on how to achieve this for people with dementia living and dying at home. Aims: To examine evidence on home palliative care interventions in dementia, in terms of their effectiveness on end-of-life care outcomes, factors influencing implementation, the extent to which they address the European Association for Palliative Care palliative care domains and evidence gaps. Design: A systematic review of home palliative care interventions in dementia. Data sources: The review adhered to the PRISMA guidelines and the protocol was registered with PROSPERO (CRD42018093607). We searched four electronic databases up to April 2018 (PubMed, Scopus, Cochrane library and CINAHL) and conducted lateral searches. Results: We retrieved eight relevant studies, none of which was of high quality. The evidence, albeit of generally weak quality, showed the potential benefits of the interventions in improving end-of-life care outcomes, for example, behavioural disturbances. The interventions most commonly focused on optimal symptom management, continuity of care and psychosocial support. Other European Association for Palliative Care domains identified as important in palliative care for people with dementia, for example, prognostication of dying or avoidance of burdensome interventions were under-reported. No direct evidence on facilitators and barriers to implementation was found. Conclusions: The review highlights the paucity of high-quality dementia-specific research in this area and recommends key areas for future work, for example, the need for process evaluation to identify facilitators and barriers to implementing interventions.


2005 ◽  
Vol 23 (25) ◽  
pp. 6240-6248 ◽  
Author(s):  
Marco Maltoni ◽  
Augusto Caraceni ◽  
Cinzia Brunelli ◽  
Bert Broeckaert ◽  
Nicholas Christakis ◽  
...  

PurposeTo offer evidence-based clinical recommendations concerning prognosis in advanced cancer patients.MethodsA Working Group of the Research Network of the European Association for Palliative Care identified clinically significant topics, reviewed the studies, and assigned the level of evidence. A formal meta-analysis was not feasible because of the heterogeneity of published studies and the lack of minimal standards in reporting results. A systematic electronic literature search within the main available medical literature databases was performed for each of the following four areas identified: clinical prediction of survival (CPS), biologic factors, clinical signs and symptoms and psychosocial variables, and prognostic scores. Only studies on patients with advanced cancer and survival ≤ 90 days were included.ResultsA total of 38 studies were evaluated. Level A evidence-based recommendations of prognostic correlation could be formulated for CPS (albeit with a series of limitations of which clinicians must be aware) and prognostic scores. Recommendations on the use of other prognostic factors, such as performance status, symptoms associated with cancer anorexia-cachexia syndrome (weight loss, anorexia, dysphagia, and xerostomia), dyspnea, delirium, and some biologic factors (leukocytosis, lymphocytopenia, and C-reactive protein), reached level B.ConclusionPrognostication of life expectancy is a significant clinical commitment for clinicians involved in oncology and palliative care. More accurate prognostication is feasible and can be achieved by combining clinical experience and evidence from the literature. Using and communicating prognostic information should be part of a multidisciplinary palliative care approach.


2017 ◽  
Vol 9 (2) ◽  
pp. 146-148 ◽  
Author(s):  
Katherine E Sleeman ◽  
Jonathan Koffman ◽  
Irene J Higginson

ObjectivesThe ‘leaky pipeline’ in academia is a clearly described phenomenon, but has not been examined in palliative care. We analysed the gender balance of speakers at the 9th World Research Congress of the European Association of Palliative Care (EAPC) to test the null hypothesis that there is no difference in the proportion of women and men with senior academic visibility in palliative care conference programmes.MethodsThe final programme of the 2016 EAPC World Congress was examined, and the gender of each speaker was recorded. Presentations were assessed using a three-tier hierarchy of senior academic visibility: Free Communication sessions, Themed sessions and invited Plenaries (low to high). As there was only one Invited Plenary at EAPC 2016, we examined the gender balance at EAPC Plenaries from 2012 to 2016.ResultsOverall, the majority of speakers at EAPC 2016 (96/130, 73.8%) were women. The proportion of women was highest in the Free Communication sessions (84/107, 78.5%). In the Themed sessions, women made up just over half of speakers (12/22, 54.5%). In 2016, there was 1 invited Plenary speaker, a man. From 2012 to 2016, just 6 of 23 invited Plenary speakers at EAPC conferences have been women (26.1%) (χ2=25.4, p<0.001).ConclusionsThese data reject our null hypothesis and suggest that there is attrition of women along the academic pipeline in palliative care. Other factors such as self-selection (that women decline invitations to give talks) and unconscious gender bias need further exploration, as well as actions to address the imbalance.


2017 ◽  
Vol 18 (6) ◽  
pp. e330-e340 ◽  
Author(s):  
Andrea Pace ◽  
Linda Dirven ◽  
Johan A F Koekkoek ◽  
Heidrun Golla ◽  
Jane Fleming ◽  
...  

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