What tools are available to identify patients with palliative care needs in primary care: a systematic literature review and survey of European practice

Maas, Elke Arnoldina Theodora; Murray, Scott A; Engels, Yvonne; Campbell, Christine

doi:10.1136/bmjspcare-2013-000527

Cited by 127 publications

(110 citation statements)

References 27 publications

Supporting

Mentioning

106

Contrasting

Unclassified

Order By: Relevance

“…A range of tools to identify patients in primary care who are at risk of dying from cancer and other causes have been developed or are in various stages of testing. 245 They all use a combination of subjective clinical judgment, non-specifi c indicators of deterioration, and disease-specifi c markers of deterioration to highlight people at risk of dying.…”

mentioning

confidence: 99%

The expanding role of primary care in cancer control

Rubin

Berendsen

Crawford

et al. 2015

The Lancet Oncology

435

450

View full text Add to dashboard Cite

The nature of cancer control is changing, with an increasing emphasis, fuelled by public and political demand, on prevention, early diagnosis, and patient experience during and after treatment. At the same time, primary care is increasingly promoted, by governments and health funders worldwide, as the preferred setting for most health care for reasons of increasing need, to stabilise health-care costs, and to accommodate patient preference for care close to home. It is timely, then, to consider how this expanding role for primary care can work for cancer control, which has long been dominated by highly technical interventions centred on treatment, and in which the contribution of primary care has been largely perceived as marginal. In this Commission, expert opinion from primary care and public health professionals with academic and clinical cancer expertise-from epidemiologists, psychologists, policy makers, and cancer specialists-has contributed to a detailed consideration of the evidence for cancer control provided in primary care and community care settings. Ranging from primary prevention to end-of-life care, the scope for new models of care is explored, and the actions needed to eff ect change are outlined. The strengths of primary care-its continuous, coordinated, and comprehensive care for individuals and families-are particularly evident in prevention and diagnosis, in shared follow-up and survivorship care, and in end-of-life care. A strong theme of integration of care runs throughout, and its elements (clinical, vertical, and functional) and the tools needed for integrated working are described in detail. All of this change, as it evolves, will need to be underpinned by new research and by continuing and shared multiprofessional development.

show abstract

mentioning

confidence: 99%

The expanding role of primary care in cancer control

Rubin

Berendsen

Crawford

et al. 2015

The Lancet Oncology

435

450

View full text Add to dashboard Cite

show abstract

“…Seven tools have been utilized to identify a 'palliative-care patient.' Common to these criteria are weight loss > 10% over 3-6 months, repeated hospitalization or emergency department visits over 6 months-1 year, dependence by scales measuring activities of daily living, Karnofsky Performance Score of ≤50%, and/or multiple comorbidities in addition to cancer [65]. These criteria for identifying palliative-care patients would find patients late not early in the trajectory of their cancer or non-cancer illness.…”

Section: Triggers Versus Automatic Referral For Palliative Carementioning

confidence: 99%

Promoting further use of palliative care in cancer care centers

Davis

Carrino

2016

Expert Review of Quality of Life in Cancer Care

View full text Add to dashboard Cite

Palliative care has changed since its inception with Dr Balfour Mount in 1976. It is moving slowly from the care of the dying (which is still an important part of palliative care) and crisis intervention to integrated care with oncology early in the course of advanced cancer. Several studies have demonstrated the advantages to this approach. In this review we will discuss indicators of structure process and outcomes, outcomes to integration, components to successful integration of care and barriers to integrated care. Family financial toxicity related to cancer care is a growing problem that will need to be measured as an outcome to integrated care ARTICLE HISTORY

show abstract

“…We read with interest the excellent paper by Maas and colleagues in BMJ supportive and palliative care, December 2013 1. We agree that: palliative care should be available, as needed, alongside disease- modifying treatment; early palliative care can improve outcomes for patients; it's difficult to recognise people with non-malignant diseases who would benefit from comprehensive palliative assessment and interventions before death is imminent.…”

mentioning

confidence: 99%