A new palliative care consultation team at the oncology department of a university hospital: an assessment of initial efficiency and effectiveness

Abstract

From the initial stages, the PCCT was both efficient in its role within the palliative care centre and effective in the care that was provided for patients. A significant number of patients were evaluated, many of them with severe symptoms and/or at the end of life. Inpatients receiving care from the PCCT experienced an improvement in symptom control within just a few days.

Improvement in symptom burden within one day after palliative care consultation in a cohort of gynecologic oncology inpatients

“…It is difficult to compare the details of our findings to the existing literature base because of the degree in variation across studies of palliative care consultation for symptom management in scale used to measure symptoms, how improvement is defined and the time frame over which change in symptom burden is measured. Many studies of inpatient palliative care for symptom management have represented symptom burden in terms of a measure of central tendency (mean or median) in scales including between 4 and 11 points [9,10,12,15,17,18]. Because of the prevalence in any cohort of patients with either no or mild symptom intensity, the central tendency measurement is often below the level that would be considered clinically significant, making it more difficult to contextualize and judge the clinical significance of improvements even when the changes are statistically significant.…”

“…Prior studies of impact of inpatient palliative care consultation on symptom burden have included few or no gynecologic cancer patients [8][9][10][11][12][13][14][15][16][17][18]. Though they have varied widely in patient population, scale used to measure symptoms, outcome definitions and time frame over which changes in symptoms are measured, these studies have established an association between inpatient palliative care consultation and improved symptom burden.…”

Symptoms in palliative care inpatient and ımpact of palliative care unit on symptom control

“…[20] Başka bir çalışmada da palyatif bakım desteği ile 48 saat sonunda ağrı, yorgunluk, üzüntü semptomunda azalma sağlandığı belirtilmektedir. [21] Palyatif Bakım Kliniği'ne yatış sırasında hastaların %92'sinde görülen endişe semptomunun şiddetinde değerlendirme süresinde anlamlı azalma elde edilemedi. Kanser hastalarının hastalık ve tedavi süreci ve kontrol altına alınmayan semptomlar nedeniyle anksiyete yaşadığı belirtilmektedir.…”

Efetividade de duas modalidades de equipe de cuidado no controle de sintomas em pacientes com câncer avançado

“…Foram selecionados para análise 04 artigos da busca principal e 12 de busca manual, totalizando 16 estudos [13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28] . Os estudos estão sintetizados na Tabela 1.…”

“…Os demais estudos avaliaram mais de um sintoma, sendo que: 03 foram longitudinais prospectivos 14,21,24 , 05 estudos retrospectivos 16,19,[26][27][28] , 03 estudos quasi experimentais 17,23,25 , 02 estudos transversais 20,22 , e 01 qualitativo 13 .…”