Beyond Idiopathic Pulmonary Fibrosis Diagnosis: Multidisciplinary Care With an Early Integrated Palliative Approach Is Associated With a Decrease in Acute Care Utilization and Hospital Deaths

Abstract

MDC care model for IPF was associated with reduced health care use in the last year of life and more home deaths.

A narrative literature review of palliative care regarding patients with idiopathic pulmonary fibrosis

“…Characteristics of the existing studies are summarized in Table . Countries where the studies were conducted were the UK, (Bajwah et al., , ; Duck et al., ; Sampson, Gill, Harrison, Nelson, & Byrne, ; Sharp et al., ), the USA (Liang et al., ; Lindell, Kavalieratos, Gibson, Tycon, & Rosenzweig, ; Lindell et al., , ; Rush, Berger, & Celi, ; Swetz, Carey, & Bundrick, ), Canada (Kalluri, Claveria, Haggag, & Richman‐Eisenstat, ; Kalluri et al., , ; Periyakoil, Skultety, & Sheikh, ), Japan (Arita et al., ), Finland (Rajala et al., ), Denmark (Overgaard et al., ) and Sweden (Ahmadi et al., ). The combined 19 studies comprised 1708 patients and 74 care partners.…”

“…The age range was between 52 and 78 years. The environments where patients received palliative care were home care (Arita et al., ; Bajwah et al., ; Duck et al., ; Kalluri et al., ; Lindell et al., , ; Overgaard et al., ; Periyakoil et al., ; Rajala et al., ; Sampson et al., ; Sharp et al., ; Swetz et al., ), inpatient ward (Arita et al., ; Rush et al., ), intensive care unit (Rajala et al., ), hospice care (Liang et al., ; Lindell et al., ) and outpatient respiratory centres (Ahmadi et al., ; Bajwah et al., ).…”

“…Retrospective studies were nine (Ahmadi et al., ; Arita et al., ; Kalluri et al., , ; Liang et al., ; Lindell et al., Rajala et al., ; Rush et al., ; Sharp et al., ). Ahmadi et al.…”

“…Kalluri et al. () reported on the effectiveness of the multidisciplinary collaborative care (MDC) model to manage patients in their homes and support caregivers. Patients with IPF the receiving MDC care were 24.2 times less likely to have respiratory‐related ER visits ( p = 0.002) and 2.32 times less likely to have respiratory‐related admissions ( p = 0.064).…”

“…Kalluri et al. () reported on “care through collaboration” that was comprised of a registered respiratory therapist, nurse practitioner (NP), palliative care nurse, occupational therapist (OT) and physical therapist (PT) along with the ILD multidisciplinary physicians. The researchers suggested that the first care component of patients with IPF was ACP.…”