Care or palliation for recurrent hepatocarcinoma: a multicentric national analysis of survival

Famularo, Simone; Donadon, Matteo; Cipriani, Francesco; Ardito, Francesco; Maestri, Marcello; Dominioni, Tommaso; Bernasconi, Davide Paolo; Carissimi, Francesca; Iaria, Maurizio; Cosimelli, Maurizio; LaBarba, Giuliano; Molfino, Sarah; Conci, Simone; Ferrari, Cecilia; Patauner, Stefan; Floridi, Antonio; Garatti, Marco; Antonucci, Adelmo; Vecchio, A. Del; Chiarelli, Marco; Fumagalli, Luca; Troci, Albert; Percivale, Andrea; Angelis, M. De; Lodo, E.; Zanello, Matteo; Boccia, Luigi; Crespi, Michele; Méméo, Riccardo; Zanus, Giacomo; Zimmitti, Giuseppe; Frena, Antonio; Griseri, G.; Ruzzenente, Andrea; Baiocchi, Gian Luca; Ercolani, Giorgio; Grazi, Gian Luca; Dallavalle, R; Jovine, Elio; Giuliante, Felice; Aldrighetti, Luca; Torzilli, Guido; Romano, Fabrizio

doi:10.1016/j.dld.2019.12.045

Cited by 1 publication

(4 citation statements)

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“…The highest number of studies (n=13) came from Asia,11–23 whereas 11 were conducted in North America,24–34 8 in Europe35–42 and 3 in Australia 43–45. Most studies (n=34) used quantitative methodologies, and all quantitative studies were descriptive or observational studies (cross-sectional survey, case-control or cohort studies).…”

Section: Resultsmentioning

confidence: 99%

“…Most studies (n=34) used quantitative methodologies, and all quantitative studies were descriptive or observational studies (cross-sectional survey, case-control or cohort studies). Eight studies were conducted on a national scale,15 18 24 27 29 31 34 40 while the remaining two were conducted in specific regions 26 29. Twenty studies were conducted at a single institution.…”

Section: Resultsmentioning

confidence: 99%

“…Twenty studies were conducted at a single institution. Twenty-two studies focused only on patients,11–14 16 17 19–22 24 27 30 31 33–35 37 40 41 44 45 two on family caregivers alone32 43 and two on healthcare professionals alone 34 38. Another two studies concentrated on patients and family caregivers,36 39 and six on patients and healthcare professionals 15 18 25 26 28 29…”

Section: Resultsmentioning

confidence: 99%

“…There were 14 studies that reported palliative care needs and service availability (online supplemental table 2). According to the studies, 41%–76% of patients with HCC received palliative care after diagnoses,15 20 21 25–27 29 32–34 39 40 43 44 with a greater prevalence reported for those living in poverty-stricken regions 29. However, there was an indication that access to palliative care may be lower than their needs, with one study suggesting that only 14.2% of hospital inpatients had their needs fulfilled 27 33…”

Section: Resultsmentioning

confidence: 99%

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Advanced hepatocellular carcinoma and palliative care: a scoping review

Tian

Guo

et al. 2022

BMJ Support Palliat Care

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BackgroundPatients with advanced hepatocellular carcinoma (HCC) have specific palliative care needs owing to the influence of the disease on abdominal pain, jaundice, bleeding, appetite, ascites, liver function and hepatic encephalopathy. This research would help develop care models and identify knowledge gaps in the field.AimsTo identify the palliative care needs and experiences of patients with advanced HCC.MethodsCINAHL, EMBASE and MEDLINE were used to search English literature from January 1998 to March 2022 for ‘Palliative care’ and ‘Hepatocellular cancer’ using precise inclusion and exclusion criteria.ResultsThe retrieves identified 2710 records, including 33 studies used in our research. Two additional studies were grey items. Among 35 studies, 13 studies were performed in Asia, 11 studies in North America, 8 studies in Europe and 3 studies in Australia. Quantitative investigations were mostly descriptive or observational. Eight studies were conducted on a national scale, while two were in specific regions. 20 studies were conducted by a single institution. 22 studies focused only on patients, 2 on family caregivers and 2 on healthcare professionals. 2 more studies concentrated on patients and family caregivers, while 6 concentrated on patients and healthcare professionals.ConclusionsThis scoping study illustrates the complexity of advanced HCC treatment and challenges in modern healthcare systems. Formulating appropriate referral criteria, integrating and coordinating care, and assessing care contents are crucial. To enhance the treatment of patients with advanced HCC, it is important to understand the relationships between research and service design across teams, disciplines and care settings.

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