Do Palliative Consultations Improve Patient Outcomes?

Casarett, David; Pickard, Amy; Bailey, F. Amos; Ritchie, Christine; Furman, Christian Davis; Rosenfeld, Ken; Shreve, Scott; Chen, Zhen; Shea, Judy A.

doi:10.1111/j.1532-5415.2007.01610.x

Cited by 246 publications

(158 citation statements)

References 34 publications

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“…29 A multisite Veterans Administration survey of 524 family members found that patients who had an inpatient or outpatient consultation were significantly more satisfied with information, communication, access to care, emotional and spiritual support, well-being, and dignity and care at death than families of patients who did not. 34 Early referral, which can increase the use of hospice services, maximizes the value of IPC consults. Longer hospice stays improved quality of life for patients, which in turn was associated with better quality of life for caregivers.…”

Section: Patient and Family Satisfaction And Well-being After Palliatmentioning

confidence: 99%

Living With Advanced Illness: Longitudinal Study of Patient, Family, and Caregiver Needs

Tallman¹,

Greenwald²,

Reidenouer³

et al. 2012

TPJ

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Section: Patient and Family Satisfaction And Well-being After Palliatmentioning

confidence: 99%

Living With Advanced Illness: Longitudinal Study of Patient, Family, and Caregiver Needs

Tallman¹,

Greenwald²,

Reidenouer³

et al. 2012

TPJ

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“…Early studies demonstrated clear benefit from palliative care expertise in management of pain and other symptoms associated with advanced illness, supporting caregivers, coordinating communication, and medical decision-making between clinical teams and patient/family unit, and providing comfort at end-of-life [4][5][6].…”

Section: Originsmentioning

confidence: 99%

Failing better: a new paradigm of care

Groninger

2017

Heart Fail Rev

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“…Financial distress occurs due to accumulating copayments, insurance deductibles, travel costs, home care service expenses, and lost wages (National Cancer Institute, 2015;Glajchen, 2009;Yabroff et al, 2007). Early referral to palliative care has been shown to help improve the physical and psychological well-being of both patients and caregivers as well as enhance family satisfaction (Casarett et al, 2008;Gelfman et al, 2008). Spirituality has also been found to act as a safeguard against caregiver distress by helping caregivers gain a new perspective from the cancer experience and alleviate hopelessness, resulting in improved wellbeing (Ward et al, 1996;Kim et al, 2007).…”

Section: Introductionmentioning

confidence: 99%

A systematic review of instruments assessing dimensions of distress among caregivers of adult and pediatric cancer patients

et al. 2016

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Objective: Caregivers of cancer patients face intense demands throughout the course of the disease, survivorship, and bereavement. Caregiver burden, needs, satisfaction, quality of life, and other significant areas of caregiving are not monitored regularly in the clinic setting, resulting in a need to address the availability and clinical effectiveness of cancer caregiver distress tools. This review aimed to determine the availability of cancer caregiver instruments, the variation of instruments between different domains of distress, and that between adult and pediatric cancer patient populations.Method: A literature search was conducted using various databases from 1937 to 2013. Original articles on instruments were extracted separately if not included in the original literature search. The instruments were divided into different areas of caregiver distress and into adult versus pediatric populations. Psychometric data were also evaluated.Results: A total of 5,541 articles were reviewed, and 135 articles (2.4%) were accepted based on our inclusion criteria. Some 59 instruments were identified, which fell into the following categories: burden (n ¼ 26, 44%); satisfaction with healthcare delivery (n ¼ 5, 8.5%); needs (n ¼ 14, 23.7%); quality of life (n ¼ 9, 15.3%); and other issues (n ¼ 5, 8.5%). The median number of items was 29 (4 -125): 20/59 instruments (33.9%) had 20 items; 13 (22%) had 20 items and were psychometrically sound, with 12 of these 13 (92.3%) being self-report questionnaires. There were 44 instruments (74.6%) that measured caregiver distress for adult cancer patients and 15 (25.4%) for caregivers of pediatric patients.Significance of results: There is a significant number of cancer caregiver instruments that are self-reported, concise, and psychometrically sound, which makes them attractive for further research into their clinical use, outcomes, and effectiveness.

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Do Palliative Consultations Improve Patient Outcomes?

Abstract: Palliative consultations improve outcomes of care, and earlier consultations may confer additional benefit.

Cited by 246 publications

References 34 publications

Living With Advanced Illness: Longitudinal Study of Patient, Family, and Caregiver Needs

Living With Advanced Illness: Longitudinal Study of Patient, Family, and Caregiver Needs

Failing better: a new paradigm of care

A systematic review of instruments assessing dimensions of distress among caregivers of adult and pediatric cancer patients

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