Gesundheits- und krankheitsbezogene Daten von Patienten auf Palliativstationen der onkologischen Spitzenzentren und anderer Krankenhäuser im Vergleich – Daten aus dem Hospiz- und Palliativregister

Brunner, Stefanie; Heckel, Maria; Zenz, Daniel; Ostgathe, Christoph; Gahr, Susanne

doi:10.1007/s10354-021-00910-1

Cited by 2 publications

(10 citation statements)

References 7 publications

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“…Interestingly and at the first sight somewhat counterintuitive, we found a larger proportion of considerably symptom-burdened cancer patients being treated in palliative care units of other hospitals compared to CCC-affiliated palliative care units for a range of symptoms. A result contrasting with our hypothesis and previous findings (Brunner et al 2022 ; Delgado-Guay et al 2018 ). However, Brunner et al ( 2022 ) considered all patients over all classifications for symptom intensity, whereas we focused on cases with moderate and severe symptom burden.…”

Section: Discussioncontrasting

confidence: 99%

“…A result contrasting with our hypothesis and previous findings (Brunner et al 2022 ; Delgado-Guay et al 2018 ). However, Brunner et al ( 2022 ) considered all patients over all classifications for symptom intensity, whereas we focused on cases with moderate and severe symptom burden.…”

Section: Discussioncontrasting

confidence: 99%

“…This is achieved among cancer patients even in CCC-affiliated palliative care units at a median shorter duration of care. The average length of care is similar in palliative care of NCCN (Brunner et al 2022 ; Calton et al 2016 ). Thus, palliative care reduces symptom distress effectively (Gomes et al 2016 ), cost-effectively (Smith et al 2014 ), and consequently regardless of place of care.…”

Section: Discussionmentioning

confidence: 90%

“…As a result, more cancer patients may die in the palliative care unit of a CCC despite a younger age structure. Palliative care units present very severe, complex cases as shown according to ECOG status in both: CCC-affiliated palliative care units and other palliative care units (Brunner et al 2022 ). Every second cancer patient reports moderate or severe pain in German palliative care units.…”

Section: Discussionmentioning

confidence: 99%

“…But, we are clear about cancer diagnoses may differ between the settings as patients with rare cancers are preferably treated in specialized centers. More details are given in another publication (Brunner et al 2022 ). The analysis rather pursues an overview of the patient data: physical, psychological, and social care situation.…”

Section: Limitationmentioning

confidence: 99%

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Symptom burden and relief in palliative care units of German Comprehensive Cancer Center and other hospitals

Berendt,

Brunner,

Heckel

et al. 2024

J Cancer Res Clin Oncol

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Purpose The National Hospice and Palliative Registry contains patient data from German hospice and palliative care facilities about symptoms. The aim of the study at hand is to differentiate symptom burden of patients in palliative care units between Comprehensive Cancer Center (CCC) and other hospitals regarding symptom burden and relief of patients in palliative care units. Methods The registry analysis provided data of patients in palliative care units (2014–2018). We analyzed characteristic and symptom-related data on 18 symptoms, with considerable symptom-burdened patients (moderate or severe). We followed a cancer (yes/no) and facility-specific descriptive analysis (f, %, μ, Mdn, SD, V, r) using SPSS. Results We evaluated 10,447 patient records (CCC: 4234 pts/non CCC 6,213 pts), 82% with a cancer diagnosis. For cancer patients, the mean age in CCC-affiliated palliative care units was 68 (SD 19–99) years, in others 73 (SD 23–104) years (p < 0.05; V = 0.2). The proportion of patients with significant symptom burden is lower in CCC-affiliated than in other palliative care units. The difference between facilities shows a significant weak effect in pain, vomiting and constipation, depressiveness, anxiety, and tension. The proportion of cases which symptom burden could be alleviated is higher in CCC-affiliated palliative care units with significant weak/medium effect in pain, nausea, vomiting, shortness of breath, constipation, wound care problems, depressiveness, anxiety, tension, confusion, and problems in organizing care. Conclusion We found differences in symptom burden and symptom relief between CCC-affiliated and other palliative care units. CCCs should continue to feel responsible for sharing knowledge about symptom relief, such as through standard operating procedures and education.

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Section: Discussioncontrasting

confidence: 99%

Section: Discussioncontrasting

confidence: 99%

Section: Discussionmentioning

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Section: Limitationmentioning

confidence: 99%

See 3 more Smart Citations

Symptom burden and relief in palliative care units of German Comprehensive Cancer Center and other hospitals

Berendt,

Brunner,

Heckel

et al. 2024

J Cancer Res Clin Oncol

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Feasibility of a physical exercise intervention for patients on a palliative care unit: a critical analysis

Schwonke,

Freitag,

Aschendorf

et al. 2024

BMC Palliat Care

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Background Recent exercise intervention studies have shown promising results in improving quality of life (QoL) and physical function (PF) in diverse chronic disease and advanced cancer patients. However, the effects of structured exercise in palliative care patients, having different therapeutic needs, lower life expectancies and PFs remain unknown. This study primarily aimed to assess the feasibility of an exercise intervention with follow-up by analysing recruitment numbers, screening procedures, acceptability, preferences, and safety of the exercise intervention as well as retention in follow-up. Our secondary aims related to changes in QoL and PF. Methods This study comprised of a one-arm design without a control group. Over 6 months, every in-hospital palliative care unit (PCU) patient was screened for eligibility. Eligible patients were asked to participate in a 2-week exercise intervention consisting of resistance training and/or endurance training with moderate or high intensity based on personal preferences and a 4-week follow-up. Before and after the exercise intervention, QoL and PF were assessed and a qualitative interview after the intervention addressed expectations and experiences of the exercise intervention. For follow-up, patients were provided with information on independent training and after 1 and 4 weeks a QoL assessment and qualitative interview were conducted. Results Of 124 patients screened, 10 completed the intervention with an adherence rate of (80 ± 25%), of which 6 patients completed follow-up. Endurance training was the most performed training type and only a few minor adverse events occurred in certain or likely connection to the exercise intervention. While physical QoL and PF measured by arm curl strength and time up and go performance improved, mental QoL and the other PF tests remained unchanged. Conclusion Despite the challenges that were faced in our screening and testing process, that are specific to the palliative patient population with their unique therapeutic requirements and varying mental-/ physical capabilities, we discovered the 2-week exercise intervention to be feasible, safe, and well tolerated by palliative care patients. Moreover, it seems that short-term improvements in QoL and PF are possible. Further full scale studies are required to confirm our findings. Trial registration The study was retrospectively registered on 25.01.2022 in the German Clinical Trials Register (DRKS00027861)

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Gesundheits- und krankheitsbezogene Daten von Patienten auf Palliativstationen der onkologischen Spitzenzentren und anderer Krankenhäuser im Vergleich – Daten aus dem Hospiz- und Palliativregister

Cited by 2 publications

References 7 publications

Symptom burden and relief in palliative care units of German Comprehensive Cancer Center and other hospitals

Symptom burden and relief in palliative care units of German Comprehensive Cancer Center and other hospitals

Feasibility of a physical exercise intervention for patients on a palliative care unit: a critical analysis

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