Global disparities in cancer pain management and palliative care

Are, Madhuri; McIntyre, Amanda; Reddy, Suresh

doi:10.1002/jso.24585

Cited by 29 publications

(18 citation statements)

References 22 publications

(42 reference statements)

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“…With a growing world population, a longer life expectancy, and more deaths due to chronic diseases, the need for palliative care is increasing [ 1 , 2 ]. Palliative care aims to alleviate suffering and to promote well-being and quality of life for patients with progressive, incurable disease or injury.…”

Section: Introductionmentioning

confidence: 99%

“…Perceptions of care quality and patients’ well-being are affected by possibilities for inclusive communication [ 9 , 10 ]. Since global access to palliative care varies greatly [ 2 , 11 ], and to facilitate patients’ being heard and cared for, exploring alternative approaches for patients to communicate their needs and preferences to healthcare professionals is crucial [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

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Patients’ experiences of eHealth in palliative care: an integrative review

2020

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Background With a growing world population, a longer life expectancy, and more deaths due to chronic diseases, the need for palliative care is increasing. Palliative care aims to alleviate suffering and to promote well-being for patients with progressive, incurable disease or injury. E-Health entails using of information and communication technology for healthcare provision. It is unclear to how patients experience use of eHealth technology within palliative care. Methods The aim of this study was to describe patients’ experiences of eHealth in palliative care. A systematic integrative review was performed using six databases: Cinahl Complete; MEDLINE; PubMed; Psychology and Behavioral Sciences Collection; Nursing and Allied Health; and PsycINFO. Twelve studies met the inclusion criteria of adult patients in palliative care, English language, published 2014–2019: comprising 397 patients. Six studies were from European countries, four from North America, one from South America and one from Oceania. Seven were feasibility or pilot studies. Results The findings are synthesized in the main theme: E-health applications – promoting communication on patients’ and families’ terms, and three sub- themes: usability and feasibility of eHealth applications; symptom control and individualized care; and use of eHealth applications increased sense of security and patient safety. Patients’ experiences were that eHealth promoted individualized care, sense of security, better symptom management and participation in care. Communication was facilitated by the inherent flexibility provided by technology. Conclusions E-Health applications seem promising in promoting equal, individualized care, and may be a tool to endorse accessibility and patient participation in palliative care settings. Indications are that eHealth communication resulted in patients and families receiving more information, which contributed to experiences of patient safety and feelings of security. At organizational and societal levels, eHealth may contribute to sustainable development and more efficient use of resources.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Patients’ experiences of eHealth in palliative care: an integrative review

2020

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“…However, as the cysts were located diffusely in the bilateral lobe, the patient would have had no indication for hepatectomy if she had been correctly diagnosed with PRCC preoperatively. We should have started with chemotherapy and palliative care, using opioids and additional adjuvants to alleviate the abdominal symptoms[21]. This case reminds us of the following: first, when multiple cystic lesions are observed throughout the liver parenchyma in patients with cancer, it is important to first exclude metastasis; and second, some specific types of cancer can show different presentations at metastasis and recurrence, which could cause preoperative misdiagnosis.…”

Section: Discussionmentioning

confidence: 99%

Recurrent renal cell carcinoma leading to a misdiagnosis of polycystic liver disease: A case report

Liang

Takahashi

Kurata

et al. 2019

WJG

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BACKGROUND Polycystic liver disease (PCLD) with a large cystic volume deteriorates the quality of life of patients through substantial effects on the adjacent organs, recurrent cyst infections, cyst rupture, and hemorrhage. Surgical or radiological intervention is usually needed to alleviate these symptoms. We report a rare case of the cystic metastasis of renal cell carcinoma (RCC), which was misdiagnosed as PCLD, as a result of the clinical and radiological similarity between these disorders. CASE SUMMARY A 74-year-old female who had undergone nephrectomy for papillary-type RCC (PRCC) was suffering from abdominal pain and the recurrent intracystic hemorrhage of multiple cysts in the liver. Imaging studies and aspiration cytology of the cysts showed no evidence of malignancy. With a diagnosis of autosomal dominant polycystic liver disease, the patient received hepatectomy for the purpose of mass reduction and infectious cyst removal. Surgery was performed without complications, and the patient was discharged on postoperative day 14. Postoperatively, the pathology revealed a diagnosis of recurrent PRCC with cystic formation. CONCLUSION This case demonstrates the importance of excluding the cystic metastasis of a cancer when liver cysts are observed.

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“…The use of successful treatment options must be considered, applied and implemented. Are et al . point to successes with the use of palliative care and suggest the necessity for it to be a recognized segment of healthcare systems globally.…”

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confidence: 99%

“…The use of successful treatment options must be considered, applied and implemented. Are et al [8] point to successes with the use of palliative care and suggest the necessity for it to be a recognized segment of healthcare systems globally. Thorough and appropriate palliative care utilizes a holistic, multidisciplinary approach encompassing support for physical, emotional and spiritual care to alleviate patient suffering.…”

mentioning

confidence: 99%

Global use and misuse of opioids

Fincham

2018

International Journal of Pharmacy Practice

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Global disparities in cancer pain management and palliative care

Cited by 29 publications

References 22 publications

Patients’ experiences of eHealth in palliative care: an integrative review

Patients’ experiences of eHealth in palliative care: an integrative review

Recurrent renal cell carcinoma leading to a misdiagnosis of polycystic liver disease: A case report

Global use and misuse of opioids

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