Impact of a Palliative Care Consultation Team on Cancer-Related Symptoms in Advanced Cancer Patients Referred to an Outpatient Supportive Care Clinic

Yennurajalingam, Sriram; Urbauer, Diana L.; Casper, Katie; Reyes‐Gibby, Cielito C.; Chacko, Ray; Poulter, V.; Bruera, Éduardo

doi:10.1016/j.jpainsymman.2010.03.017

Cited by 150 publications

(142 citation statements)

References 22 publications

(12 reference statements)

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“…Both the outpatient center and the inpatient services are capable of rapidly improving physical and emotional distress. 17,18 In a recent study, we found a significant reduction of pain, fatigue, nausea, drowsiness, dyspnea, anorexia, sleep depression, and anxiety among 406 outpatients at their follow-up visit. 3.…”

mentioning

confidence: 89%

Conceptual Models for Integrating Palliative Care at Cancer Centers

Bruera

Hui

2012

Journal of Palliative Medicine

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115

104

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Palliative care programs are rapidly evolving in acute care facilities. Increased and earlier access has been advocated for patients with life-threatening illnesses. Existing programs would need major growth to accommodate the increased utilization. The objective of this review is to provide an update on the current structures, processes, and outcomes of the Supportive and Palliative Care Program at the University of Texas M.D. Anderson Cancer Center (UTMDACC), and to use the update as a platform to discuss the challenges and opportunities in integrating palliative and supportive services in a tertiary care cancer center. Our interprofessional program consists of a mobile consultation team, an acute palliative care unit, and an outpatient supportive care clinic. We will discuss various metrics including symptom outcomes, quality of end-of-life care, program growth, and financial issues. Despite the growing evidence to support early palliative care involvement, referral to palliative care remains heterogeneous and delayed. To address this issue, we will discuss various conceptual models and practical recommendations to optimize palliative care access.

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confidence: 89%

Conceptual Models for Integrating Palliative Care at Cancer Centers

Bruera

Hui

2012

Journal of Palliative Medicine

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115

104

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“…At MD Anderson, their multidisciplinary assessments have resulted in a high number of treatment recommendations and improved symptom control and patient satisfaction. 13 In a phase II trial by the Princess Margaret group, improved symptom control and family satisfaction were achieved. 14 The evolution of active palliative care programs at these institutions and others 15 has provided the impetus to assess the simultaneous application of palliative medicine with routine oncological care.…”

Section: Establishment Of Palliative Medicine Programs At Major Cancementioning

confidence: 99%

Integration of Palliative Medicine Into Routine Oncological Care: What Does the Evidence Show Us?

Debono

2011

JOP

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“…[1][2][3] By enabling a relationship of trust to develop with the professional care team, timely communication enables seamless delivery of palliative care to suffering patients and caregivers. 3 Provision of palliative care to patients with advanced cancer, who tend to have high levels of symptom distress due to the severity of their physical and psychological symptoms, [4][5][6][7] can be challenging. Patients with advanced cancer who are outpatients pose additional challenges because of limited follow-up visits due to most referrals to outpatient palliative care clinics being made late in the trajectory of the disease and due to the logistics of receiving care away from home.…”

Section: Introductionmentioning

confidence: 99%

Challenges of Managing Advanced Cancer Patients through Phone Triaging at an Outpatient Supportive Care Clinic: A Case Series of Palliative Care Patients

et al. 2012

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Abstract:Palliative care strives to improve the quality of life for patients and their families by impeccable assessment and management using an interdisciplinary approach. However, patients with cancer-related pain and other symptoms tend to be undertreated because of limited follow-up visits due to late referrals and logistics. Thus, patients who present to the outpatient Supportive Care Center at The University of Texas MD Anderson Cancer Center often experience severe physical and psychological symptoms. The two case reports presented highlight the challenges of managing distressed patients with advanced cancer in the outpatient setting. These descriptions focus on addressing patient needs over the phone to enhance the care patients receive at the Supportive Care Center. Future prospective studies are needed to measure the effectiveness of using phone triaging in conjunction with standard outpatient palliative care.

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Impact of a Palliative Care Consultation Team on Cancer-Related Symptoms in Advanced Cancer Patients Referred to an Outpatient Supportive Care Clinic

Abstract: The initial consult by PC achieved significant symptom improvement in patients receiving treatment in the OPC. Further prospective studies are needed.

Cited by 150 publications

References 22 publications

Conceptual Models for Integrating Palliative Care at Cancer Centers

Conceptual Models for Integrating Palliative Care at Cancer Centers

Integration of Palliative Medicine Into Routine Oncological Care: What Does the Evidence Show Us?

Challenges of Managing Advanced Cancer Patients through Phone Triaging at an Outpatient Supportive Care Clinic: A Case Series of Palliative Care Patients

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