Integrating Palliative Care into Oncology Care Worldwide: The Right Care in the Right Place at the Right Time

Castro, Jacqueline Alcalde; Hannon, Breffni; Zimmermann, Camilla

doi:10.1007/s11864-023-01060-9

Cited by 15 publications

(12 citation statements)

References 83 publications

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“…They should be sufficiently equipped with both prognostic and screening tools used in routine practice. Despite the fact that primary care physicians, in most situations, should be the crucial providers of palliative care in communities, local partnerships with palliative centres are strongly recommended [ 12 ]. Generalists should cooperate with specialist outpatient palliative care at least within a consultation model, when consultants do not need to take over all aspects of care [ 40 ].…”

Section: Discussionmentioning

confidence: 99%

“…Such a personalised process of referrals may provide a more rational use of the scarce resources, while maximizing their impact. Timely referral largely depends on physicians’ (mainly oncologists, general practitioners and hospital doctors) beliefs, assumptions, training, and competence regarding whether they have needs that require the involvement of specialist palliative care [ 11 , 12 ]. The convictions of these physicians and a detailed description of supportive needs among the referred patients remain scarce.…”

Section: Introductionmentioning

confidence: 99%

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Quality of referrals to specialist palliative care and remote patient triage — a cross-sectional study

Grądalski,

Kochan

2023

Support Care Cancer

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Purpose Choosing the optimal moment for admission to palliative care remains a serious challenge, as it requires a systematic identification of persons with supportive care needs. Despite the screening tools available for referring physicians, revealing the essential information for preliminary admission triage is crucial for an undisturbed qualification process. The study was aimed at analysing the eligibility criteria for specialist palliative care disclosed within provided referrals, expanded when necessary by documentation and/or interview. Methods Referral forms with the documentation of 300 patients consecutively referred to the non-profit in-patient ward and home-care team in Poland were analysed in light of prognosis, phase of the disease and supportive needs. Results Half of the referrals had the sufficient information to make a justified preliminary qualification based solely on the delivered documentation. The majority lacked performance status or expected prognosis. Where some information was revealed, two-thirds were in a progressing phase of the disease, with a within-weeks life prognosis. In 53.7%, no particular reason for admission was given. Social problems were signalled as the only reason for the admission in 7.7%. Twenty-eight percent were labelled as “urgent”; however, 52.4% of them were triaged as “stable” or disqualified. Patients referred to a hospice ward received complete referral forms more often, containing all necessary information. Conclusions General physicians need practical tips to facilitate timely referrals and unburden the overloaded specialist palliative care. Dedicated referral forms extended by a checklist of typical patients’ concerns should be disseminated for better use of these resources.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Quality of referrals to specialist palliative care and remote patient triage — a cross-sectional study

Grądalski,

Kochan

2023

Support Care Cancer

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“…They should be su ciently equipped with both prognostic and screening tools used in routine practice. Despite the fact that primary care physicians, in most situations, should be the crucial providers of PC in communities, local partnerships with PC centers are strongly recommended [12]. Generalists should cooperate with the specialist outpatient PC at least within a consultation model, when consultants do not need to take over all aspects of care [37].…”

Section: Discussionmentioning

confidence: 99%

Quality of Referrals to Specialist Palliative Care and Remote Patients’ Triage – A Cross-Sectional Study

Grądalski

Kochan

2023

Preprint

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Purpose Choosing the optimal moment for admission to palliative care remains a serious challenge, as it requires a systematic identification of persons with supportive care needs. Despite the screening tools available for referring physicians, revealing the essential information for preliminary admission triage is crucial for an undisturbed qualification process. The study was aimed at analysing the eligibility criteria for specialist palliative care disclosed within provided referrals, expanded when necessary by documentation and/or interview. Methods Referral forms with the documentation of 300 patients consecutively referred to the non- profit in-patient ward and home-care team in Poland were analysed in light of prognosis, phase of the disease and supportive needs. Results Half of the referrals had the sufficient information to make a justified preliminary qualification based solely on the delivered documentation. The majority lacked performance status or expected prognosis. Where some information was revealed, two-thirds were in a progressing phase of the disease, with a within-weeks life prognosis. In 53.7%, no particular reason for admission was given. Social problems were signalled as the only reason for the admission in 7.7%. Twenty-eight percent were labelled as “urgent”, however, 52.4% of them were triaged as “stable” or disqualified. Patients referred to a hospice ward received complete referral forms more often, containing all necessary information. Conclusions General physicians need practical tips to facilitate timely referrals and unburden the overloaded specialist palliative care. Dedicated referral forms extended by a checklist of typical patients’ concerns should be disseminated for better use of these resources.

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“…13 Embedded clinics, like the one described by Agne et al, 12 may be better suited for smaller palliative care teams working in institutions without cancer-specific clinics since they allow for a better utilization of limited resources and space. 14 By contrast, free-standing palliative care clinics may be more appropriate for cancer centers since they offer a greater potential for growth and customization and may allow for a more comprehensive approach to patient care. 14 Interestingly, although Agne et al 12 performed their study in a Comprehensive Cancer Center with availability of a free-standing palliative care service, referrals after the intervention were still very low, at only 21%, particularly for patients with thoracic malignancies who are proven to greatly benefit from palliative care.…”

mentioning

confidence: 99%

“…14 By contrast, free-standing palliative care clinics may be more appropriate for cancer centers since they offer a greater potential for growth and customization and may allow for a more comprehensive approach to patient care. 14 Interestingly, although Agne et al 12 performed their study in a Comprehensive Cancer Center with availability of a free-standing palliative care service, referrals after the intervention were still very low, at only 21%, particularly for patients with thoracic malignancies who are proven to greatly benefit from palliative care. In a way, the researchers were forced to downscale their palliative care strategy to make it more accessible to patients and clinicians.…”

mentioning

confidence: 99%

Integrating Palliative Care Into Oncology: Location, Location, Location?

Soto-Perez-de-Celis

2023

JCO Oncology Practice

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Integrating Palliative Care into Oncology Care Worldwide: The Right Care in the Right Place at the Right Time

Cited by 15 publications

References 83 publications

Quality of referrals to specialist palliative care and remote patient triage — a cross-sectional study

Quality of referrals to specialist palliative care and remote patient triage — a cross-sectional study

Quality of Referrals to Specialist Palliative Care and Remote Patients’ Triage – A Cross-Sectional Study

Integrating Palliative Care Into Oncology: Location, Location, Location?

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