Predictors of palliative care consultation on an inpatient gynecologic oncology service: Are we following ASCO recommendations?

Lefkowits, Carolyn; Binstock, Anna; Courtney‐Brooks, Madeleine; Teuteberg, Winifred; Leahy, Janet; Sukumvanich, Paniti; Kelley, Joseph L.

doi:10.1016/j.ygyno.2014.02.031

Cited by 34 publications

(27 citation statements)

References 32 publications

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“…These findings do correlate with other studies that have identified similar predictors of palliative care consultation, including number of admissions, recurrent disease, and need for symptom management. 18 Some would argue that increased utilization of ED services suggests increased need for pain and symptom management; however, our study showed that having 2 or more ED visits was a negative predictor of inpatient palliative care consult orders. Some research suggests that persons of low socioeconomic status may utilize the ED for care that could otherwise be managed in the outpatient setting.…”

Section: Discussioncontrasting

confidence: 61%

Predictors of Placement of Inpatient Palliative Care Consult Orders Among Patients With Breast, Lung, and Colon Cancer in a Safety Net Hospital System

Smith

Rhodes

Liu

et al. 2017

Am J Hosp Palliat Care

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Section: Discussioncontrasting

confidence: 61%

Predictors of Placement of Inpatient Palliative Care Consult Orders Among Patients With Breast, Lung, and Colon Cancer in a Safety Net Hospital System

Smith

Rhodes

Liu

et al. 2017

Am J Hosp Palliat Care

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“…The majority of patients with MBO are treated with the medical management focusing on symptom control and quality of life. Early integration of palliative care is essential in the management of MBO symptoms and facilitates discussions addressing treatment expectations and goals of care [ 55 , 73 , 84 ].…”

Section: Discussionmentioning

confidence: 99%

Malignant Bowel Obstruction in Advanced Gynecologic Cancers: An Updated Review from a Multidisciplinary Perspective

Lee

Jivraj

O’Brien

et al. 2018

Obstetrics and Gynecology International

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Malignant bowel obstruction (MBO) is a major complication in women with advanced gynecologic cancers which imposes a significant burden on patients, caregivers, and healthcare systems. Symptoms of MBO are challenging to palliate and result in progressive decompensation of already vulnerable patients with limited therapeutic options and a short prognosis. However, there is a paucity of guidelines or innovative approaches to improve the care of women who develop MBO. MBO is a complex clinical situation that requires a multidisciplinary approach to ensure the appropriate treatment modality and interprofessional care to optimally manage these patients. This review summarizes the current literature on the different approaches targeting MBO management including surgical intervention, chemotherapy, total parenteral nutrition, and pharmacological treatment. In addition, the impact of MBO management on patients' quality of life (QOL) is examined. This article focuses on the challenges in developing evidence-based treatment guidelines for MBO and barriers in clinical trial design for MBO and proposes strategies to advance the MBO management. Collaboration is essential to design studies that may improve the overall care and quality of life for these patients. Prospective data are needed to inform clinical practice, establish a new benchmark for evidence-based MBO management, and better understand the biology of MBO.

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“…Our palliative care consultation rate was comparable to what has been reported in similar cohorts of hospitalized cancer patients, 8,24 although variable rates have been reported ranging from 5% of patients hospitalized with head and neck cancer 25 to 24% in an inpatient gynecologic oncology service. 26 Notably, there is no benchmark regarding rates of palliative care consultation in inpatient oncology. By establishing benchmark criteria, hospitals could leverage this information to determine the current rate of palliative care consultation, decide whether TPCC is needed, and evaluate the impact of TPCC on uptake.…”

Section: Discussionmentioning

confidence: 99%

The impact of two triggered palliative care consultation approaches on consult implementation in oncology

et al. 2019

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Predictors of palliative care consultation on an inpatient gynecologic oncology service: Are we following ASCO recommendations?

Cited by 34 publications

References 32 publications

Predictors of Placement of Inpatient Palliative Care Consult Orders Among Patients With Breast, Lung, and Colon Cancer in a Safety Net Hospital System

Predictors of Placement of Inpatient Palliative Care Consult Orders Among Patients With Breast, Lung, and Colon Cancer in a Safety Net Hospital System

Malignant Bowel Obstruction in Advanced Gynecologic Cancers: An Updated Review from a Multidisciplinary Perspective

The impact of two triggered palliative care consultation approaches on consult implementation in oncology

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