Screening for palliative care needs in the community using SPICT

Sudhakaran, Deepak; Shetty, Ranjitha S; Mallya, Sneha Deepak; Bidnurmath, Ashwini Shivakumar; Pandey, Akhilesh; Singhai, Pankaj; Salins, Naveen; Kumar, Pawan

doi:10.1016/j.mjafi.2021.08.004

Cited by 9 publications

(11 citation statements)

References 11 publications

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“…A cancer patient satisfying ≥ two general indicators or ≥ 1 speci c indicator for cancer with or without general indicators on SPICT-4ALL tool was considered eligible for PC [20,21]. Finally, ESAS was used to assess the presence and intensity of symptoms [22].…”

Section: Data Collectionmentioning

confidence: 99%

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RETRACTED: Community-based palliative care needs and barriers to access among cancer patients in rural north India: A Participatory action research

Mayank,

Ankita,

Joshy

et al. 2024

Preprint

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Background: Community based palliative care (CBPC) services are scarce in rural North India. An in-depth understanding of local needs and barriers is required to formulate sustainable and context-specific Palliative care (PC) strategies. This paper aimed to explore the PC needs and barriers to access among cancer patients in a rural region with high cancer burden. Methods: Study was conducted in a rural block of North India. Participatory action research (PAR) was employed to explore the PC needs, barriers and challenges faced by cancer patients to help design a context-specific comprehensive community based palliative care model for the study block. Situational assessment, community sensitization workshops (CSWs) and door-to-door surveys were planned, conducted and further developed over three PAR cycles. Systematic collection and analysis of qualitative data and quantitaive findings allowed methodological triangulation. Descriptive statistics and thematic analysis were used. Results: A total of 27 CSWs involving 526 stakeholders were conducted. Participants were recruited through convenient and purposive sampling. A total of 256 cancer patients identified through multi-faceted strategies were assessed for PC need and symptom burden. Patients were diagnosed in advanced stages with an estimated PC need of 1.22/1000 population. Majority (56.6%) had ≥ one moderate-severe symptoms with the most common symptoms being tiredness, pain and loss of appetite. Analysis of qualitative findings generated three overarching themes: Unmet needs, Burden of caregiving, and Barriers and challenges. Conclusion: The need for CBPC in rural North India was high. Cancer affected all domains of patients’ and their families’ lives contributing to biopsychosocial suffering. Lack of awareness, nearby healthcare facilities, transportation and essential medicines made access to PC difficult. Our findings emphasize the need for tailored CBPC interventions considering socio-cultural and geographic variations. Trial Registration: Clinical Trial Registry of India (CTRI/2023/04/051357)

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Section: Data Collectionmentioning

confidence: 99%

“…The present study was done in a geographical location with a high cancer burden. The study tools were selected by a multi-disciplinary PAG based upon systematically conducted reviews of literature [20,21].…”

Section: Strengths and Limitationsmentioning

confidence: 99%

RETRACTED: Community-based palliative care needs and barriers to access among cancer patients in rural north India: A Participatory action research

Mayank,

Ankita,

Joshy

et al. 2024

Preprint

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“…The SPICT™ was also used in outpatient clinic settings 23 28 39 and residential aged care 29 35 . One cross sectional survey of community households in India used the SPICT™ to identify patients with palliative care needs in two rural communities [ 40 ]. The SPICT™ was originally developed for use in a hospital setting but not formally validated during its development [ 2 ].…”

Section: Resultsmentioning

confidence: 99%

Use of the supportive and palliative care indicators tool (SPICT™) for end-of-life discussions: a scoping review

Mahura,

Karle,

Sayers

et al. 2024

BMC Palliat Care

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Background In order to mitigate the distress associated with life limiting conditions it is essential for all health professionals not just palliative care specialists to identify people with deteriorating health and unmet palliative care needs and to plan care. The SPICT™ tool was designed to assist with this. Aim The aim was to examine the impact of the SPICT™ on advance care planning conversations and the extent of its use in advance care planning for adults with chronic life-limiting illness. Methods In this scoping review records published between 2010 and 2024 reporting the use of the SPICT™, were included unless the study aim was to evaluate the tool for prognostication purposes. Databases searched were EBSCO Medline, PubMed, EBSCO CINAHL, APA Psych Info, ProQuest One Theses and Dissertations Global. Results From the search results 26 records were reviewed, including two systematic review, two theses and 22 primary research studies. Much of the research was derived from primary care settings. There was evidence that the SPICT™ assists conversations about advance care planning specifically discussion and documentation of advance care directives, resuscitation plans and preferred place of death. The SPICT™ is available in at least eight languages (many versions have been validated) and used in many countries. Conclusions Use of the SPICT™ appears to assist advance care planning. It has yet to be widely used in acute care settings and has had limited use in countries beyond Europe. There is a need for further research to validate the tool in different languages.

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“…Renal nurses educated in the use the SPICT identified that 16% of the patients with renal disease required PC 8 Of these patients, 72% died within six months of the study, and these patients had an advance directive. A community-based study in India reported that the SPICT showed that 4.31% of the general population and 20% of individuals with chronic conditions required PC 9 The most common chronic conditions were heart disease (37.5%), dementia/frailty (29.5%), and respiratory diseases (19.3%). Patients with chronic conditions such as liver disease, 10 heart disease, 11 COPD, 12 and renal disease, 8 can benefit from the SPICT because they can then access PC services from health care providers.…”

Section: Introductionmentioning

confidence: 99%

No Terminally Ill Patients with Non-cancer Received Palliative Care Services During Hospital Admission: A Cross-Sectional Study

Kangtanyagan

Vatcharavongvan

2022

Am J Hosp Palliat Care

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Background Terminally ill patients admitted to a hospital with noncancer conditions may miss palliative care (PC) service opportunities. This study aimed to examine the utilization of PC services among these hospitalized patients. Methods We conducted a cross-sectional study using the electronic medical records of noncancer patients admitted to internal medicine wards, intensive care units (ICUs), and cardiac intensive care units (CICUs). The patients meeting the Supportive and Palliative Care Indicators Tool (SPICT) criteria needed PC, and the patients who had advanced care plans or received PC consultations received PC services. We reported the proportions of patients with PC needs and PC services and their associated factors with the crude and adjusted odds ratios. Results Of 459 patients, 49.9% were female, and 92.6% were discharged alive. The mean age was 63 years old, and the average length of stay was 10 days. Additionally, 61.7% needed PC according to the SPICT criteria, but none of these patients received PC services. Patients with dementia/frailty, kidney disease, and heart disease had the highest rate of PC underutilization (100%, 96.8%, and 91.3%, respectively). Age, number of discharge medications, and length of stay were associated with needing PC, but some associations disappeared after the subgroup analysis. Conclusion None of the terminally ill noncancer patients in our study received PC services. The patients with dementia/frailty, kidney disease, and heart disease underutilized the services. A long length of stay and many discharge medications were associated with the PC needs and can be used to assess the PC needs.

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Screening for palliative care needs in the community using SPICT

Cited by 9 publications

References 11 publications

RETRACTED: Community-based palliative care needs and barriers to access among cancer patients in rural north India: A Participatory action research

RETRACTED: Community-based palliative care needs and barriers to access among cancer patients in rural north India: A Participatory action research

Use of the supportive and palliative care indicators tool (SPICT™) for end-of-life discussions: a scoping review

No Terminally Ill Patients with Non-cancer Received Palliative Care Services During Hospital Admission: A Cross-Sectional Study

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