The Frequency and Factors Associated With the Use of a Dedicated Supportive Care Center Telephone Triaging Program in Patients With Advanced Cancer at a Comprehensive Cancer Center

Pimentel, Lindsey E.; Yennurajalingam, Sriram; Chisholm, Gary B.; Edwards, Tonya; Guerra-Sanchez, Maria; Cruz, Maxine de la; Tanco, Kimberson; Vidal, Marieberta; Bruera, Éduardo

doi:10.1016/j.jpainsymman.2014.10.020

Cited by 18 publications

(18 citation statements)

References 31 publications

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“…This model also solidifies the independent role played by palliative care teams in cancer care rather than being seen as an appendage of individual oncology clinics. To prevent symptom crises proactively, a centralized clinic may also facilitate the coordination of telehealth interventions …”

Section: Innovative Models Of Care Deliverymentioning

confidence: 99%

“…To prevent symptom crises proactively, a centralized clinic may also facilitate the coordination of telehealth interventions. 103,104 The main limitations of freestanding outpatient clinics are budgetary and funding restrictions. Consideration needs to be given to this from the outset, with a strong business model and planning for additional resources, space, and clinicians over time.…”

Section: Outpatient Clinicsmentioning

confidence: 99%

See 1 more Smart Citation

Improving patient and caregiver outcomes in oncology: Team‐based, timely, and targeted palliative care

Hui

Hannon

Zimmermann

et al. 2018

CA A Cancer J Clinicians

Self Cite

293

272

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Over the past decade, a large body of evidence has accumulated supporting the integration of palliative care into oncology practice for patients with advanced cancer. The question is no longer whether palliative care should be offered, but what is the optimal model of delivery, when is the ideal time to refer, who is in greatest need of a referral, and how much palliative care should oncologists themselves be providing. These questions are particularly relevant given the scarcity of palliative care resources internationally. In this state-of-science review directed at the practicing cancer clinician, we will first discuss the contemporary literature examining the impact of specialist palliative care on various health outcomes. We will then provide conceptual models to support team-based, timely and targeted palliative care. Team-based palliative care allows the interdisciplinary members to address comprehensively the multi-dimensional care needs of patients and their caregivers. Timely palliative care, at its best, is preventative care to minimize crises at the end-of-life. Targeted palliative care involves identifying patients most likely to benefit from specialist palliative care interventions, akin to the concept of targeted cancer therapies. Finally, we will summarize the strengths and weaknesses of innovative care models, such as outpatient clinics, embedded clinics, nurse-led palliative care, primary palliative care provided by oncology teams, and automatic referral. Moving forward, more research is needed to determine how different health systems can best personalize palliative care to provide the right level of intervention, for the right patient, in the right setting, at the right time.

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Section: Innovative Models Of Care Deliverymentioning

confidence: 99%

Section: Outpatient Clinicsmentioning

confidence: 99%

Improving patient and caregiver outcomes in oncology: Team‐based, timely, and targeted palliative care

Hui

Hannon

Zimmermann

et al. 2018

CA A Cancer J Clinicians

Self Cite

293

272

View full text Add to dashboard Cite

show abstract

“…Our study showed several factors that seem to correlate with an increased number of phone calls; while physical suffering did not play a relevant role in triggering contacts, psychosocial and several clinical factors did. There are relatively few publications on the use of telephone programs in palliative care, with the data showing contacts based on requests for support services, medical assistance due to changes in patients' overall condition, and concerns regarding symptoms such as anxiety, depression, and physical distress (Pimentel et al, 2015;Baird-Bower et al, 2016).…”

Section: Discussionmentioning

confidence: 99%

“Hello. May I speak with someone, please? It's not about my physical pain.”: A retrospective study about the factors associated with phone calls to a Portuguese home-based palliative care team

Julião¹,

Antunes

Samorinha

et al. 2021

Pall Supp Care

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Objective Telephone availability is integrated into our home-based palliative care team (HPCT) with the aim of helping terminally ill patients and their caregivers alleviate their physical and psychosocial suffering, in addition to the team's home visits. We aimed to compare the differences between non-callers (patients with no phone calls during the team's follow-up period) vs. callers (≥1 phone call during the team's follow-up period) across sociodemographic, clinical, physical, and psychosocial variables. Method Retrospective analysis of all patients with and without phone call entries registered in our anonymized database, from October 2018 to September 2020. Results We analyzed 389 patients: 58% were male, and the average age was 71 years old; 84% had malignancies, with a mean palliative performance status of 45%. The majority of patients (n = 281, 72%) made at least one phone call to HPCT. On average, a mean of 2.5 calls (SD = 3.61; range: 0–26) per patient was registered. Callers compared with non-callers more frequently lived with someone (p = 0.030), preferred home as a place to die (p = 0.039), had more doctor (p = 0.010) and nurse home visits (p = 0.006), a prolonged HPCT follow-up time (p = 0.053), along with more frequent emergency room visits (p < 0.001) and hospitalizations (p = 0.043). Moreover, those who made at least one phone call to the HPCT had a higher frequency of conspiracy of silence (p = 0.046), anxiety (p = 0.044), and lower palliative performance status (p = 0.001). No statistically significant associations or differences were found for the other variables. Significance of results Several factors seem to correlate with an increased number of phone calls, and physical suffering does not play a relevant role in triggering contacts, in contrast with psychosocial and other clinical factors.

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“…41 It has been reported also that simple interventions such as phoning patients to follow-up after interventions done during the clinical visit may result in improved symptom expression. 42 In this study we did not measure if calls were performed or not, and the quantity and content of them if they were done to the patients as a way of following the symptoms after interventions. Further studies are encouraged to evaluate the value of this type of interventions.…”

Section: Discussionmentioning

confidence: 99%

Characteristics and Outcomes of Advanced Cancer Patients Who Received Palliative Care at a Public Hospital Compared with Those at a Comprehensive Cancer Center

Delgado-Guay

Ferrer

Ochoa

et al. 2018

Journal of Palliative Medicine

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The Frequency and Factors Associated With the Use of a Dedicated Supportive Care Center Telephone Triaging Program in Patients With Advanced Cancer at a Comprehensive Cancer Center

Cited by 18 publications

References 31 publications

Improving patient and caregiver outcomes in oncology: Team‐based, timely, and targeted palliative care

Improving patient and caregiver outcomes in oncology: Team‐based, timely, and targeted palliative care

“Hello. May I speak with someone, please? It's not about my physical pain.”: A retrospective study about the factors associated with phone calls to a Portuguese home-based palliative care team

Characteristics and Outcomes of Advanced Cancer Patients Who Received Palliative Care at a Public Hospital Compared with Those at a Comprehensive Cancer Center

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