The role of palliative care in the last month of life in elderly cancer patients

Assi, Tarek; Rassy, Elie El; Ibrahim, Tony; Moussa, Tania; Tohmé, A; Karak, Fadi El; Farhat, Fadi; Faddoul, Salma; Ghosn, Marwan; Kattan, Joseph

doi:10.1007/s00520-016-3444-3

Cited by 8 publications

(7 citation statements)

References 39 publications

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“…The present study evaluated the factors associated with aggressiveness of care. Supporting previously published studies, 14,16,18,27,35 we found that patients consulted by the PC team were less likely to experience aggressive EOL care. Urologic, head, neck, and neurologic cancers were associated with a lower susceptibility of potential aggressive care.…”

Section: Discussionsupporting

confidence: 89%

Impact of Palliative Care on Quality of End-of-Life Care Among Brazilian Patients With Advanced Cancers

Valentino

Paiva

Hui

et al. 2020

Journal of Pain and Symptom Management

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Section: Discussionsupporting

confidence: 89%

Impact of Palliative Care on Quality of End-of-Life Care Among Brazilian Patients With Advanced Cancers

Valentino

Paiva

Hui

et al. 2020

Journal of Pain and Symptom Management

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“…Ethically, the therapies offered need to be weighed against their potential harm (therapeutic proportionality), but often targeted radiation or limited chemotherapy can accomplish that goal. However, it is clear that aggressive chemotherapy with limited benefit is still offered with diminished quality of life, particularly for elderly patients . This is not meant as a prohibition of chemotherapy or radiation, as there are limited trials and areas where this still offers help; for example, there is potential benefit for chemotherapy in intractable malignant ascites, where such treatments as hyperthermic intraperitoneal chemotherapy or other innovations may ultimately be shown to offer relief .…”

Section: Should Radiation and Chemotherapy Be Considered For Palliatimentioning

confidence: 99%

“…However, it is clear that aggressive chemotherapy with limited benefit is still offered with diminished quality of life, particularly for elderly patients. 27 This is not meant as a prohibition of chemotherapy or radiation, as there are limited trials and areas where this still offers help; for example, there is potential benefit for chemotherapy in intractable malignant ascites, where such treatments as hyperthermic intraperitoneal chemotherapy or other innovations may ultimately be shown to offer relief. 28 However, the lack of value from simply continuing treatment because the patient "wants" to continue it and cannot consider not "treating the cancer," along with the adverse effects on quality of life and the overall costs, need to be honestly addressed with patients.…”

Section: Should Radiation and Chemotherapy Be Considered For Palliamentioning

confidence: 99%

Palliative care in women's cancer care: Global challenges and advances

Cain

Denny

2018

Intl J Gynecology & Obste

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Women's cancer rates are increasing in low‐ and middle‐income countries, with presentations that are often far advanced requiring intense symptom management, thus advancing the urgent need to address palliative care. Most resource settings have some options available to assist women with advanced gynecologic cancer, and a combination of leveraging these and expanding on emerging models for palliative care could lessen suffering and improve care for women with gynecologic cancers globally. Providing palliative care for women with cancer is constrained by resources (human and physical), lack of equipment, lack of access, and policy absence or barriers. There is important work to be done in advocating for appropriate infrastructure development and legislation to assure that these options are available to women and their families. Access to adequate opioid and other pain relief options for cancer‐related pain is a particular concern given that availability, cost, and legislative prohibitions create barriers that cause suffering for patients and grief for their families who are unable to address their suffering. All of these require ongoing advocacy for continual advances to improve access and infrastructure for palliative care.

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“…Although this was the case, they received no referral to a specialist palliative care team according to the patients' medical files. This is a common finding in Lebanon, where hospitalized patients are facing aggressive treatments till the end of life and palliative care services are offered only at the very end (26).…”

Section: Discussionmentioning

confidence: 99%

Predictors of quality of life in older adult patients in Lebanon: a cross sectional study

et al. 2023

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Background:The older adult population in Lebanon is anticipated to double by year 2030. The health care resources available for the geriatric population is limited and there is much reliance on the social support of family caregivers. Older adults have double the rate of hospital utilization in comparison to the regular Lebanese population where 4.5% are hospitalized more than once per year. This study aims to describe self-reported quality of life among hospitalized patients "with palliative care needs" and investigate the relationship with its four health domains.Methods: An observational survey design with a convenience sample of 203 hospitalized patients with palliative care needs above 65 years of age were recruited from three hospitals. Descriptive statistics and regression analysis were used to describe and determine the association between health domains and quality of life.Results: Mean age of participants was 78.5 years with the majority being male and married. Participants reported low overall quality of life with a mean score of 35.43 (SD =23.45). Anxiety and depression were common findings. "Worrying" (83%), "Feeling nervous" (80%), "Feeling sad" (76%) were dominant psychological symptoms. Low scores were also observed for physical, role and social functioning. Participants suffered from lack of energy (94%), pain (72%), difficulty sleeping (73%) and shortness of breath (64%). Conclusions:The findings suggest that quality of life in the aging Lebanese population is burdened with physical and psychological symptoms. A comprehensive approach that attends to the psychosocial as well as the physical problems in older adults with early integration of symptom management and palliation could improve quality of life.

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The role of palliative care in the last month of life in elderly cancer patients

Abstract: Our elderly patients seem to receive aggressive management similar to the general oncology population. Early PCC was shown throughout our results to decrease the aggressiveness of cancer treatment in elderly patients which seems to improve the quality of care of our patients.

Cited by 8 publications

References 39 publications

Impact of Palliative Care on Quality of End-of-Life Care Among Brazilian Patients With Advanced Cancers

Impact of Palliative Care on Quality of End-of-Life Care Among Brazilian Patients With Advanced Cancers

Palliative care in women's cancer care: Global challenges and advances

Predictors of quality of life in older adult patients in Lebanon: a cross sectional study

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