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Choosing and doing wisely - triage level I resuscitation a possible new field for starting palliative care and avoiding low-value care - a nationwide matched-pair retrospective cohort study in Taiwan

LIN, Chih-Yuan ; LEE, Yue-Chune
BMC palliative care, 120/06/2020, vol.19, n°1, p. 1-9

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External validation of life expectancy prognostic models in patients evaluated for palliative radiotherapy at the end-of-life

MOJICA-MARQUEZ, Adrianna E. ; RODRIGUEZ-LOPEZ, Joshua L. ; PATEL, Ankur K. ; LING, Diane C. ; RAJAGOPALAN, Malolan S. ; BERIWAL, Sushil
Cancer medicine, 26/06/2020, p. 1-7

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Home parenteral nutrition in patients with advanced cancer - a systematic review and meta-analysis

O’HANLON, Francis J. ; FRAGKOS, Konstantinos C. ; FINI, Lucia ; PATEL, Pinal S. ; MEHTA, Shameer J. ; RAHMAN, Farooq ; DI CARO, Simona
Nutrition and cancer, 25/06/2020, p. 1-13

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The impact of initial treatment strategy and survival time on quality of end-of-life care among patients with oesophageal and gastric cancer - a population-based cohort study

DALHAMMAR, Karin ; MALMSTROM, Marlene ; SCHELIN, Maria ; FALKENBACK, Dan ; KRISTENSSON, Jimmie
Plos one, 22/06/2020, vol.15, n°6, p. 1-15

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Advanced cancer patients' changes in accurate prognostic understanding and their psychological well-being

GEORGE, Login S. ; MACIEJEWSKI, Paul K. ; EPSTEIN, Andrew S. ; SHEN, Megan ; PRIGERSON, Holly G.
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT, 05/2020, vol.59, n°5, p. 983-989

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Association between continuous deep sedation and survival time in terminally ill cancer patients

PARK, So-Jung ; AHN, Hee Kyung ; AHN, Hong Yup ; HAN, Kyu-Tae ; HWANG, In Cheol
Supportive care in cancer, 15/05/2020, Pagination inconnue

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Is there a place for nutrition in palliative care?

BOZZETTI, Federico
Supportive care in cancer, 16/05/2020, Pagination inconnue

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Summarizing the evidence base for palliative oncology care - a critical evaluation of the meta-analyses

ROGERS, James L. ; PERRY, Laura M. ; HOERGER, Michael
Clinical medicine insights. Oncology, 2020, vol.14, p. 1-5

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Outcomes after long-term mechanical ventilation of cancer patients

HAVILAND, Kelly ; TAN, Kay See ; SCHWENK, Nadja ; PILLAI, Manju V. ; STOVER, Diane E. ; DOWNEY, Robert J.
BMC palliative care, 12/2020, vol.19, n°1, p. 1-6

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Thème : Soins. Cote : eD02.02

VENTILATION ARTIFICIELLE ; CANCER ; ESPERANCE VIE ; ETUDE RETROSPECTIVE

Background: The probability of weaning and of long-term survival of chronically mechanically ventilated cancer patients is unknown, with incomplete information available to guide therapeutic decisions. We sought to determine the probability of weaning and overall survival of cancer patients requiring long-term mechanical ventilation in a specialized weaning unit.
Methods: A single-institution retrospective review of patients requiring mechanical ventilation outside of a critical care setting from 2008 to 2012 and from January 1 to December 31, 2018, was performed. Demographic and clinical data were recorded, including cancer specifics, comorbidities, treatments, and outcomes. Overall survival was determined using the Kaplan-Meier approach. Time to weaning was analyzed using the cumulative incidence function, with death considered a competing risk. Prognostic factors were evaluated for use in prospective evaluations of weaning protocols.
Results: between 2008 and 2012, 122 patients required mechanical ventilation outside of a critical care setting with weaning as a goal of care. The cumulative incidence of weaning after discharge from the intensive care unit was 42% at 21 days, 49% at 30 days, 58% at 60 days, 61% at 90 days, and 61% at 120 days. The median survival was 0.16 years (95% CI, 0.12 to 0.33) for those not weaned and 1.05 years (95% CI, 0.60 to 1.34) for those weaned. Overall survival at 1 year and 2 years was 52 and 32% among those weaned and 16 and 9% among those not weaned. During 2018, 36 patients at our institution required mechanical ventilation outside of a critical care setting, with weaning as a goal of care. Overall, with a median follow-up of 140 days (range, 0–425 days; average, 141 days), 25% of patients requiring long-term mechanical ventilation (9 of 36) are alive.
Conclusions: Cancer patients can be weaned from long-term mechanical ventilation, even after prolonged periods of support. Implementation of a resource-intensive weaning program did not improve rates of successful weaning. No clear time on mechanical ventilation could be identified beyond which weaning was unprecedented. Short-term overall survival for these patients is poor.

Origine : DOI.org (Crossref

Survival after anticancer treatment of terminally ill patients with ovarian carcinoma

KAJIYAMA, Hiroaki ; SUZUKI, Shiro ; SHIMBO, Akiko ; UTSUMI, Fumi ; YOSHIKAWA, Nobuhisa ; KIKKAWA, Fumitaka
JOURNAL OF PALLIATIVE MEDICINE, 15/04/2020, Pagination inconnue

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The impact of palliative care on clinical and patient-centred outcomes in patients with advanced heart failure - a systematic review of randomized controlled trials

SAHLOLLBEY, Nick ; LEE, Christopher Kai Seng ; SHIRIN, Afraah ; JOSEPH, Philip
European journal of heart failure, 16/03/2020, Pagination inconnue

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The impact of granulocyte colony-stimulating factor use in patients with metastatic breast cancer treated with palliative chemotherapy - a single-institution retrospective review

MOUSA, Luay ; STEPHENS, Julie A. ; BERGER, Michael ; RAMASWAMY, Bhuvaneswari ; LUSTBERG, Maryam ; SARDESAI, Sagar ; WILLIAMS, Nicole ; VANDEUSEN, Jeffrey ; STOVER, Daniel ; CHERIAN, Mathew ; MORGAN, Evan ; WESOLOWSKI, Robert
Supportive care in cancer, 17/03/2020, Pagination inconnue

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Patient-reported symptoms and problems at admission to specialized palliative care improved survival prediction in 30,969 cancer patients - a nationwide register-based study

HANSEN, Maiken B. ; NYLANDSTED, Lone Ross ; PETERSEN, Morten A. ; ADSERSEN, Mathilde ; ROJAS-CONCHA, Leslye ; GROENVOLD, Mogens
PALLIATIVE MEDICINE, 18/03/2020, Pagination inconnue

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Association of hospital readmissions and survivability with frailty and palliative performance scores among long-term care residents

ARANHA, Anil N. F. ; SMITHERMAN, Herbert C. ; PATEL, Dhaval ; PATEL, Pragnesh J.
The American journal of hospice and palliative care, 01/03/2020, Pagination inconnue

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Home artificial nutrition in palliative care cancer patients - impact on survival and performance status

RUGGERI, Enrico ; GIANNANTONIO, Marilena ; AGOSTINI, Federica ; OSTAN, Rita ; PIRONI, Loris ; PANNUTI, Raffaella
Clinical nutrition, 22/02/2020, Pagination inconnue

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Survival time after marked reduction in oral intake in terminally ill noncancer patients - a retrospective study

HOSOI, Takahiro ; OZONE, Sachiko ; HAMANO, Jun
Journal of general and family medicine, 03/2020, vol.21, n°2, p. 9-14

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Heterogeneity of first-line palliative systemic treatment in synchronous metastatic esophagogastric cancer patients - a real-world evidence study

DIJKSTERHUIS, Willemieke P. M. ; VERHOEVEN, Rob H. A. ; SLINGERLAND, Marije ; HAJ MOHAMMAD, Nadia ; DE VOS-GEELEN, Judith ; BEEREPOOT, Laurens V. ; VAN VOORTHUIZEN, Theo ; CREEMERS, Geert-Jan ; VAN OIJEN, Martijn G. H. ; VAN LAARHOVEN, Hanneke W. M.
INTERNATIONAL JOURNAL OF CANCER, 01/01/2020, vol.146, n°7, p. 1889-1901

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Prognostic factors in the new Katagiri scoring system after palliative surgery for spinal metastasis

KOBAYASHI, Kazuyoshi ; ANDO, Kei ; NAKASHIMA, Hiroaki ; SATO, Koji ; KANEMURA, Tokumi ; YOSHIHARA, Hisatake ; HIRASAWA, Atsuhiko ; KATO, Fumihiko ; ISHIGURO, Naoki ; IMAGAMA, Shiro
Spine, 10/02/2020, p. 1-19

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Lenvatinib vs. palliative therapy for stage IVC anaplastic thyroid cancer

IWASAKI, Hiroyuki ; TODA, Soji ; SUGANUMA, Nobuyasu ; MURAYAMA, Daisuke ; NAKAYAMA, Hirotaka ; MASUDO, Katsuhiko
Molecular and clinical oncology, 02/2020, vol.12, n°2, p. 138-143

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Renal replacement therapy in patients with stage IV cancer admitted to the intensive care unit with acute kidney injury at a comprehensive cancer center was not associated with survival

ABUDAYYEH, Ala ; SONG, Juhee ; ABDELRAHIM, Maen ; DAHBOUR, Ibrahim ; PAGE, Valda D. ; ZHOU, Shouhao ; SHEN, Chan ; ZHAO, Bo ; PAI, Rima N. ; AMARAM-DAVILA, Jaya ; MANZANO, Joanna-Grace ; GEORGE, Marina C. ; YENNU, Sriram ; MANDAYAM, Sreedhar A. ; NATES, Joseph L. ; MOSS, Alvin H.
The American journal of hospice and palliative care, 27/01/2020, Pagination inconnue

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