VigiPallia : Résultats

ETUDE RETROSPECTIVE

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Palliative care in children with heart disease treated in an ICU

DELGADO-CORCORAN, Claudia ; WAWRZYNSKI, Sarah E. ; BENNETT, Erin E. ; GREEN, Danielle ; BODILY, Stephanie ; MOORE, Dominic ; COOK, Lawrence J. ; OLSON, Lenora M.
Pediatric critical care medicine, 04/03/2020, Pagination inconnue

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Performance status and end-of-life care among adults with non-small cell lung cancer receiving immune checkpoint inhibitors

PETRILLO, Laura A. ; EL-JAWAHRI, Areej ; NIPP, Ryan D. ; LICHTENSTEIN, Morgan R. L. ; DURBIN, Sienna M. ; REYNOLDS, Kerry L. ; GREER, Joseph A. ; TEMEL, Jennifer S. ; GAINOR, Justin F.
Cancer, 06/03/2020, Pagination inconnue

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Inequity in palliative care service full utilisation among patients with advanced cancer - a retrospective cohort study

D'ANGELO, Daniela ; DI NITTO, Marco ; GIANNARELLI, Diana ; CROCI, Ileana ; LATINA, Roberto ; MARCHETTI, Anna ; MAGNANI, Caterina ; MASTROIANNI, Chiara ; PIREDDA, Michela ; ARTICO, Marco ; DE MARINIS, Maria Grazia
Acta oncologica, 09/03/2020, p. 1-8

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Ten-year trends in end-of-life hospitalizations of nursing home residents in Germany, 2006-2015

HOFFMANN, Falk ; ALLERS, Katharina
Maturitas, 04/2020, vol.134, p. 47-53

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Palliative radiation therapy for patients with orbital and ocular metastases

CHIK, Jeannie Y. K. ; LEUNG, Carmen W. L. ; WONG, Kam Hung
Annals of palliative medicine, 02/03/2020, p. 1-9

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Thème : Médecine. Cote : eD03.05

RADIOTHERAPIE ; CANCER ; OPHTALMOLOGIE ; ETUDE RETROSPECTIVE

BACKGROUND: Patients with cancer may develop metastases to the orbit causing distressing symptoms. External beam radiation therapy (RT) is an effective palliative treatment for patients with orbital and ocular metastases. The aim of treatment is to preserve vision and to reduce pain. Delivery of 30 to 40 Gy in 2 Fr fractions is a practice in many oncology centres. The aim of this study is to evaluate the outcome of shortcourse palliative radiotherapy in the management of orbital and ocular metastases.
METHODS: A retrospective study to review all patients with orbital metastases treated in 2016 to 2018 were performed. The primary outcomes were a change in visual acuity and tumor response. Secondary outcomes included toxicities of radiotherapy, symptomatic response and survival.
RESULTS: Fifteen patients with 19 eyes were included. The most common presenting symptoms were decreased vision, periorbital swelling, and pain. The median follow-up period was 8 months. Visual acuity improved in 11 out of 13 (84.6%) of patients and remained stable in the remaining 2 patients. Partial and complete response (CR) of tumor was observed in 14 out of 15 (93.3%) of patients while one (6.6%) patient had stable disease. The overall response rate (ORR) was 100%. Two (13.3%) patients had grade 2 conjunctivitis. There were no grade 3-4 toxicities and no long-term toxicities observed. The median survival was 9.1 months from diagnosis of choroidal metastases.
CONCLUSIONS: Short course palliative RT is effective and well tolerated in patients with orbital and ocular metastases. The current review showed that it effectively preserves vision and improves orbital symptoms with minimal radiation-induced toxicity. Short course radiotherapy will help to minimize the traveling time to the hospital and relieve the burden of a long treatment course in this palliative patient population.

Origine : PubMed

min-SIA - a lightweight algorithm to predict the risk of 6-month mortality at the time of hospital admission

SAHNI, Nishant ; TOURANI, Roshan ; SULLIVAN, Donald ; SIMON, Gyorgy
Journal of general internal medicine, 10/03/2020, 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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First referral to an integrated onco-palliative care program - a retrospective analysis of its timing

BARTH, Claire ; COLOMBET, Isabelle ; MONTHEIL, Vincent ; HUILLARD, Olivier ; BOUDOU-ROUQUETTE, Pascaline ; TLEMSANI, Camille ; ALEXANDRE, Jérôme ; GOLDWASSER, François ; VINANT-BINAM, Pascale
BMC palliative care, 12/03/2020, vol.19, n°1, p. 1-11

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Incidence and predictors of aspirin discontinuation in older adult veteran nursing home residents at end of life

SPRINGER, Sydney P. ; MOR, Maria K. ; SILEANU, Florentina ; ZHAO, Xinhua ; ASPINALL, Sherrie L. ; ERSEK, Mary ; NIZNIK, Joshua D. ; HANLON, Joseph T. ; HUNNICUTT, Jacob ; GELLAD, Walid F. ; SCHLEIDEN, Loren J. ; THORPE, Joshua M. ; THORPE, Carolyn T.
Journal of the American Geriatrics Society, 13/02/2020, Pagination inconnue

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Retrospective prognostic study of death at home or hospice versus at a hospital among patients with advanced non-small cell lung cancer

HAMAMOTO, Yoichiro ; IBE, Tatsuya ; KODAMA, Hiroaki ; MOURI, Atsuto ; MINESHITA, Masamichi
The American journal of hospice and palliative care, 02/2020, vol.37, n°2, p. 129-135

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Association of physician orders for life-sustaining treatment with ICU admission among patients hospitalized near the end of life

LEE, Robert Y. ; BRUMBACK, Lyndia C. ; SATHITRATANACHEEWIN, Seelwan ; LOBER, William B. ; MODES, Matthew E. ; LYNCH, Ylinne T. ; AMBROSE, Corey I. ; SIBLEY, James ; VRANAS, Kelly C. ; SULLIVAN, Donald R. ; ENGELBERG, Ruth A. ; CURTIS, J. Randall ; KROSS, Erin K.
JAMA, 2020, vol.323, n°10, p. 950-960

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Deintensification of diabetes medications among veterans at the end of life in VA nursing homes

NIZNIK, Joshua D. ; HUNNICUTT, Jacob N. ; ZHAO, Xinhua ; MOR, Maria K. ; SILEANU, Florentina ; ASPINALL, Sherrie L. ; SPRINGER, Sydney P. ; ERSEK, Mary J. ; GELLAD, Walid F. ; SCHLEIDEN, Loren J. ; HANLON, Joseph T. ; THORPE, Joshua M. ; THORPE, Carolyn T.
Journal of the American Geriatrics Society, 17/02/2020, Pagination inconnue

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Healthcare utilization among children and young people with life-limiting conditions - exploring palliative care needs using national health insurance claims data

KIM, Cho Hee ; SONG, In Gyu ; KIM, Min Sun ; LEE, Jin Yong ; LIM, Nam Gu ; SHIN, Hee Young
Scientific reports, 14/02/2020, vol.10, n°1, p. 1-10

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Differences in medical costs for end-of-life patients receiving traditional care and those receiving hospice care - a retrospective study

HUANG, Ya-Ting ; WANG, Ying-Wei ; CHI, Chou-Wen ; HU, Wen-Yu ; LIN, Rung ; SHIAO, Chih-Chung ; TANG, Woung-Ru
Plos one, 2020, vol.15, n°2, p. 1-21

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Advanced stage of disease and systemic inflammation as factors associated with referral of patients with colorectal cancer to a palliative care unit

SILVA, Thiago Huaytalla ; PERES, Wilza Arantes Ferreira ; ROSA, Karla Santos da Costa ; SCHILITHZ, Arthur Orlando Correa ; DE OLIVEIRA, Livia Costa ; MURAD, Leonardo Borges
The American journal of hospice and palliative care, 07/02/2020, Pagination inconnue

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Appropriateness of end-of-life care in people dying with dementia - applying quality indicators on linked administrative databases

DE SCHREYE, Robrecht ; SMETS, Tinne ; DELIENS, Luc ; ANNEMANS, Lieven ; GIELEN, Birgit ; COHEN, Joachim
Journal of the American Medical Directors Association, 06/02/2020, Pagination inconnue

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Overlapping borders - limit of viability and late terminations of pregnancy - a retrospective multicentre observational study

BERGER, Fabienne ; BUCHER, Hans Ulrich ; FAUCHÈRE, Jean-Claude ; SCHULZKE, Sven ; BERGER, Thomas Michael
Swiss medical weekly, 27/01/2020, vol.150, p. 1-9

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Thème : Santé. Cote : eD01.05

SUISSE ; ETUDE RETROSPECTIVE ; INTERRUPTION MEDICALE GROSSESSE

AIMS OF THE STUDY: Based on an incidental observation made in the context of the Swiss National Science Foundation (SNSF) Project 67 "End-of-life decision-making in extremely low birth weight infants in Switzerland", this retrospective multicentre observational study aimed to analyse circumstances of delivery room deaths after late termination of pregnancy (LTOP) in Switzerland over a 3-year period.
METHODS: All delivery room deaths (including live and stillbirths) following LTOP among infants with a gestational age between 22 0/7 and 27 6/7 weeks at the nine Swiss level III perinatal centres between 1 July 2012 and 30 June 2015 were analysed. Indications for LTOP were classified as either (a) maternal emergencies or (b) fetal anomalies severe enough to cause significant maternal psychological distress. Whenever possible, specific diagnoses were recorded. Spontaneous intrapartum death and fetal death caused by injection of a cardioplegic drug were distinguished for stillborn infants.
RESULTS: A total of 465 delivery room deaths among extremely low gestational age newborns (ELGANs) were identified over the 3-year study period of the SNSF project. Of these, 195 (42%) occurred in the context of LTOP. Central nervous system malformations, chromosomal anomalies, severe congenital heart disease, multiple malformations and maternal emergencies accounted for 70% of all LTOPs. LTOPs resulted in live births in 76 (39%) cases. No correlation between gestational age and rate of live births was observed. Fetal death caused by injection of a cardioplegic drug was documented in only three cases. All infants born alive after LTOP died in the delivery room without resuscitation attempts. The use of drugs for palliative care in these patients was either rare or, alternatively, incompletely documented.
CONCLUSION: LTOPs contribute significantly to mortality rates among ELGANs and should therefore be included in perinatal registries. Uniform reporting of LTOPs should be established. Infants born alive after LTOP are entitled to comprehensive palliative care like any other infant born under different circumstances. Development of national guidelines for LTOPs (including the role of fetal death caused by injection of a cardioplegic drug and palliative birth as an alternative to induced abortion) would be highly desirable to guarantee acceptable standards of care.

Origine : PubMed

Palliative care and hospice referrals in patients with decompensated cirrhosis - what factors are important?

HOLDEN, John H. ; SHAMSEDDEEN, Hani ; JOHNSON, Amy W. ; BYRIEL, Benjamin ; SUBRAMONEY, Kavitha ; CHENG, Yao-Wen ; SAITO, Akira ; GHABRIL, Marwan ; CHALASANI, Naga ; SACHS, Greg A. ; ORMAN, Eric S.
JOURNAL OF PALLIATIVE MEDICINE, 24/02/2020, Pagination inconnue

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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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Underutilization of portable orders for life-sustaining treatment at discharge from hospital - observational study at US academic trauma center

RUBINS, Jeffrey B.
Journal of general internal medicine, 10/02/2020, Pagination inconnue

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