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Challenges in the management of older patients with acute coronary syndromes in the covid-19 pandemic

ROWLAND, Ben ; KUNADIAN, Vijay
Heart, 22/05/2020, p. 1-6

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Considerations for prognosis, goals of care, and specialty palliative care for hospitalized patients with acute-on-chronic liver failure

HERNAEZ, Ruben ; PATEL, Arpan ; JACKSON, Leanne K. ; BRAUN, Ursula K. ; WALLING, Anne M. ; ROSEN, Hugo R.
Hepatology, 16/05/2020, Pagination inconnue

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Pilot of the life-sustaining treatment decisions initiative among veterans with serious illness

GIANNITRAPANI, Karleen F. ; WALLING, Anne M. ; GARCIA, Ariadna ; FOGLIA, Marybeth ; LOWERY, Jill S. ; LO, Natalie ; BEKELMAN, David ; BROWN-JOHNSON, Cati ; HAVERFIELD, Marie ; FESTA, Natalia ; SHREVE, Scott T. ; GALE, Randall C. ; LEHMANN, Lisa Soleymani ; LORENZ, Karl A.
The American journal of hospice and palliative care, 08/05/2020, Pagination inconnue

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Building trust and facilitating goals of care conversations - a qualitative study in people with heart failure receiving home hospice care

BAIK, Dawon ; RUSSELL, David ; JORDAN, Lizeyka ; MATLOCK, Daniel D. ; DOOLEY, Frances ; MASTERSON CREBER, Ruth
PALLIATIVE MEDICINE, 06/05/2020, Pagination inconnue

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Effects of a communication intervention randomized controlled trial to enable goals-of-care discussions

BICKELL, Nina A. ; BACK, Anthony L. ; ADELSON, Kerin ; GONSKY, Jason P. ; EGOROVA, Natalia ; PINTOVA, Sofya ; LIN, Jenny J. ; KOZUCH, Peter ; BAGIELLA, Emilia ; SMITH, Cardinale B.
JCO oncology practice, 06/05/2020, Pagination inconnue

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Goals-of-care consultations are associated with lower costs and less acute care use among propensity-matched cohorts of African Americans and whites with serious illness

STARR, Lauren T. ; ULRICH, Connie M. ; APPEL, Scott M. ; JUNKER, Paul ; O'CONNOR, Nina R. ; MEGHANI, Salimah H.
JOURNAL OF PALLIATIVE MEDICINE, 27/04/2020, Pagination inconnue

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A qualitative study of nurses' perspective about the impact of end-of-life communication on the goal of end-of-life care in nursing home

GONELLA, Silvia ; BASSO, Ines ; CLARI, Marco ; DIMONTE, Valerio ; DI GIULIO, Paola
Scandinavian journal of caring sciences, 28/04/2020, Pagination inconnue

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Prognostication in serious illness

MARTIN, Emily J. ; WIDERA, Eric
The Medical Clinics of North America, 05/2020, vol.104, n°3, p. 391-403

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Implementing "goals of care" discussion and palliative care referral for patients with advanced lung cancer - an outpatient-based pilot project: bringing forward the conversation

CONDUIT, Ciara ; THOMPSON, Michael ; THOMAS, Robyn ; NOTT, Louise ; WUTTKE, Melanie
Internal medicine journal, 23/03/2020, Pagination inconnue

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Goals of care in a pandemic - our experience and recommendations

ADAMS, Catherine
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT, Elsevier, 31/03/2020, p. 1-3

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A comparison of hospitalized patients with heart failure and cancer referred to palliative care

LIU, Albert Y. ; O'RIORDAN, David L. ; MARKS, Angela K. ; BISCHOFF, Kara E. ; PANTILAT, Steven Z.
JAMA network open, 05/02/2020, vol.3, n°2, p. 1-8

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A randomized trial of a multi-level intervention to improve advance care planning and symptom management among low-income and minority employees diagnosed with cancer in outpatient community settings

PATEL, Manali I. ; KHATEEB, Sana ; COKER, Tumaini
Contemporary clinical trials, 04/2020, vol.91, Pagination inconnue

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Evaluating the feasibility and acceptability of the Namaste care program in long-term care settings in Canada

KAASALAINEN, Sharon ; HUNTER, Paulette V. ; DAL BELLO-HAAS, Vanina ; DOLOVICH, Lisa ; FROGGATT, Katherine ; HADJISTAVROPOULOS, Thomas ; MARKLE-REID, Maureen ; PLOEG, Jenny ; SIMARD, Joyce ; THABANE, Lehana ; VAN DER STEEN, Jenny T. ; VOLICER, Ladislav
Pilot and feasibility studies, 2020, vol.6, p. 1-12

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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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End-of-life planning prior to death among people living with HIV

ABDO, Mona ; RESSLER, Adam ; MAWHINNEY, Samantha ; JANKOWSKI, Catherine ; JOHNSON, Steven C. ; ERLANDSON, Kristine M.
The journal of the Association of nurses in AIDS care, 13/02/2020, Pagination inconnue

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Association between strong patient-oncologist agreement regarding goals of care and aggressive care at end-of-life for patients with advanced cancer

DOUGLAS, Sara L. ; DALY, Barbara J. ; LIPSON, Amy R. ; BLACKSTONE, Eric
Supportive care in cancer, 14/02/2020, Pagination inconnue

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Impact of multidisciplinary tumor board discussion on palliation of patients with esophageal or gastro-esophageal junction cancer - a population-based study

VERMEULEN, Bram D. ; BRUGGEMAN, Lukas ; BAC, Dirk J. ; SCHRAUWEN, Ruud W. M. ; EPPING, Ludger S. M. ; SCHEFFER, Robert C. H. ; TAN, Adriaan C. I. T. L. ; GROENEN, Marcel J. M. ; VERHOEVEN, Rob H. A. ; SIERSEMA, Peter D.
Acta oncologica, 18/02/2020, p. 410-416

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Thème : Soins. Cote : eD02.04.01

PAYS-BAS ; CANCER DIGESTIF ; COMMUNICATION ; PROJET SOIN

Background: The Dutch guidelines for esophageal and gastro-esophageal junction (GEJ) cancer recommend discussion of patients by a multidisciplinary tumor board (MDT). Despite this recommendation, one previous study in the Netherlands suggested that therapeutic guidance was missing for palliative care of patients with esophageal cancer. The aim of the current study was therefore to assess the impact of an MDT discussion on initial palliative treatment and outcome of patients with esophageal or GEJ cancer.
Material and methods: The population-based Netherlands Cancer Registry was used to identify patients treated for esophageal or GEJ cancer with palliative intent between 2010 and 2017 in 7 hospitals. We compared patients discussed by the MDT with patients not discussed by the MDT in a multivariate analysis. Primary outcome was type of initial palliative treatment. Secondary outcome was overall survival.
Results: A total of 389/948 (41%) patients with esophageal or GEJ cancer were discussed by the MDT before initial palliative treatment. MDT discussion compared to non-MDT discussion was associated with more patients treated with palliative intent external beam radiotherapy (38% vs. 21%, OR 2.7 [95% CI 1.8–3.9]) and systemic therapy (30% vs. 23%, OR 1.6 [95% CI 1.0–2.5]), and fewer patients treated with stent placement (4% vs. 12%, OR 0.3 [95% CI 0.1–0.6]) and best supportive care alone (12% vs. 33%, OR 0.2 [95% CI 0.1–0.3]). MDT discussion was also associated with improved survival (169 days vs. 107 days, HR 1.3 [95% CI 1.1–1.6]).
Conclusion: Our study shows that MDT discussion of patients with esophageal or GEJ cancer resulted in more patients treated with initial palliative radiotherapy and chemotherapy compared with patients not discussed by the MDT. Moreover, MDT discussion may have a positive effect on survival, highlighting the importance of MDT meetings at all stages of treatment.

Origine : PubMed

Barriers and facilitators to discussing goals of care among nephrology trainees - a qualitative analysis and novel educational intervention

NAIR, Devika ; EL-SOURADY, Maie ; BONNET, Kemberlee ; SCHLUNDT, David G. ; FANNING, Joseph B. ; KARLEKAR, Mohana B.
JOURNAL OF PALLIATIVE MEDICINE, 11/02/2020, Pagination inconnue

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Namaste care in the home setting - developing initial realist explanatory theories and uncovering unintended outcomes

DALKIN, Sonia Michelle ; LHUSSIER, Monique ; KENDALL, Nicola ; ATKINSON, Joanne ; TOLMAN, Sharron
BMJ Open, 22/01/2020, vol.10, n°1, p. 1-12

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Communication interventions to improve goal-concordant care of seriously ill patients - an integrative review

BENNETT, Frank ; O'CONNER-VON, Susan
JOURNAL OF HOSPICE AND PALLIATIVE NURSING, 02/2020, vol.22, n°1, p. 40-48

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