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ROYAUME UNI

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Conflict before the courtroom - challenging cognitive biases in critical decision-making

JOHAL, Harleen Kaur ; DANBURY, Christopher
Journal of medical ethics, 06/07/2020, 5 p.

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Milestones - a mixed methods study of an educational intervention to improve care of the dying

MOONEY, Michelle ; BRIGHT, Rebecca ; VICKERSTAFF, Victoria ; STIRLING, Caroline ; YARDLEY, Sarah
BMJ supportive and palliative care, 06/07/2020, Pagination inconnue

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What is a good death? A critical discourse policy analysis

BORGSTROM, Erica
BMJ supportive and palliative care, 06/07/2020, Pagination inconnue

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Strengthening palliative care in today's challenges

NYATANGA, Brian
British journal of community nursing, 07/2020, vol.25, n°7, p. 358

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The changing narratives of death, dying, and HIV in the United Kingdom

CATALAN, Jose ; RIDGE, Damien ; CHESHIRE, Anna ; HEDGE, Barbara ; ROSENFELD, Dana
Qualitative health research, 06/06/2020, p. 1561-1571

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Last months of life of people with intellectual disabilities - a UK population-based study of death and dying in intellectual disability community services

TODD, Stuart ; BERNAL, Jane ; SHEARN, Julia ; WORTH, Rhian ; JONES, Edwin ; LOWE, Kathy ; MADDEN, Phil ; BARR, Owen ; FORRESTER JONES, Rachel ; JARVIS, Paul ; KROLL, Thilo ; MCCARRON, Mary ; READ, Sue ; HUNT, Katherine
Journal of applied research in intellectual disabilities, 31/05/2020, p. 1-14

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Anticipatory prescribing in community end-of-life care in the UK and Ireland during the covid-19 pandemic - online survey

ANTUNES, Bárbara ; BOWERS, Ben ; WINTERBURN, Isaac ; KELLY, Michael P ; BRODRICK, Robert ; POLLOCK, Kristian ; MAJUMDER, Megha ; SPATHIS, Anna ; LAWRIE, Iain ; GEORGE, Rob ; RYAN, Richella ; BARCLAY, Stephen
BMJ supportive and palliative care, 16/06/2020, p. 1-7

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"A good death" during the Covid-19 pandemic in the UK - a report on key findings and recommendations

BEAR, Laura ; SIMPSON, Nikita ; ANGLAND, Michael ; BHOGAL, Jaskiran K. ; BOWERS, Rebecca ; CANNELL, Fenella ; GARDNER, Katy ; LOHIYA, Anishka ; JAMES, Deborah ; JIVRAJ, Naseem ; KOCH, Insa ; LAWS, Megan ; LIPTON, Jonah ; LONG, Nicholas J. ; VIEIRA, Jordan ; WATT, Connor ; WHITTLE, Catherine ; ZIDARU-BARBULESCU, Teo
London school of economics and political science, London School of Economics and Political Science , 10/04/2020 , 18 p.

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Delirium screening practice in specialist palliative care units - a survey

WOODHOUSE, Rebecca ; SIDDIQI, Najma ; BOLAND, Jason W. ; FEATHERSTONE, Imogen ; JOHNSON, Miriam J.
BMJ supportive and palliative care, 15/05/2020, Pagination inconnue

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Preferred and actual place of death in haematological malignancies - a report from the UK haematological malignancy research network

SHERIDAN, Rebecca ; ROMAN, Eve ; SMITH, Alex G. ; TURNER, Andrew ; GARRY, Anne C. ; PATMORE, Russell ; HOWARD, Martin R. ; HOWELL, Debra A.
BMJ supportive and palliative care, 11/05/2020, p. 1-10

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Primary care service use by end-of-life cancer patients - a nationwide population-based cohort study in the United Kingdom

GAO, Wei ; GULLIFORD, Martin ; MORGAN, Myfanwy ; HIGGINSON, Irene J.
BMC family practice, 29/04/2020, vol.21, n°1, p. 1-13

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Attitudes to palliative care in patients with neck-of-femur fracture-a multicenter survey

HARRIES, Luke ; MOORE, Andrew ; KENDALL, Clare ; STANGER, Sophie ; STRINGFELLOW, Thomas D. ; DAVIES, Andrew N. ; KELLY, Mike
Geriatric orthopaedic surgery and rehabilitation, 2020, vol.11, p. 1-7

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Covid-19 - campaigner calls for national guidance to stop DNR orders being made without discussion with patients and families

DYER, Clare
BMJ (Clinical research ed.), 07/05/2020, vol.369, p.1

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Covid-19 pandemic - changing the way we live and die

NYATANGA, Brian
British journal of community nursing, 02/05/2020, vol.25, n°5, p. 254

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Providing quality end of life care to older people in the era of Covid-19 - perspectives from five countries

LAPID, Maria I. ; KOOPMANS, Raymond ; SAMPSON, Elizabeth L. ; VAN DEN BLOCK, Lieve ; PEISAH, Carmelle
International psychogeriatrics, 11/05/2020, p. 1-18

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Covid-19 - where is the national ethical guidance?

HUXTABLE, Richard
BMC medical ethics, 01/05/2020, vol.21, n°1, p. 1-3

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Hospice advice and rapid response service for ambulance clinicians

DENT, Tom ; TIPPING, Inderia ; ANDERSON, Racquel ; DANIELS, Charles
BMJ supportive and palliative care, 27/03/2020, Pagination inconnue

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Uk palliative medicine trainees and multisource communication skills feedback - an educational tool?

WEBBER, Katherine ; SELMAN, Rebecca
BMJ supportive and palliative care, 31/03/2020, Pagination inconnue

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Young adults with life-limiting or life-threatening conditions - sexuality and relationships support

EARLE, Sarah ; BLACKBURN, Madeleine
BMJ supportive and palliative care, 02/04/2020, Pagination inconnue

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Determinants of quality of life in patients with incurable cancer - quality of life in incurable cancer

DALY, Louise E. ; DOLAN, Ross D. ; POWER, Derek G. ; NI BHUACHALLA, Éadaoin ; SIM, Wei ; CUSHEN, Samantha J. ; FALLON, Marie T. ; SIMMONS, Claribel ; MCMILLAN, Donald C. ; LAIRD, Barry J. ; RYAN, Aoife M.
Cancer, 08/04/2020, Pagination inconnue

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Thème : Soins.

CANCER ; QUALITE VIE ; FACTEUR ; IRLANDE ; ROYAUME UNI

Background: Optimizing quality of life (QoL) remains the central tenet of care in patients with incurable cancer; however, determinants of QoL are not clear. The objective of the current study was to examine which factors influence QoL in patients with incurable cancer.
Methods: A multicenter study of adult patients with advanced cancer was conducted in Ireland and the United Kingdom between 2011 and 2016. Data were collected from patients at study entry and included patient demographics, Eastern Cooperative Oncology Group performance status (ECOG-PS), nutritional parameters (the percentage weight loss [%WL]), muscle parameters assessed using computed tomography images (skeletal muscle index and skeletal muscle attenuation), inflammatory markers (modified Glasgow Prognostic score [mGPS]), and QoL data (the European Organization for Research and Treatment Quality-of-Life Questionnaire C-30). The relation between clinical, nutritional, and inflammatory parameters with QoL was assessed using the Spearman rank correlation coefficient and multivariate binary logistic regression. Components of the European Organization for Research and Treatment Quality-of-Life Questionnaire C-30 (physical function, fatigue, and appetite loss) and summary QoL scores were mean-dichotomized for the logistic regression analyses.
Results: Data were available for 1027 patients (51% men; median age, 66 years). Gastrointestinal cancer was most prevalent (40%), followed by lung cancer (26%) and breast cancer (9%). Distant metastatic disease was present in 87% of patients. The %WL, ECOG-PS, and mGPS were significantly correlated with deteriorating QoL functional and symptom scales (all P < .001). On multivariate regression analysis, >10% WL (odds ratio [OR], 2.69; 95% CI, 1.63-4.42), an ECOG-PS of 3 or 4 (OR, 14.33; 95% CI, 6.76-30.37), and an mGPS of 2 (OR, 1.58; 95% CI, 1.09-2.29) were independently associated with poorer summary QoL scores. These parameters were also independently associated with poorer physical function, fatigue, and appetite loss (all P < .05). Low skeletal muscle attenuation was independently associated with poorer physical functioning (OR, 1.67; 95% CI, 1.09-2.56), but muscle parameters were not independently associated with fatigue, appetite loss, or QoL summary scores.
Conclusions: The current findings indicate that QoL is determined (at least in part) by WL, ECOG-PS, and the systemic inflammatory response in patients with advanced cancer. Identifying early predictors of poor QoL may allow the identification of patients who may benefit from early referral to palliative and supportive care, which has been shown to improve QoL.

Origine : DOI.org (Crossref

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