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Corticosteroids for common palliative care symptoms #395

CARDENAS-MORI, Jhosselini ; LEWIS-RAMOS, Vanessa
JOURNAL OF PALLIATIVE MEDICINE, 07/2020, vol.23, n°7, p. 987-989

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Content validation of the EORTC QLQ-C15-PAL with advanced cancer patients and health care professionals from palliative care services in Chile

ROJAS-CONCHA, Leslye ; HANSEN, Maiken Bang ; PETERSEN, Morten Aagaard ; GROENVOLD, Mogens
BMC palliative care, 09/06/2020, vol.19, n°1, p. 1-10

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Symptom burden and clinical profile of Covid-19 deaths - a rapid systematic review and evidence summary

KEELEY, Paul ; BUCHANAN, Deans ; CAROLAN, Clare ; PIVODIC, Lara ; TAVABIE, Simon ; NOBLE, Simon
BMJ supportive and palliative care, 28/05/2020, p. 1-4

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Systematic symptom and problem assessment at admission to the palliative care ward - perspectives and prognostic impacts

COYM, Anja ; ULLRICH, Anneke ; HACKSPIEL, Lisa Kathrin ; AHRENHOLZ, Mareike ; BOKEMEYER, Carsten ; OECHSLE, Karin
BMC palliative care, 28/05/2020, vol.19, n°1, p. 1-11

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Distinctiveness of prolonged-grief-disorder- and depressive-symptom trajectories in the first two years of bereavement for family caregivers of terminally ill cancer patients

TANG, Siew Tzuh ; WEN, Fur-Hsing ; CHOU, Wen-Chi ; SHEN, Wen-Chi
Psycho-oncology, 15/06/2020, Pagination inconnue

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Thème : Deuil et travail du deuil.

DEUIL COMPLIQUE ; DEPRESSION ; SYMPTOME ; PERSONNE ENDEUILLEE ; CANCER

Objective: Grief reactions in bereaved caregivers of cancer patients have been identified individually as distinct prolonged grief disorder (PGD)- and major depressive disorder (MDD)-symptom trajectories, but no research has examined whether patterns of change (trajectories) for PGD and MDD symptoms synchronize during bereavement. We conducted a secondary analysis study to investigate the construct distinctiveness of PGD and MDD by simultaneously identifying and examining similarities and differences between bereaved caregivers’ PGD- and depressive-symptom trajectories from immediately postloss through 2 years later.
Methods: PGD and depressive symptoms were measured for 849 cancer patients’ caregivers over their first 2 years of bereavement using 11 grief-symptom items of the Prolonged Grief-13 scale (P-11) and the Center for Epidemiologic Studies-Depression (CES--D) scale, respectively. PGD- and depressive-symptom trajectories were identified using latent class growth analysis with continuous latent-class indicators (total PG-11 and CES-D scores). Concordance of caregiver participants’ membership in PGD- and depressive-symptom trajectories was examined by a percentage and a kappa value.
Results: Five distinct symptom trajectories were identified for both PGD and MDD, with four shared trajectories (endurance, transient-reaction, resilience, and prolonged-symptomatic) having different prevalence rankings. Nonetheless, unique trajectories were identified for PGD (potential recurrence) and depressive symptoms (chronically distressed), respectively. Concordance between membership in PGD- and depressive-symptom trajectories was moderate (61.3%, kappa [95% CI]: 0.49 [0.44, 0.53]).
Conclusion: GD and MDD are related but distinct constructs indicated by the unique trajectories identified for each, different prevalence rankings for PGD- and depressive-symptom trajectories, and moderate concordance between membership in PGD- and depressive-symptom trajectories, respectively.

Origine : DOI.org (Crossref

HANSEN, Maiken Bang ; ROSS, Lone ; PETERSEN, Morten Aagaard ; ADSERSEN, Mathilde ; ROJAS-CONCHA, Leslye ; GROENVOLD, Mogens
PALLIATIVE MEDICINE, 15/06/2020, Pagination inconnue

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Delivering hospital-based pediatric palliative care - the symptoms, interventions, and outcomes for children with cancer in Bangladesh

DOHERTY, Megan ; POWER, Liam ; THABET, Chloé
JCO global oncology, 06/2020, n°6, p. 884-891

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“Truly holistic?” - differences in documenting physical and psychosocial needs and hope in Portuguese palliative patients

JULIAO, Miguel ; SOBRAL, Maria Ana ; CALCADA, Paula ; ANTUNES, Bárbara ; NUNES, Baltazar ; BRAGANCA, Ana ; RUNA, Daniela ; FARIA DE SOUSA, Paulo ; CHOCHINOV, Harvey Max ; BRUERA, Eduardo
Palliative and supportive care, 25/06/2020, p. 1-6

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Heart failure - a palliative medicine review of disease, therapies, and medications with a focus on symptoms, function, and quality of life

MCGUINTY, Caroline ; LEONG, Derek ; WEISS, Andrea ; MACIVER, Jane ; KAYA, Ebru ; HURLBURT, Lindsay ; BILLIA, Filio ; ROSS, Heather ; WENTLANDT, Kirsten
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT, 05/2020, vol.59, n°5, p. 1127-1146

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A randomized, placebo-controlled, double-blind study of mocycline for reducing the symptom burden experienced by patients with advanced pancreatic cancer

KAMAL, Mona ; WANG, Xin Shelley ; SHI, Qiuling ; MENDOZA, Tito ; GARCIA-GONZALEZ, Araceli ; BOKHARI, Raza H. ; CLEELAND, Charles S. ; FOGELMAN, David R.
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT, 05/2020, vol.59, n°5, p. 1052-1058

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Stability and impact of symptom clusters in patients with end-stage renal disease undergoing dialysis

NAM, Marques Shek ; KWOK SO, Winnie ; WONG, Cho Lee ; HUI, Yun Ho ; HAU SIM HO, Eva ; CHOI, Kai Chow ; COOPER, Bruce ; MIASKOWSKI, Christine
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT, 01/2020, vol.59, n°1, p. 67-76

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A modern integration of palliative care into the management of heart failure

PUCKETT, Carrie ; GOODLIN, Sarah J.
The Canadian journal of cardiology, 12/05/2020, Pagination inconnue

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WOODS, John A. ; JOHNSON, Claire E. ; NGO, Hanh T. ; KATZENELLENBOGEN, Judith M. ; MURRAY, Kevin ; THOMPSON, Sandra C.
International journal of environmental research and public health, 30/04/2020, vol.17, n°9, p. 1-13

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Symptoms of malignant fungating wounds and functional performance among patients with advanced cancer - an integrative review from 2000 to 2019

TILLEY, Charles P. ; FU, Mei R. ; VAN CLEEVE, Janet ; CROCILLA, Brooke Lee ; COMFORT, Christopher P.
JOURNAL OF PALLIATIVE MEDICINE, 2020, vol.23, n°6, p. 848-862

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Characteristics of people with dementia vs other conditions on admission to inpatient palliative care

DING, Jinfeng ; JOHNSON, Claire E. ; LEE, Yun Chong Olivia ; GAZEY, Angela ; COOK, Angus
Journal of the American Geriatrics Society, 24/04/2020, Pagination inconnue

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Thème : Médecine.

DEMENCE ; DEMARCHE PALLIATIVE ; AUSTRALIE ; SYMPTOME ; ANALYSE COMPARATIVE

OBJECTIVES: Our aim was to (1) describe the clinical characteristics and symptoms of people diagnosed with dementia at the time of admission to inpatient palliative care; and (2) compare the nature and severity of these palliative care–related problems to patients with other chronic diseases.
DESIGN: Descriptive study using assessment data on point of care outcomes (January 1, 2013, to December 31, 2018).
SETTING: A total of 129 inpatient palliative care services participating in the Australian Palliative Care Outcomes Collaboration.
PARTICIPANTS: A total of 29,971 patients with a primary diagnosis of dementia (n = 1,872), lung cancer (n = 19,499), cardiovascular disease (CVD, n = 5,079), stroke (n = 2,659), or motor neuron disease (MND, n = 862).
MEASUREMENTS: This study reported the data collected at the time of admission to inpatient palliative care services including patients' self-rated levels of distress from seven common physical symptoms, clinician-rated symptom severity, functional dependency, and performance status. Other data analyzed included number of admissions, length of inpatient stay, and palliative care phases.
RESULTS: At the time of admission to inpatient palliative care services, relative to patients with lung cancer, CVD, and MND, people with dementia presented with lower levels of distress from most symptoms (odds ratios [ORs] range from .15 to .80; P < .05 for all) but higher levels of functional impairment (ORs range from 3.02 to 8.62; P < .001 for all), and they needed more assistance with basic activities of daily living (ORs range from 3.83 to 12.24; P < .001 for all). The trends were mostly the opposite direction when compared with stroke patients. Patients with dementia tended to receive inpatient palliative care later than those with lung cancer and MND.
CONCLUSION: The unique pattern of palliative care problems experienced by people with dementia, as well as the skills of the relevant health services, need to be considered when deciding on the best location of care for each individual. Access to appropriately trained palliative care clinicians is important for people with high levels of physical or psychological concerns, irrespective of the care setting or diagnosis.

Origine : PubMed

Characteristics, symptom management and outcomes of 101 patients with Covid-19 referred for hospital palliative care

LOVELL, Natasha ; MADDOCKS, Matthew ; ETKIND, Simon N. ; TAYLOR, Katie ; CAREY, Irene ; VORA, Vandana ; MARSH, Lynne ; HIGGINSON, Irene J. ; PRENTICE, Wendy ; EDMONDS, Polly ; SLEEMAN, Katherine E.
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT, 20/04/2020, p. 1-5

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Clustering of patients with end-stage chronic diseases by symptoms - a new approach to identify health needs

FINAMORE, Panaiotis ; SPRUIT, Martijn A. ; SCHOLS, Jos M. G. A. ; ANTONELLI INCALZI, Raffaele ; WOUTERS, Emiel F. M. ; JANSSEN, Daisy J. A.
Aging clinical and experimental research, 11/04/2020, Pagination inconnue

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Older adult cancer patients under palliative care with a prognosis of 30 days or more - clinical and nutritional changes

VETTORI, Josiane C. ; DA SILVA, Luanda G. ; PFRIMER, Karina ; JORDAO JUNIOR, Alceu A. ; MORIGUTI, Júlio C. ; FERRIOLLI, Eduardo ; LIMA, Nereida K. C.
Journal of the American College of Nutrition, 10/04/2020, p. 1-7

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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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Comparing symptom ratings by staff and family carers in residents dying in long-term care facilities in three European countries, results from a PACE-survey

TANGHE, Marc ; VAN DEN NOORTGATE, Nele ; DELIENS, Luc ; SMETS, Tinne ; ONWUTEAKA-PHILIPSEN, Bregje ; FINNE-SOVERI, Harriet ; VAN DEN BLOCK, Lieve ; PIERS, Ruth
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT, 10/03/2020, Pagination inconnue

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