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Uncertainty and certain death - the role of clinical trials in terminal cancer care

CORTEZ, Dagoberto ; HALPIN, Michael
Sociology of health and illness, 24/01/2020, p. 1-15

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Differences in the opioid consumption of terminally ill schizophrenic and non-schizophrenic cancer patients - analysis of secondary national population data

LIN, Hao-Ying ; HSIEH, Jyh-Gang ; HSIEH, Chia-Jung ; WANG, Ying-Wei
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT, 26/12/2019, Pagination inconnue

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Respecting autonomy and promoting the patient's good in the setting of serious terminal and concurrent mental illness

MCKILLIP, Kathleen M. ; LOTT, Amy D. ; SWETZ, Keith M.
The Yale journal of biology and medicine, 12/2019, vol.92, n°4, p. 597-602

Perceptions of medical status and treatment goal among older adults with advanced cancer

THOMPSON, Leah L. ; TEMEL, Brandon ; FUH, Charn-Xin ; SERVER, Christine ; KAY, Paul ; LANDAY, Sophia ; LAGE, Daniel E. ; TRAEGER, Lara ; SCOTT, Erin ; JACKSON, Vicki A. ; GREER, Joseph A. ; EL-JAWAHRI, Areej ; TEMEL, Jennifer S. ; NIPP, Ryan D.
Journal of geriatric oncology, 05/12/2019, Pagination inconnue

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Thème : Age de la vie, situations spécifiques liées à la fin de vie.

PERSONNE AGEE ; CANCER ; PRONOSTIC ; PERCEPTION ; PHASE TERMINALE

Background: Patient-reported medical status and treatment goal are measures of prognostic understanding with demonstrated relationships to important clinical and patient-reported outcomes in the general cancer population. Among older adults, relationships between these measures and other patient-reported (quality of life [QOL], symptoms, functional impairment) and clinical (hospitalization risk, survival) outcomes remains unclear.
Methods: We enrolled patients =70 with advanced gastrointestinal cancers, collecting patient-reported medical status (terminally ill vs not), treatment goal (curative vs non-curative), QOL (EORTC-Elderly Cancer Patients), symptoms (Edmonton Symptom Assessment System [ESAS]), and functional impairment (activities of daily living [ADLs]). We also obtained information about hospitalizations and survival. To explore relationships between patient-reported medical status, treatment goal, QOL, symptoms, functional impairment, hospitalizations, and survival, we used regression models adjusted for age, sex, and education.
Results: Of 103 patients, 49.5% reported terminally ill status and 64.0% a non-curative treatment goal. Terminally ill status was associated with worse QOL (EORTC illness burden: 53.59 vs 35.26, p = 0.001), higher symptom burden (ESAS: 28.15 vs 16.79, p = 0.002), more functional impairment (ADLs: 3.63 vs 5.24, p = 0.006), greater hospitalization risk (HR = 2.41, p = 0.020), and worse survival (HR = 1.93, p = 0.010). We did not find associations between patient-reported treatment goal and these outcomes.
Conclusions: In older adults with advanced cancer, report of terminally ill status was associated with other important patient-reported and clinical outcomes, suggesting disease severity may inform illness perceptions. We did not find similar associations for patient-reported treatment goal, indicating that questions related to medical status and treatment goal measure different constructs and more nuanced measures are needed.

Origine : PubMed

Prolonged survival with palliative care - it is possible, but is it necessary?

NIPP, Ryan ; EL-JAWAHRI, Areej ; TEMEL, Jennifer
JAMA oncology, 12/2019, vol.5, n°12, p. 1693-1694

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Medication use in older, terminally ill cancer patients - are all medications appropriate? A longitudinal audit

POUDEL, Arjun ; BERRY, Robyn ; McCARTHY, Alexandra ; WALPOLE, Euan ; YATES, Patsy ; NISSEN, Lisa
PALLIATIVE MEDICINE, 10/2019, vol.33, n°9, p. 1232-1235

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Palliative care, when should it be a physicians’ choice of treatment?

RUIVO, E. ; BUNI, M. ; BUKETOV, A. ; LARES, A.
PROGRESS IN PALLIATIVE CARE, 02/11/2019, vol.27, n°6, p. 310-312

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Home care for terminally ill patients - the experiences of family caregivers with and without paid work

BIJNSDORP, Femmy M. ; VAN DER BEEK, Allard J. ; PASMAN, H. Roeline W. ; BOOT, Cécile R. L. ; DE BOER, Alice H. ; PLAISIER, Inger ; ONWUTEAKA-PHILIPSEN, Bregje D.
BMJ supportive and palliative care, 20/11/2019, Pagination inconnue

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Caregiver decision-making for terminally ill children - a qualitative study

PINTO TAYLOR, Emily ; DOOLITTLE, Benjamin
JOURNAL OF PALLIATIVE CARE, 14/11/2019, Pagination inconnue

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Asking terminally ill patients about their preferences concerning place of care and death

NEERGAARD, Mette Asbjoern ; BROGAARD, Trine ; VEDSTED, Peter ; JENSEN, Anders Bonde
International Journal of Palliative Nursing, 02/03/2018, vol.24, n°3, p. 124-131

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Pain severity and adequacy of pain management in terminally ill patients with cancer - an experience from North Palestine

MALLAH, Haneen ; MOUSA, Raghda ; FADL, Nisreen Bani ; MUSMAR, Samar ; BALL, Somedeb ; NUGENT, Kenneth
Indian journal of palliative care, 12/2019, vol.25, n°4, p. 494-500

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The use of behavioural theories in end-of-life care research - a systematic review

SCHERRENS, Anne-Lore ; BEERNAERT, Kim ; ROBIJN, Lenzo ; DELIENS, Luc ; PAUWELS, Nele S. ; COHEN, Joachim ; DEFORCHE, Benedicte
PALLIATIVE MEDICINE, Sage publications, 06/2018, vol.32, n°6, 1055-1077

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Top ten tips palliative care clinicians should know when caring for patients with endometrial cancer

DAVIDSON, Brittany A. ; MOSS, Haley A. ; ARQUIETTE, Jaclyn ; KAMAL, Arif H.
JOURNAL OF PALLIATIVE MEDICINE, 06/2018, vol.21, n°6, p. 857-861

Treating tobacco use in patients with incurable malignancies - should we even start the conversation?

TROUT, Susan ; GOLDSTEIN, Adam O. ; MARKS, Lawrence ; RIPLEY-MOFFITT, Carol
JOURNAL OF PALLIATIVE MEDICINE, 06/2018, vol.21, n°6, p. 746-750

Hope in hospitalized patients with terminal cancer

BACZEWSKA, Bozena ; BLOCK, Boguslaw ; KROPORNICKA, Beata ; NIEDZIELSKI, Antoni ; MALM, Maria ; ZWOLAK, Agnieszka ; MAKARA-STUDZINSKA, Marta
International journal of environmental research and public health, 12/10/2019, vol.16, n°20, p. 1-10

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Fan therapy for the relief of dyspnea in adults with advanced disease and terminal illness - a meta-analysis of randomized controlled trials

YU, Shui ; SUN, Kai ; XING, Xiufang ; ZHONG, Yinbo ; YAN, Xuemei ; QIU, Weidong ; YAN, Min
JOURNAL OF PALLIATIVE MEDICINE, 12/2019, vol.22, n°12, p. 1603-1609

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Between living well and dying well - existential ambivalence and keeping promises alive

FLAHERTY, Devin
DEATH STUDIES, 2018, vol.42, n°5, p. 314-321

Indian nurses’ attitudes toward euthanasia - gender differences

VIJAYALAKSHMI, P. ; NAGARAJAIAH ; DHARMA REDDY, P. ; SURESH, B. M.
OMEGA JOURNAL OF DEATH AND DYING, 2018, vol.78, n°2, p. 143-160

Fidelity is fundamental - intervention predictors in advance care plans in terminal cancer

VACCARO, Lisa ; BUTOW, Phyllis N. ; LEE, Deborah ; JOHNSON, Stephanie B. ; BELL, Melanie ; CLAYTON, Josephine ; DETERING, Karen Margaret ; TATTERSALL, Martin
BMJ supportive and palliative care, 19/09/2019, Pagination inconnue

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Evaluating the pharmacological management of terminal delirium in imminently dying patients with and without the comfort measure order set

SUTHERLAND, Megan ; STILOS, Kalli Kalliopi
JOURNAL OF HOSPICE AND PALLIATIVE NURSING, 10/2019, vol.21, n°5, p. 430-437

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