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Prevalence, trend and disparities of palliative care utilization among hospitalized metastatic breast cancer patients who received critical care therapies

CHEN, Ying ; LIN, Shuchen ; ZHU, Yihui ; XU, Rui ; LAN, Xiaohong ; XIANG, Fang ; LI, Xiang ; ZHANG, Ye ; CHEN, Shudong ; YU, Hao ; WU, Dongni ; ZANG, Juxiang ; TANG, Jiali ; JIN, Jiewen ; HAN, Hedong ; TAO, Zhonghua ; ZHOU, Yonggang ; HU, Xichun
Breast, 07/11/2020, vol.54, p. 264-271

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Prevalence of ethical dilemmas in advanced cancer patients (secondary analysis of the PALCOM study)

TUCA-RODRIGUEZ, Albert ; VILADOT, Margarita ; BARRERA, Carmen ; CHICOTE, Manoli ; CASABLANCAS, Irene ; CRUZ, Claudia ; FONT, Elena ; MARCO-HERNANDEZ, Javier ; PADROSA, Joan ; PASCUAL, Anais ; CODORNIU, Nuria ; ROMAN, Begoña
Supportive care in cancer, 12/11/2020, Pagination inconnue

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Burnout and resilience among Canadian palliative care physicians

WANG, Cindy ; GRASSAU, Pamela ; LAWLOR, Peter G. ; WEBBER, Colleen ; BUSH, Shirley H. ; GAGNON, Bruno ; KABIR, Monisha ; SPILG, Edward G.
BMC palliative care, 06/11/2020, vol.19, n°1, p. 1-14

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Comparison of two measures for complicated grief - brief grief questionnaire (BGQ) and inventory of complicated grief (ICG)

IGARASHI, Naoko ; AOYAMA, Maho ; ITO, Masaya ; NAKAJIMA, Satomi ; SAKAGUCHI, Yukihiro ; MORITA, Tatsuya ; SHIMA, Yasuo ; MIYASHITA, Mitsunori
Japanese journal of clinical oncology, 30/10/2020, Pagination inconnue

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Professional characteristics and the prevalence of advance directives among palliative care professionals - a cross-sectional study

GARCIA, Ana Claudia Mesquita ; DADALTO, Luciana ; PINTO COSTA, Isabelle Cristinne ; NOGUEIRA, Denismar Alves ; CALDEIRA, Silvia ; O'MAHONY, Aoife ; MOREIRA DE BARROS, Guilherme Antonio
Palliative and supportive care, 29/10/2020, p. 1-6

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Trends in noninvasive and invasive mechanical ventilation among medicare beneficiaries at the end of life

SULLIVAN, Donald R. ; KIM, Hyosin ; GOZALO, Pedro L. ; BUNKER, Jennifer ; TENO, Joan M.
JAMA internal medicine, 19/10/2020, Pagination inconnue

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Thème : Soins.

FIN VIE ; VENTILATION ARTIFICIELLE ; ETATS-UNIS ; PREVALENCE

Importance: End-of-life care is costly, and decedents often experience overtreatment or low-quality care. Noninvasive ventilation (NIV) may be a palliative approach to avoid invasive mechanical ventilation (IMV) among select patients who are hospitalized at the end of life.
Objective: To examine the trends in NIV and IMV use among decedents with a hospitalization in the last 30 days of life.
Design, Setting, and Participants: This population-based cohort study used a 20% random sample of Medicare fee-for-service beneficiaries who had an acute care hospitalization in the last 30 days of life and died between January 1, 2000, and December 31, 2017. Sociodemographic, diagnosis, and comorbidity data were obtained from Medicare claims data. Data analysis was performed from September 2019 to July 2020.
Exposures: Use of NIV or IMV.
Main Outcomes and Measures: Validated International Classification of Diseases, Ninth Revision, Clinical Modification or International Statistical Classification of Diseases, Tenth Revision, Clinical Modification procedure codes were reviewed to identify use of NIV, IMV, both NIV and IMV, or none. Four subcohorts of Medicare beneficiaries were identified using primary admitting diagnosis codes (chronic obstructive pulmonary disease [COPD], congested heart failure [CHF], cancer, and dementia). Measures of end-of-life care included in-hospital death (acute care setting), hospice enrollment at death, and hospice enrollment in the last 3 days of life. Random-effects logistic regression examined NIV and IMV use adjusted for sociodemographic characteristics, admitting diagnosis, and comorbidities.
Results: A total of 2 470 435 Medicare beneficiaries (1 353 798 women [54.8%]; mean [SD] age, 82.2 [8.2] years) were hospitalized within 30 days of death. Compared with 2000, the adjusted odds ratio (AOR) for the increase in NIV use was 2.63 (95% CI, 2.46-2.82; % receipt: 0.8% vs 2.0%) for 2005 and 11.84 (95% CI, 11.11-12.61; % receipt: 0.8% vs 7.1%) for 2017. Compared with 2000, the AOR for the increase in IMV use was 1.04 (95% CI, 1.02-1.06; % receipt: 15.0% vs 15.2%) for 2005 and 1.63 (95% CI, 1.59-1.66; % receipt: 15.0% vs 18.2%) for 2017. In subanalyses comparing 2017 with 2000, similar trends found increased NIV among patients with CHF (% receipt: 1.4% vs 14.2%; AOR, 14.14 [95% CI, 11.77-16.98]) and COPD (% receipt: 2.7% vs 14.5%; AOR, 8.22 [95% CI, 6.42-10.52]), with reciprocal stabilization in IMV use among patients with CHF (% receipt: 11.1% vs 7.8%; AOR, 1.07 [95% CI, 0.95-1.19]) and COPD (% receipt: 17.4% vs 13.2%; AOR, 1.03 [95% CI, 0.88-1.21]). The AOR for increased NIV use was 10.82 (95% CI, 8.16-14.34; % receipt: 0.4% vs 3.5%) among decedents with cancer and 9.62 (95% CI, 7.61-12.15; % receipt: 0.6% vs 5.2%) among decedents with dementia. The AOR for increased IMV use was 1.40 (95% CI, 1.26-1.55; % receipt: 6.2% vs 7.6%) among decedents with cancer and 1.28 (95% CI, 1.17-1.41; % receipt: 5.7% vs 6.2%) among decedents with dementia. Among decedents with NIV vs IMV use, lower rates of in-hospital death (50.3% [95% CI, 49.3%-51.3%] vs 76.7% [95% CI, 75.9%-77.5%]) and hospice enrollment in the last 3 days of life (57.7% [95% CI, 56.2%-59.3%] vs 63.0% [95% CI, 60.9%-65.1%]) were observed along with higher rates of hospice enrollment (41.3% [95% CI, 40.4%-42.3%] vs 20.0% [95% CI, 19.2%-20.7%]).
Conclusions and Relevance: This study found that the use of NIV rapidly increased from 2000 through 2017 among Medicare beneficiaries at the end of life, especially among persons with cancer and dementia. The findings suggest that trials to evaluate the outcomes of NIV are warranted to inform discussions about the goals of this therapy between clinicians and patients and their health care proxies.

Origine : PubMed

Sedatives and sedation at the end of life in nursing homes - a retrospective multicenter cohort study

SCHILDMANN, Eva ; MEESTERS, Sophie ; GRUNE, Bettina ; BOLZANI, Anna ; HABBOUB, Basel ; HERMANN, Alina ; REMI, Constanze ; BAUSEWEIN, Claudia
Journal of the American Medical Directors Association, 08/10/2020, p. 1-8

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Prevalence of burnout in healthcare professionals providing palliative care and the effect of interventions to reduce symptoms - a systematic literature review

DIJXHOORN, Anne-Floor Q. ; BROM, Linda ; VAN DER LINDEN, Yvette M. ; LEGET, Carlo ; RAIJMAKERS, Natasja Jh
PALLIATIVE MEDICINE, 16/10/2020, Pagination inconnue

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Burnout in palliative care nurses, prevalence and risk factors - a systematic review with meta-analysis

GOMEZ-URQUIZA, Jose Luis ; ALBENDIN-GARCIA, Luis ; VELANDO-SORIANO, Almudena ; ORTEGA-CAMPOS, Elena ; RAMIREZ-BAENA, Lucía ; MEMBRIVE-JIMENEZ, María Jose ; SULEIMAN-MARTOS, Nora
International journal of environmental research and public health, 21/10/2020, vol.17, n°20, p. 1-13

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Cancer prevalence by phase of care - an indicator for assessing health service needs

GIGLI, Anna ; FRANCISCI, Silvia ; GUZZINATI, Stefano ; HALL, Aaron ; HACHEY, Mark ; SCOPPA, Steve ; MARIOTTO, Angela
Tumori, 23/10/2020, p. 1-7

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The clinical frailty scale - estimating the prevalence of frailty in older patients hospitalised with covid-19. The cope study

COLLINS, Jemima T. ; SHORT, Roxanna ; CARTER, Ben ; VERDURI, Alessia ; MYINT, Phyo K. ; QUINN, Terence J. ; VILCHES-MORAGA, Arturo ; STECHMAN, Michael J. ; MOUG, Susan ; MCCARTHY, Kathryn ; HEWITT, Jonathan
Geriatrics, 09/2020, vol.5, n°3, p. 1-7

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Prevalence and characteristics of older adults with a persistent death wish without severe illness - a large cross-sectional survey

HARTOG, Iris D. ; ZOMERS, Margot L. ; VAN THIEL, Ghislaine J. M. W. ; LEGET, Carlo ; SACHS, Alfred P. E. ; UITERWAAL, Cuno S. P. M. ; VAN DEN BERG, Vera ; VAN WIJNGAARDEN, Els
BMC GERIATRICS, 17/09/2020, vol.20, n°1, p. 1-14

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Prevalence of palliative sedation in the state of São Paulo - an emerging medical demand

PIEDADE, Márjorie Anção Oliveira ; CARDOSO FILHO, Carlos Alberto ; PRIOLLI, Denise Gonçalves
Einstein, 2020, vol.18, p. 1-9

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Potentially inappropriate treatments at the end of life in nursing home residents - findings from the PACE cross-sectional study in 6 European countries

HONINX, Elisabeth ; VAN DEN BLOCK, L. ; PIERS, R. ; VAN KUIJK, S. M. J. ; ONWUTEAKA-PHILIPSEN, B. D. ; PAYNE, S.A. ; SZCZERBINSKA, K. ; GAMBASSI, G. G. ; FINNE-SOVERI, H. ; DELIENS, Luc ; SMETS, T.
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT, 08/09/2020, p. 1-12

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Prevalence of resuscitation in cancer patients at the end of life - a population-based observational study from Germany

DASCH, Burkhard ; LENZ, Philipp ; ZAHN, Peter K.
Annals of palliative medicine, 08/09/2020, p. 1-14

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Prevalence, incidence and associated factors of pressure injuries in hospices - a multicentre prospective longitudinal study

ARTICO, Marco ; PIREDDA, Michela ; D'ANGELO, Daniela ; LUSIGNANI, Maura ; GIANNARELLI, Diana ; MARCHETTI, Anna ; DE CHIRICO, Cosimo ; MASTROIANNI, Chiara ; DE MARINIS, Maria Grazia
International journal of nursing studies, 01/11/2020, vol.111, Pagination inconnue

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Futility in the paediatric cardiac ICU

FUNDORA, Michael P. ; RODRIGUEZ, Zahidee ; MAHLE, William T.
Cardiology in the young, 24/07/2020, p. 1-8

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Characteristics of family meetings for patients with advanced disease in an Australian metropolitan tertiary hospital

WANG, Amy ; THOMAS, Kristina ; WEIL, Jennifer ; HUDSON, Peter
BMJ supportive and palliative care, 27/07/2020, Pagination inconnue

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Estimating the prevalence of life-limiting conditions in Queensland for children and young people aged 0-21 years using health administration data

BOWERS, Alison P. ; CHAN, Raymond J. ; HERBERT, Anthony ; YATES, Patsy
Australian health review, 08/2020, vol.44, n°4, p. 630-636

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

PREVALENCE ; PEDIATRIE ; AUSTRALIE ; MALADIE LETALE

Objective: The prevalence of life-limiting conditions in children in Australia is unknown; such data are needed to inform health service planning for paediatric palliative care. The aim of this study was to estimate the prevalence of life-limiting conditions for children and young people aged 0-21 years living in Queensland, Australia.
Methods: An observational study using linked administrative health data from the 2011 and 2016 calendar years was performed for all individuals with an International Statistical Classification of Diseases and Related Health Problems 10th Revision Australian Modification code relating to a life-limiting condition eligible for palliative care recorded against an admission to a public or private hospital and health service provider in Queensland or against a cause or underlying cause of death in the Queensland Registrar General Deaths.
Results: The overall prevalence of life-limiting conditions per 10000 population increased from 35.2 (95% confidence interval (CI) 34.2-36.2) in 2011 to 43.2 (95% CI 42.1-44.4) in 2016. This increase in prevalence was greatest for children <1 year of age and for those who identified as Aboriginal and Torres Strait Islander.
Conclusion: This study has estimated the prevalence of life-limiting conditions for children and young people aged 0-21 years living in Queensland. Estimation of the number of children and young people with life-limiting conditions can inform health service planning for paediatric palliative care in Queensland. Future research is needed to identify the number of children and young people with life-limiting conditions who do not have an admitted episode. What is known about the topic? Data from the UK indicate that the prevalence of life-limiting conditions among children and young people is increasing. However, such data are not available for the Australian population. Because prevalence data can be affected by population characteristics, it is important to establish country-specific epidemiological data rather than extrapolating data from other countries. Country-specific data can inform health planners and policy makers of the scale of the problem within a geographical and demographic context. This is essential for Australia given the diverse geographical and demographic characteristics and specific needs of Aboriginal and Torres Strait Islander peoples. What does this paper add? This study is the first to provide an estimate of the prevalence of life-limiting conditions in children and young people aged 0-21 years in Queensland. Estimates include the prevalence of life-limiting conditions in children and young people who identify as being of Aboriginal and/or Torres Strait Islander descent. What are the implications for practitioners? The prevalence of life-limiting conditions in Queensland is greater than previously thought. There is a need to grow both a generalist and specialist paediatric palliative care workforce in response to this increasing prevalence. The estimates of prevalence proportions from this study provide the foundation on which future health service activities can be built because they provide country-specific clinical and demographic characteristics.

Origine : PubMed

Prevalence and correlates of unmet palliative care needs in dyads of Chinese patients with advanced cancer and their informal caregivers - a cross-sectional survey

WANG, Tao ; MOLASSIOTIS, Alex ; TAN, Jing-Yu ; CHUNG, Betty Pui Man ; HUANG, Hou-Qiang
Supportive care in cancer, 10/08/2020, Pagination inconnue

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