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REVUE SYSTEMATIQUE

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The experiences and perspectives of family surrogate decision-makers - a systematic review of qualitative studies

SU, Ya ; YUKI, Michiko ; HIRAYAMA, Kengo
Patient education and counseling, 16/12/2019, p. 1-12

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The relationship of palliative care with assisted dying where assisted dying is lawful - a systematic scoping review of the literature

GERSON, Sheri Mila ; KOKSVIK, Gitte ; RICHARDS, Naomi ; MATERSTVEDT, Lars Johan ; CLARK, David
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT, 24/12/2019, p. 1-42

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Paediatric palliative care - a systematic review

NILSSON, Stefan ; OHLEN, Joakim ; HESSMAN, Eva ; BRÄNNSTRÖM, Margareta
BMJ supportive and palliative care, 13/12/2019, Pagination inconnue

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Systematic critical realist review of interventions designed to improve end-of-life care in care homes

SPACEY, Adam ; SCAMMELL, Janet ; BOARD, Michele ; PORTER, Sam
Nursing and health sciences, 04/12/2019, Pagination inconnue

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Economic evaluations of palliative care models - a systematic review

MATHEW, Christine ; HSU, Amy T. ; PRENTICE, Michelle ; LAWLOR, Peter G. ; KYEREMANTENG, Kwadwo ; TANUSEPUTRO, Peter ; WELCH, Vivian
PALLIATIVE MEDICINE, 19/12/2019, Pagination inconnue

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Resilience in caregivers - a systematic review

PALACIO G, Carolina ; KRIKORIAN, Alicia ; GÓMEZ-ROMERO, María José ; LIMONERO, Joaquín T.
The American journal of hospice and palliative care, 13/12/2019, Pagination inconnue

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Resilience in palliative healthcare professionals - a systematic review

ZANATTA, Francesco ; MAFFONI, Marina ; GIARDINI, Anna
Supportive care in cancer, 06/12/2019, p. 1-8

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Effectiveness of dignity therapy for patients with advanced cancer - a systematic review and meta-analysis of 10 randomized controlled trials

LI, Yanfei ; LI, Xiuxia ; HOU, Liangying ; CAO, Liujiao ; LIU, Guanghua ; YANG, Kehu
Depression and anxiety, 06/12/2019, Pagination inconnue

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Palliative care for community patients diagnosed with dementia - a systematic review

SMITH, Cathryn ; NEWBURY, Gina
British journal of community nursing, 02/12/2019, vol.24, n°12, p. 570-575

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Marital status and risk of physical frailty - a systematic review and meta-analysis

KOJIMA, Gotaro ; WALTERS, Kate ; ILIFFE, Steve ; TANIGUCHI, Yu ; TAMIYA, Nanako
Journal of the American Medical Directors Association, 15/11/2019, Pagination inconnue

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

REVUE SYSTEMATIQUE ; META-ANALYSE ; MARIAGE ; VULNERABILITE ; PERSONNE AGEE

OBJECTIVES: Evidence on associations between marital status and frailty is limited. The objectives of this study were to perform a systematic review for associations between marital status and physical frailty and to perform a meta-analysis to combine findings.
DESIGN: Systematic review and meta-analysis.
SETTING AND PARTICIPANTS: Community-dwelling older people with mean age =60 years.
METHODS: Systematic literature search using 5 databases was conducted in February 2019 to identify longitudinal and cross-sectional studies examining associations between marital status and Fried's phenotype-based frailty status. Additional studies were searched for by reviewing the reference lists of relevant articles and conducting forward citation tracking of included articles. Odds ratio (OR) of marital status and frailty was pooled using a random-effects meta-analysis. Subgroup analysis and analyses stratified by gender and marital status (married, widowed, divorced or separated, and never married) were completed.
RESULTS: A total of 1565 studies were found, from which 3 studies with longitudinal data and 35 studies with cross-sectional data were included. Although longitudinal studies suggested that married men had lower frailty risks than unmarried men while married women had higher frailty risks than widowed women, meta-analysis was not possible because of different methodologies. Meta-analyses of cross-sectional data from 35 studies including 80,754 individuals showed that unmarried individuals were almost twice more likely to be frail than married individuals (pooled odds ratio = 1.88, 95% confidence interval = 1.70-2.07). A high degree of heterogeneity was observed (I2 = 69%) and was partially explained by reasons for not being married and study location. Stratified analyses showed that pooled risks of frailty in the unmarried compared with the married were not statistically different between women and women (P for difference = .62).
CONCLUSIONS AND IMPLICATIONS: Three and 35 studies, respectively, were found providing longitudinal and cross-sectional data regarding associations between marital status and frailty among community-dwelling older people. A meta-analysis of cross-sectional data showed almost twice higher frailty risk in unmarried individuals compared with married individuals. Marital status should be recognized as an important factor, and more longitudinal studies controlling for potential confounding factors are needed.

Origine : PubMed

Outcomes of clinical ethics support near the end of life - a systematic review

HALTAUFDERHEIDE, Joschka ; NADOLNY, Stephan ; GYSELS, Marjolein ; BAUSEWEIN, Claudia ; VOLLMANN, Jochen ; SCHILDMANN, Jan
Nursing ethics, 19/11/2019, Pagination inconnue

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Thème : Ethique et déontologie.

FIN VIE ; REVUE SYSTEMATIQUE ; COMITE ETHIQUE ; ETHIQUE CLINIQUE

BACKGROUND: Clinical ethics support services have been advocated in recent decades. In clinical practice, clinical ethics support services are often requested for difficult decisions near the end of life. However, their contribution to improving healthcare has been questioned and demands for evaluation have been put forward. Research indicates that there are considerable challenges associated with defining adequate outcomes for clinical ethics support services. In this systematic review, we report findings of qualitative studies and surveys, which have been conducted to evaluate clinical ethics support services near the end of life.
METHODS: Electronic databases and other sources were queried from 1970 to May 2018. Two authors screened studies independently. Methodological quality of studies was assessed. For each arm of the review, an individual synthesis was performed. Prospero ID: CRD42016036241.
ETHICAL CONSIDERATIONS: Ethical approval is not needed as it is a systematic review of published literature.
RESULTS: In all, 2088 hits on surveys and 2786 on qualitative studies were found. After screening, nine surveys and four qualitative studies were included. Survey studies report overall positive findings using a very wide and heterogeneous range of outcomes. Negative results were reported only occasionally. However, methodological quality and conceptual justification of used outcomes was often weak and limits generalizability of results.
CONCLUSION: Evidence points to positive outcomes of clinical ethics support services. However, methodological quality needs to be improved. Further qualitative or mixed-method research on evaluating clinical ethics support services may contribute to the development of evaluating outcomes of clinical ethics support services by means of broaden the range of appropriate (process-oriented) outcomes of (different types of) clinical ethics support services.

Origine : PubMed

Does post-registration palliative care education for nurses improve practice? - a systematic review

THAVARAJ, Angela ; GILLETT, Karen
International Journal of Palliative Nursing, 11/2019, vol.25, n°11, p. 552-564

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Interventions for end of life decision making for patients with limited English proficiency

BARWISE, Amelia ; BALLS-BERRY, Joyce ; SOLEIMANI, Jalal ; KARKI, Bibek ; BARRETT, Brandon ; CASTILLO, Katerina ; KREPS, Samantha ; KUNKEL, Hilary ; VEGA, Beatriz ; ERWIN, Patricia ; ESPINOZA SUAREZ, Nataly ; WILSON, Michael E.
Journal of immigrant and minority health, 20/11/2019, p. 1-13

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A systematic review of the integration of palliative care in dementia management

SENDEROVICH, Helen ; RETNASOTHIE, Sivarajini
Palliative and supportive care, 18/11/2019, p. 1-12

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Systemic inflammation and nutritional status in patients on palliative cancer care - a systematic review of observational studies

DE ARAÚJO FONSECA CORDEIRO, Luisa ; HUAYTALLA SILVA, Thiago ; COSTA DE OLIVEIRA, Livia ; NOGUEIRA NETO, José Firmino
The American journal of hospice and palliative care, 18/11/2019, Pagination inconnue

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International variations in clinical practice guidelines for palliative sedation - a systematic review

ABARSHI, Ebun ; RIETJENS, Judith ; ROBIJN, Lenzo ; CARACENI, Augusto ; PAYNE, Sheila ; DELIENS, Luc ; VAN DEN BLOCK, Lieve ; EURO IMPACT
BMJ supportive and palliative care, 01/01/2017, vol.7, n°3, p. 223-229

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Palliative and end-of-life care and junior doctors' - a systematic review and narrative synthesis

BHARMAL, Aamena ; MORGAN, Tessa ; KUHN, Isla ; WEE, Bee ; BARCLAY, Stephen
BMJ supportive and palliative care, 13/11/2019, p. 1-7

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The effect of advance care planning on heart failure - a systematic review and meta-analysis

SCHICHTEL, Markus ; WEE, Bee ; PERERA, Rafael ; ONAKPOYA, Igho
Journal of general internal medicine, 12/11/2019, p. 1-11

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Thème : Soins. Cote : eD02.03.00

PROJET SOIN ANTICIPE ; INSUFFISANCE CARDIAQUE ; REVUE SYSTEMATIQUE ; META-ANALYSE

BACKGROUND: Advance care planning is widely advocated to improve outcomes in end-of-life care for patients suffering from heart failure. But until now, there has been no systematic evaluation of the impact of advance care planning (ACP) on clinical outcomes. Our aim was to determine the effect of ACP in heart failure through a meta-analysis of randomized controlled trials (RCTs).
METHODS: We searched CINAHL, Cochrane Central Register of Controlled Trials, Database of Systematic Reviews, Embase, ERIC, Ovid MEDLINE, Science Citation Index and PsycINFO (inception to July 2018). We selected RCTs including adult patients with heart failure treated in a hospital, hospice or community setting. Three reviewers independently screened studies, extracted data, assessed the risk of bias (Cochrane risk of bias tool) and evaluated the quality of evidence (GRADE tool) and analysed interventions according to the Template for Intervention Description and Replication (TIDieR). We calculated standardized mean differences (SMD) in random effects models for pooled effects using the generic inverse variance method.
RESULTS: Fourteen RCTs including 2924 participants met all of the inclusion criteria. There was a moderate effect in favour of ACP for quality of life (SMD, 0.38; 95% CI [0.09 to 0.68]), patients' satisfaction with end-of-life care (SMD, 0.39; 95% CI [0.14 to 0.64]) and the quality of end-of-life communication (SMD, 0.29; 95% CI [0.17 to 0.42]) for patients suffering from heart failure. ACP seemed most effective if it was introduced at significant milestones in a patient's disease trajectory, included family members, involved follow-up appointments and considered ethnic preferences. Several sensitivity analyses confirmed the statistically significant direction of effect. Heterogeneity was mainly due to different study settings, length of follow-up periods and compositions of ACP.
CONCLUSIONS: ACP improved quality of life, patient satisfaction with end-of-life care and the quality of end-of-life communication for patients suffering from heart failure and could be most effective when the right timing, follow-up and involvement of important others was considered.

Origine : PubMed

Study title - barriers to palliative and hospice care utilization in older adults with cancer: a systematic review

PARAJULI, Jyotsana ; TARK, Aluem ; JAO, Ying-Ling ; HUPCEY, Judith
Journal of geriatric oncology, 04/11/2019, Pagination inconnue

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