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TRAJECTOIRE MALADIE

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Comparison of end-of-life care in people with chronic obstructive pulmonary disease or lung cancer - a systematic review

BUTLER, Stacey J ; ELLERTON, Lauren ; GERSHON, Andrea S ; GOLDSTEIN, Roger S ; BROOKS, Dina
PALLIATIVE MEDICINE, 02/06/2020, Pagination inconnue

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Association of palliative care use and setting with healthcare utilization and quality of care at the end of life among patients with advanced lung cancer

VRANAS, Kelly C. ; LAPIDUS, Jodi A. ; GANZINI, Linda ; SLATORE, Christopher G. ; SULLIVAN, Donald R.
Chest, 06/2020, Pagination inconnue

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"It made me more human" - existential journeys of family caregivers from prognosis notification until after the death of a loved one

VACHON, Mélanie
JOURNAL OF PALLIATIVE MEDICINE, 24/04/2020, Pagination inconnue

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When to integrate palliative care in the trajectory of cancer care

KAYASTHA, Neha ; LEBLANC, Thomas W.
Current treatment options in oncology, 23/04/2020, vol.21, n°5, Pagination inconnue

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The experiences of, and need for, palliative care for people with motor neurone disease and their informal caregivers - a qualitative systematic review

FLEMMING, Kate ; TURNER, Victoria ; BOLSHER, Samantha ; HULME, Bill ; MCHUGH, Elizabeth ; WATT, Ian
PALLIATIVE MEDICINE, 14/04/2020, Pagination inconnue

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Variability of cost trajectories over the last year of life in patients with advanced breast cancer in the Netherlands

SCHNEIDER, Paul P. ; POUWELS, Xavier G. L. V. ; PASSOS, Valéria Lima ; RAMAEKERS, Bram L. T. ; GEURTS, Sandra M. E. ; IBRAGIMOVA, Khava I. E. ; DE BOER, Maaike ; ERDKAMP, Frans ; VRIENS, Birgit E. P. J. ; VAN DE WOUW, Agnes J. ; DEN BOER, Marien O. ; PEPELS, Manon J. ; TJAN-HEIJNEN, Vivianne C. G. ; JOORE, Manuela A.
Plos one, 09/04/2020, vol.15, n°4, p. 1-14

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Regional variation in hospital care at the end-of-life of Dutch patients with lung cancer exists and is not correlated with primary and long-term care

DE MAN, Yvonne ; GROENEWOUD, Stef ; OOSTERVELD-VLUG, Mariska G. ; BROM, Linda ; ONWUTEAKA-PHILIPSEN, Bregje D. ; WESTERT, Gert P. ; ATSMA, Femke
International journal for quality in health care, 18/03/2020, p. 1-6

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Health care costs at end-of-life for patients with idiopathic pulmonary fibrosis - evaluation of a pilot multidisciplinary clinic

KALLURI, Meena ; LU-SONG, Jenny ; YOUNUS, Sarah ; NABIPOOR, Majid ; RICHMAN-EISENSTAT, Janice ; OHINMAA, Arto ; BAKAL, Jeffrey A.
Annals of the American Thoracic Society, 20/03/2020, Pagination inconnue

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Thème : Médecine.

COUT SANTE ; FIN VIE ; MALADIE RESPIRATOIRE ; DEMARCHE PALLIATIVE ; TRAJECTOIRE MALADIE

RATIONALE: Even though Idiopathic pulmonary fibrosis (IPF) is a disease with high morbidity and mortality and no cure, palliative care is rarely implemented, leading to high symptom burden and unmet care needs. In 2012 we implemented a Multidisciplinary Collaborative (MDC) care model linking clinic and community multidisciplinary teams to provide an early-integrated palliative approach, focusing on early symptom management and advanced care planning (ACP).
OBJECTIVES: This study evaluates the differences in resource utilization and associated costs of end-of-life care between early-integrated palliative and conventionally treated IPF patients.
METHODS: Using administrative health data, we identified all patients in Alberta who presented to hospital with an IPF diagnosis between Jan 1, 2012 and Dec 31, 2018 and died within this timeframe. We compared 3 groups of patients: those who received (1) MDC care (our clinic patients), (2) specialist care (SC; respirologist), and (3) non-specialist care (NSC; no contact with a respiratory clinic). The primary outcomes were health care resource utilization and costs in the year before death.
RESULTS: Of 2,768 patients across three groups, MDC patients were over 3 times more likely to have received anti-fibrotic therapies over SC patients (OR=3.0; 95%CI 1.8-5.2), almost twice as likely to receive pulmonary rehab (OR=1.9; 95%CI 1.1-3.4) and 36% more likely to receive opiates (OR=1.4; 95%CI 0.8-2.3) in the last year of life. The median total health care costs in the last 3 months of life were approximately $7,700 CDN lower for MDC patients compared to those receiving specialist care, driven primarily by fewer hospitalizations and ED visits. MDC patients were also less likely to die in hospital (44.9% MDC vs 64.9% SC vs 66.8% NSC, p<0.001) and had the highest rates of no hospitalization in the last year of life.
CONCLUSIONS: An integrated palliative approach in IPF is associated with improvements in the quality of end-of-life care and reduction in costs. Transformation of care models is required to deliver a palliative approach in IPF. Multidisciplinary collaborative teams within such models can address the high burden of unmet needs for symptom management, advance care planning (ACP) and community support in this complex population.

Origine : PubMed

Inter-rater reliability of the phase of illness tool in pediatric palliative care

BURKE, Kimberley ; COOMBES, Lucy H. ; PETRUCKEVITCH, Ann ; ANDERSON, Anna-Karenia
The American journal of hospice and palliative care, 19/03/2020, Pagination inconnue

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Impact of length of hospice on spending and utilization among medicare beneficiaries with lung cancer

KALIDINDI, Yamini ; JUNG, Jeah ; SEGEL, Joel ; LESLIE, Douglas
The American journal of hospice and palliative care, 03/03/2020, Pagination inconnue

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Disease trajectories, place and mode of death in people with head and neck cancer - findings from the 'head and neck 5000' population-based prospective clinical cohort study

MAYLAND, Catriona R. ; INGARFIELD, Kate ; ROGERS, Simon N. ; DEY, Paola ; THOMAS, Steven ; WAYLEN, Andrea ; LEARY, Sam D. ; PRING, Miranda ; HURLEY, Katrina ; WATERBOER, Tim ; PAWLITA, Michael ; NESS, Andy R.
PALLIATIVE MEDICINE, 27/02/2020, Pagination inconnue

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Palliative care in children with heart disease treated in an ICU

DELGADO-CORCORAN, Claudia ; WAWRZYNSKI, Sarah E. ; BENNETT, Erin E. ; GREEN, Danielle ; BODILY, Stephanie ; MOORE, Dominic ; COOK, Lawrence J. ; OLSON, Lenora M.
Pediatric critical care medicine, 04/03/2020, Pagination inconnue

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Underutilization of hospice in inpatients with cirrhosis - the NACSELD experience

O'LEARY, Jacqueline G. ; TANDON, Puneeta ; REDDY, K. Rajender ; BIGGINS, Scott W. ; WONG, Florence ; KAMATH, Patrick S. ; GARCIA-TSAO, Guadalupe ; MALIAKKAL, Benedict ; LAI, Jennifer ; FALLON, Michael ; VARGAS, Hugo E. ; THULUVATH, Paul ; SUBRAMANIAN, Ram ; THACKER, Leroy R. ; BAJAJ, Jasmohan S.
Digestive diseases and sciences, 07/03/2020, Pagination inconnue

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First referral to an integrated onco-palliative care program - a retrospective analysis of its timing

BARTH, Claire ; COLOMBET, Isabelle ; MONTHEIL, Vincent ; HUILLARD, Olivier ; BOUDOU-ROUQUETTE, Pascaline ; TLEMSANI, Camille ; ALEXANDRE, Jérôme ; GOLDWASSER, François ; VINANT-BINAM, Pascale
BMC palliative care, 12/03/2020, vol.19, n°1, p. 1-11

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Till death do us part - the effect of marital status on health care utilization and costs at end-of-life. A register study on all colorectal cancer decedents in Norway between 2009 and 2013

BJORNELV, Gudrun Maria Waaler ; EDWIN, Bjørn ; FRETLAND, Åsmund Avdem ; DEB, Partha ; AAS, Eline
BMC health services research, 13/02/2020, vol.20, n°1, p. 1-13

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Association between palliative care and death at home in adults with heart failure

QUINN, Kieran L. ; HSU, Amy T. ; SMITH, Glenys ; STALL, Nathan ; DETSKY, Allan S. ; KAVALIERATOS, Dio ; LEE, Douglas S. ; BELL, Chaim M. ; TANUSEPUTRO, Peter
Journal of the American Heart Association, 03/03/2020, vol.9, n°5, p. 1-21

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Intensity of care, expenditure, place and cause of death people with lung cancer in the year before their death - a French population based study

TANGUY-MELAC, Audrey ; DENIS, Pierre ; PESTEL, Laurence ; FAGOT-CAMPAGNA, Anne ; GASTALDI-MENAGER, Christelle ; TUPPIN, Philippe
Bulletin du cancer, 03/2020, vol.107, n°3, p. 308-321

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Analysis of inpatient palliative care consultations for patients with metastatic prostate cancer

MISTRY, Neil A. ; RAZA, Syed Johar ; SIDDIQUI, Sameer A.
The American journal of hospice and palliative care, 02/2020, vol.37, n°2, p. 136-141

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Factors associated with elective withdrawal of maintenance hemodialysis - a case-control analysis

WETMORE, James B. ; YAN, Heng ; GILBERTSON, David T. ; LIU, Jiannong
American journal of nephrology, 04/02/2020, p. 1-10

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