Palliative Care in Advanced Cancer Patients: How and When?

Learning Objectives After completing this course, the reader will be able to: Discuss the impact of early access to palliative care service on symptom control, quality of life, and cost of care. Formulate strategies to improve early palliative care access through education and research. This article...

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Veröffentlicht in:The oncologist (Dayton, Ohio) Jg. 17; H. 2; S. 267 - 273
Hauptverfasser: Bruera, Eduardo, Yennurajalingam, Sriram
Format: Journal Article
Sprache:Englisch
Veröffentlicht: Durham, NC, USA AlphaMed Press 01.02.2012
Schlagworte:
Cost of care
Delivery of Health Care, Integrated
Early palliative care
Efficacy of palliative care
Health Care Costs
Humans
Neoplasms - psychology
Neoplasms - therapy
Palliative Care - economics
Quality care
Quality of Health Care
Quality of Life
Supportive care
Symptom control
Symptom Management and Supportive Care
ISSN:1083-7159, 1549-490X, 1549-490X
Online-Zugang:Volltext
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Abstract Learning Objectives After completing this course, the reader will be able to: Discuss the impact of early access to palliative care service on symptom control, quality of life, and cost of care. Formulate strategies to improve early palliative care access through education and research. This article is available for continuing medical education credit at CME.TheOncologist.com Cancer patients develop severe physical and psychological symptoms as a result of their disease and treatment. Their families commonly suffer great emotional distress as a result of caregiving. Early palliative care access can improve symptom control and quality of life and reduce the cost of care. Preliminary results show that early palliative care access can also extend survival. Unfortunately, only a minority of cancer centers in the U.S. have the two most important resources for palliative care delivery: outpatient palliative care centers and inpatient palliative care units. In this article, we use a case presentation to discuss the impact of early palliative care access in light of the currently available evidence, and we recommend ways to improve early access to palliative care through education and research. 摘要 癌症患者常会因为他们自身的疾病或治疗而出现严重的生理和心理症状。患者家属通常也会因为照顾患者而产生很大的情绪困扰。早期姑息治疗可以改善症状控制，提高生活质量以及降低医疗成本。初步结果显示，早期姑息治疗还能够延长患者的生存期。遗憾的是，在美国，仅有少数癌症中心具备提供姑息治疗服务的两个最重要的资源：姑息治疗专科门诊和姑息治疗专科住院科室。在本研究中，我们采用一个案例介绍的方式，根据目前可获得的研究证据，探讨了早期姑息治疗的作用。同时，我们建议通过教育和研究的方式来改善早期进行姑息治疗。 A case presentation is used to discuss the impact of early palliative care access in light of the currently available evidence and ways to improve early access to palliative care through education and research are recommended.
AbstractList Learning Objectives After completing this course, the reader will be able to: Discuss the impact of early access to palliative care service on symptom control, quality of life, and cost of care. Formulate strategies to improve early palliative care access through education and research. This article is available for continuing medical education credit at CME.TheOncologist.com Cancer patients develop severe physical and psychological symptoms as a result of their disease and treatment. Their families commonly suffer great emotional distress as a result of caregiving. Early palliative care access can improve symptom control and quality of life and reduce the cost of care. Preliminary results show that early palliative care access can also extend survival. Unfortunately, only a minority of cancer centers in the U.S. have the two most important resources for palliative care delivery: outpatient palliative care centers and inpatient palliative care units. In this article, we use a case presentation to discuss the impact of early palliative care access in light of the currently available evidence, and we recommend ways to improve early access to palliative care through education and research. 摘要 癌症患者常会因为他们自身的疾病或治疗而出现严重的生理和心理症状。患者家属通常也会因为照顾患者而产生很大的情绪困扰。早期姑息治疗可以改善症状控制，提高生活质量以及降低医疗成本。初步结果显示，早期姑息治疗还能够延长患者的生存期。遗憾的是，在美国，仅有少数癌症中心具备提供姑息治疗服务的两个最重要的资源：姑息治疗专科门诊和姑息治疗专科住院科室。在本研究中，我们采用一个案例介绍的方式，根据目前可获得的研究证据，探讨了早期姑息治疗的作用。同时，我们建议通过教育和研究的方式来改善早期进行姑息治疗。 A case presentation is used to discuss the impact of early palliative care access in light of the currently available evidence and ways to improve early access to palliative care through education and research are recommended.
A case presentation is used to discuss the impact of early palliative care access in light of the currently available evidence and ways to improve early access to palliative care through education and research are recommended. After completing this course, the reader will be able to: Discuss the impact of early access to palliative care service on symptom control, quality of life, and cost of care.Formulate strategies to improve early palliative care access through education and research. This article is available for continuing medical education credit at CME.TheOncologist.com Cancer patients develop severe physical and psychological symptoms as a result of their disease and treatment. Their families commonly suffer great emotional distress as a result of caregiving. Early palliative care access can improve symptom control and quality of life and reduce the cost of care. Preliminary results show that early palliative care access can also extend survival. Unfortunately, only a minority of cancer centers in the U.S. have the two most important resources for palliative care delivery: outpatient palliative care centers and inpatient palliative care units. In this article, we use a case presentation to discuss the impact of early palliative care access in light of the currently available evidence, and we recommend ways to improve early access to palliative care through education and research.
Cancer patients develop severe physical and psychological symptoms as a result of their disease and treatment. Their families commonly suffer great emotional distress as a result of caregiving. Early palliative care access can improve symptom control and quality of life and reduce the cost of care. Preliminary results show that early palliative care access can also extend survival. Unfortunately, only a minority of cancer centers in the U.S. have the two most important resources for palliative care delivery: outpatient palliative care centers and inpatient palliative care units. In this article, we use a case presentation to discuss the impact of early palliative care access in light of the currently available evidence, and we recommend ways to improve early access to palliative care through education and research.
Cancer patients develop severe physical and psychological symptoms as a result of their disease and treatment. Their families commonly suffer great emotional distress as a result of caregiving. Early palliative care access can improve symptom control and quality of life and reduce the cost of care. Preliminary results show that early palliative care access can also extend survival. Unfortunately, only a minority of cancer centers in the U.S. have the two most important resources for palliative care delivery: outpatient palliative care centers and inpatient palliative care units. In this article, we use a case presentation to discuss the impact of early palliative care access in light of the currently available evidence, and we recommend ways to improve early access to palliative care through education and research.Cancer patients develop severe physical and psychological symptoms as a result of their disease and treatment. Their families commonly suffer great emotional distress as a result of caregiving. Early palliative care access can improve symptom control and quality of life and reduce the cost of care. Preliminary results show that early palliative care access can also extend survival. Unfortunately, only a minority of cancer centers in the U.S. have the two most important resources for palliative care delivery: outpatient palliative care centers and inpatient palliative care units. In this article, we use a case presentation to discuss the impact of early palliative care access in light of the currently available evidence, and we recommend ways to improve early access to palliative care through education and research.
Author Bruera, Eduardo
Yennurajalingam, Sriram
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  fullname: Yennurajalingam, Sriram
BackLink https://www.ncbi.nlm.nih.gov/pubmed/22252934$$D View this record in MEDLINE/PubMed
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Notes Disclosures: Eduardo Bruera
Reviewer “A”: Pfizer, Lilly, Bristol‐Myers Squibb, KangLaiTe, Alexion, Biovex, DARA, MiCo, NIH, Robert Wood Johnson Foundation, AHRQ (RF); Amgen, Helsinn Therapeutics, Novartis (C/A, RF).
Sriram Yennurajalingam
Reviewer “B”: None.
Arsenal Medical Inc., Grupo Ferrer, Xenon (C/A); Ameritox, Archimedes Pharmaceuticals, Boston Scientific, Covidien Mallinckrodt Inc., Endo Pharmaceuticals, Forest Labs, K‐Pax Pharmaceuticals, Meda Pharmaceuticals, Medtronics, Otsuka Pharma, ProStrakan, Purdue Pharma, Salix, St. Jude Medical (RF).
None.
Section Editor
Russell K. Portenoy
None
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content type line 23
Section Editor: Russell K. Portenoy: Arsenal Medical Inc., Grupo Ferrer, Xenon (C/A); Ameritox, Archimedes Pharmaceuticals, Boston Scientific, Covidien Mallinckrodt Inc., Endo Pharmaceuticals, Forest Labs, K-Pax Pharmaceuticals, Meda Pharmaceuticals, Medtronics, Otsuka Pharma, ProStrakan, Purdue Pharma, Salix, St. Jude Medical (RF).
Disclosures: Eduardo Bruera: None; Sriram Yennurajalingam: None.
Reviewer “A”: Pfizer, Lilly, Bristol-Myers Squibb, KangLaiTe, Alexion, Biovex, DARA, MiCo, NIH, Robert Wood Johnson Foundation, AHRQ (RF); Amgen, Helsinn Therapeutics, Novartis (C/A, RF).
OpenAccessLink https://academic.oup.com/oncolo/article-pdf/17/2/267/41859851/oncolo_17_2_267.pdf
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Snippet Learning Objectives After completing this course, the reader will be able to: Discuss the impact of early access to palliative care service on symptom control,...
Cancer patients develop severe physical and psychological symptoms as a result of their disease and treatment. Their families commonly suffer great emotional...
A case presentation is used to discuss the impact of early palliative care access in light of the currently available evidence and ways to improve early access...
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StartPage 267
SubjectTerms Cost of care
Delivery of Health Care, Integrated
Early palliative care
Efficacy of palliative care
Health Care Costs
Humans
Neoplasms - psychology
Neoplasms - therapy
Palliative Care - economics
Quality care
Quality of Health Care
Quality of Life
Supportive care
Symptom control
Symptom Management and Supportive Care
Title Palliative Care in Advanced Cancer Patients: How and When?
URI https://onlinelibrary.wiley.com/doi/abs/10.1634%2Ftheoncologist.2011-0219
https://www.ncbi.nlm.nih.gov/pubmed/22252934
https://www.proquest.com/docview/923952716
https://pubmed.ncbi.nlm.nih.gov/PMC3286176
Volume 17
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