• Ms Sophie Hochrath, Dr Naomi Dhollander, Professor Luc Deliens, Professor Rik Schots, Dr Frederick Daenen, Professor Tessa Kerre, Professor Kim Beernaert, and Professor Koen Pardon.
• End-of-Life Care Research Group, Vrije Universiteit Brussel (VUB), Brussels; Belgium & Ghent University, Ghent, Belgium.. Electronic address: sophie.hochrath@vub.be.
• J Pain Symptom Manage. 2024 Aug 20.

ContextWhile the evidence supporting the benefits of integration of palliative care into cancer care for patients and informal caregivers is growing, it poses challenges for hematological cancer patients due to rapidly changing disease trajectories, uncertain prognosis, and diverse care needs.ObjectivesThis systematic review aims to provide an overview of the intervention components, the targeted outcomes, the effectiveness in improving patient and informal caregiver outcomes, and the implementation into clinical practice.MethodsWe systematically searched PubMed (MEDLINE), EMBASE, CENTRAL, PsycINFO, and CINAHL in March 2023. The studies included described interventions in palliative care, with multiple components, targeting patients with hematological cancer and/or their informal caregivers, and producing primary data on effectiveness or implementation. Quality was assessed using the QualSyst tool.ResultsWe identified 19 reports on 16 different palliative care interventions, including 4 quasi-randomized controlled trials. These interventions were provided by secondary and tertiary palliative care providers in a hospital setting. Tertiary interventions significantly improved the most common patient outcomes, including pain, quality of life, symptom burden, depression, and anxiety. Meanwhile, secondary interventions were feasible and well-accepted by healthcare professionals and patients. Despite limited inclusion of informal caregivers, the results indicated significant improvements in quality of life and depression.ConclusionWhile palliative care interventions are found to improve patient outcomes, future research is needed on the effectiveness of secondary palliative care interventions, integrating primary palliative care, and more reliable and frequent implementation measurements. More focus on informal caregivers and resource allocation based on patient needs is warranted.Copyright © 2024. Published by Elsevier Inc.

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