Journal of pain and symptom management
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J Pain Symptom Manage · Feb 2005
Comment Letter Comparative StudyRe: Use of strong opioids in advanced cancer pain.
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J Pain Symptom Manage · Feb 2005
Letter Comparative StudyThe willingness of palliative care patients to participate in research.
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J Pain Symptom Manage · Feb 2005
Clinical TrialStatus quo of palliative care in pediatric oncology-a nationwide survey in Germany.
Cancer is the leading cause of death among the pediatric population with life-limiting conditions. The provision of palliative care at home and on the children's cancer unit has not been surveyed previously on a national scale. A survey of 71 (of 73) German pediatric oncology units (response rate 97%) provided information on the timing of breaking bad news, place of death, orchestrating palliative care at home and on the ward, integration of services and staff, funding of palliative care, bereavement services for siblings and parents, educational needs, level of self-satisfaction, and designated integrated palliative care services for children with cancer. ⋯ The majority of children dying from cancer in Germany do not have access to comprehensive palliative care services at home. Our study highlights the necessity of incorporating the palliative paradigm into the care of children with cancer. Barriers to its implementation must be identified and overcome.