Journal of pain and symptom management
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J Pain Symptom Manage · Nov 2019
Outcomes of Palliative Care Consultations for Hospitalized Patients with Liver Disease.
Although palliative care (PC) has been shown to improve symptoms and end-of-life (EOL) care for patients with cancer, data are lacking on the patterns of use and outcomes of PC consultations for hospitalized patients with liver disease. ⋯ Hospitalized patients with liver disease were more likely to have a PC referral to address goals of care compared with those with cancer and were more likely to die in the hospital. Despite late PC consultations, patients with liver disease experienced improvement in symptoms and clarification of their goals of care, similar to those with cancer.
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J Pain Symptom Manage · Nov 2019
Letter Randomized Controlled Trial Multicenter StudyA randomised, double-blind, multi-site, pilot placebo-controlled trial of regular, low dose morphine on outcomes of pulmonary rehabilitation in COPD.
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J Pain Symptom Manage · Nov 2019
Assessing the Reliability and Validity of a Brief Measure of Caregiver Quality of Life.
There is a need for brief measurement instruments that do not cause burden to hospice caregivers. The Caregiver Quality of Life Index (CQLI) has been used in several studies, but assessment of its psychometric properties has been minimal. The CQLI-R (revised) instrument was found to have equivalent properties but also has had minimal testing in small samples. ⋯ The CQLI-R is an easy-to-use instrument to assess caregiver quality of life. Despite adequate reliability and construct validity, further evidence is needed to support content validity.
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J Pain Symptom Manage · Nov 2019
Is in-hospital mortality higher in patients with metastatic lung cancer who received treatment in the last month of life? A retrospective cohort study.
Metastatic lung cancer is an incurable disease that results in a high burden of symptoms, a poor quality of life, and an expected prognosis of less than one year after diagnosis. Treatment shortly before death may result in potential burdensome and inappropriate hospital admissions and hospital deaths. Dying at home is, at a population level, considered a quality for good end-of-life care. ⋯ In The Netherlands, fewer than one in five patients with metastatic lung cancer died in the hospital and in-hospital death was associated with the relatively late use of chemotherapy or targeted therapy. Careful selection of patients for disease-modifying therapy might enhance the opportunity for patients to die at their preferred place.
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J Pain Symptom Manage · Nov 2019
Validation of the French Version of the Integrated Palliative care Outcome Scale (IPOS).
The Integrated Palliative care Outcome Scale (IPOS) is a widely used tool for assessing patient needs in palliative care. ⋯ IPOS-Fr has fair to good validity, especially with regard to interrater agreement and construct validity, is sensitive to positive change, and has good interpretability and acceptability for patients and staff. IPOS-Fr is not optimal in terms of internal consistency and structure when using subscale scores, except for the emotional subscale.