Journal of pain and symptom management
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J Pain Symptom Manage · Feb 2020
ReviewEnd-of-Life Care, Palliative Care Consultation, and Palliative Care Referral in the Emergency Department: A Systematic Review.
There is growing interest in providing palliative care (PC) in the emergency department (ED), but relatively little is known about the efficacy of ED-based PC interventions. A 2016 systematic review on this topic found no evidence that ED-based PC interventions affect patient outcomes or health care utilization, but new research has emerged since the publication of that review. ⋯ Existing data support that PC in the ED is feasible, may improve quality of life, and does not appear to affect survival.
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J Pain Symptom Manage · Feb 2020
ReviewEnd-of-Life Care, Palliative Care Consultation, and Palliative Care Referral in the Emergency Department: A Systematic Review.
There is growing interest in providing palliative care (PC) in the emergency department (ED), but relatively little is known about the efficacy of ED-based PC interventions. A 2016 systematic review on this topic found no evidence that ED-based PC interventions affect patient outcomes or health care utilization, but new research has emerged since the publication of that review. ⋯ Existing data support that PC in the ED is feasible, may improve quality of life, and does not appear to affect survival.
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J Pain Symptom Manage · Feb 2020
Review Meta AnalysisAcupuncture for breathlessness in advanced diseases: A systematic review and meta-analysis.
Nonpharmacological approaches are effective strategies for difficult to palliate breathlessness. Although acupuncture is effective for dyspnea in early-stage chronic obstructive pulmonary disease (COPD), little is known about its effects in patients with advanced (non)malignant diseases. ⋯ Acupuncture improved breathlessness severity in patients with advanced diseases. The methodological heterogeneity, low power, and potential morphine-sparing effects of acupuncture as add-on should be further addressed in future trials.
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J Pain Symptom Manage · Feb 2020
Review Meta AnalysisAcupuncture for breathlessness in advanced diseases: A systematic review and meta-analysis.
Nonpharmacological approaches are effective strategies for difficult to palliate breathlessness. Although acupuncture is effective for dyspnea in early-stage chronic obstructive pulmonary disease (COPD), little is known about its effects in patients with advanced (non)malignant diseases. ⋯ Acupuncture improved breathlessness severity in patients with advanced diseases. The methodological heterogeneity, low power, and potential morphine-sparing effects of acupuncture as add-on should be further addressed in future trials.
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J Pain Symptom Manage · Feb 2020
Review Controlled Clinical TrialImpact of Specialized Pediatric Palliative Care: A Systematic Review.
Specialized pediatric palliative care (SPPC) is increasingly involved in the care of seriously ill children, yet the evidence on its impact has not been comprehensively reviewed. ⋯ Receiving SPPC was associated with better child quality of life. However, the paucity and low certainty of the evidence precluded any firm recommendations about SPPC practice. Larger collaborative networks and greater consensus regarding SPPC research standards are needed.