Journal of pain and symptom management
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J Pain Symptom Manage · Apr 2022
Cross Country Comparison of Expert Assessments of the Quality of Death and Dying 2021.
Few efforts have attempted to quantify how well countries deliver end-of-life (EOL) care. ⋯ This study provides an example of how a preference-based scoring algorithm and input from key stakeholders can be used to assess EOL health system performance. Results highlight the large disparities in assessments of the quality of EOL care across countries, and especially between the highest income countries and others.
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J Pain Symptom Manage · Apr 2022
Disparities in Supportive Care Needs Over Time between Racial and Ethnic Minority and Non-Minority Patients with Advanced Lung Cancer.
Little is known about inequities in supportive care needs among diverse patients with advanced lung cancer. ⋯ Minority patients with advanced lung cancer are more likely to have higher baseline and persistent supportive care needs relatives to non-minority patients. Clinicians caring for minority patients with lung cancer should provide targeted supportive care evaluation and treatment to ensure health equity.
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J Pain Symptom Manage · Apr 2022
Predictors of family caregivers' depressive- and prolonged-grief-disorder-symptom trajectories.
Depression and prolonged grief disorder (PGD) are related but distinct constructs with different risk factors and treatments. We aimed to determine commonality and differences in factors predicting membership in depressive- and PGD-symptom trajectories to highlight uniqueness of each construct to guide further care and treatments. ⋯ Commonality and differences in factors predicting membership in PGD- and depressive-symptom trajectories confirm that PGD and depression are related but distinct constructs. Interventions should be tailored to caregivers' unique risk profile for depressive- and PGD-symptom trajectories to reduce the likelihood of suffering both or individual symptom trajectories.