Journal of pain and symptom management
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J Pain Symptom Manage · Jul 2023
Randomized Controlled TrialEffect of Pain Coping Skills Training on Pain and Pain Medication Use for Women with Breast Cancer.
Pain is distressing for women with breast cancer. Pain medication may not provide full relief and can have negative side-effects. Cognitive-behavioral pain intervention protocols reduce pain severity and improve self-efficacy for pain management. These interventions' impact on pain medication use is less clear. Intervention length and coping skills use might play a role in pain outcomes. ⋯ Both conditions led to improvements in pain, pain medication use, pain self-efficacy, and coping skills use, and 5-session PCST showed the greatest benefits. Brief cognitive-behavioral pain intervention improve pain outcomes, and pain self-efficacy may play a role in these effects.
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J Pain Symptom Manage · Jul 2023
Randomized Controlled TrialEffect of an Artificial Intelligence Decision Support Tool on Palliative Care Referral in Hospitalized Patients: A Randomized Clinical Trial.
Palliative care services are commonly provided to hospitalized patients, but accurately predicting who needs them remains a challenge. ⋯ A decision support tool integrated into palliative care practice and leveraging AI/ML demonstrated an increased palliative care consultation rate among hospitalized patients and reductions in hospitalizations.
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J Pain Symptom Manage · Jul 2023
Building a Cardiac Palliative Care Program: A Qualitative Study of the Experiences of Ten Program Leaders from Across the United States.
Palliative care is guideline-recommended for patients with advanced heart failure (HF). However, studies on how cardiac palliative care is provided in the United States are lacking. ⋯ Cardiac palliative care programs vary in their organizational setup but provide similar services and face similar challenges. The challenges and facilitators we identified can inform the development of future cardiac palliative care programs.
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J Pain Symptom Manage · Jul 2023
Specialist palliative care referral practices among oncologists, cardiologists, respirologists: a comparison of national survey studies.
Although patients with nonmalignant diseases have palliative care needs similar to those of cancer patients, they are less likely to receive specialist palliative care (SPC). Referral practices of oncologists, cardiologists, and respirologists could provide insight into reasons for this difference. ⋯ For cardiologists and respirologists in 2018, perceived availability of SPC services was poorer, timing of referral later, and frequency of referral lower than among oncologists in 2010. Further research is needed to identify reasons for differences in referral practices and to develop interventions to overcome them.