Journal of pain and symptom management
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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.
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J Pain Symptom Manage · Jul 2023
Preoperative Code Status Discussion Workflows: Targets for Improvement in Multidisciplinary Pathways.
Discussion of perioperative code status is an important element of preoperative care and a component of the American College of Surgeons' Geriatric Surgery Verification (GSV) program. Evidence suggests code status discussions (CSDs) are not routinely performed and are inconsistently documented. ⋯ Process mapping highlighted challenges associated with the implementation of multidisciplinary care pathways and indicated a need for centralization and consolidation of perioperative code status documentation.