Journal of pain and symptom management
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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.
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Palliative care (PC) for seriously ill surgical patients, including aligning treatments with patients' goals and managing symptoms, is associated with improved patient-oriented outcomes and decreased health care utilization. However, efforts to integrate PC alongside restorative surgical care are limited by the lack of a consensus definition for serious illness in the perioperative context. ⋯ We identified a consensus definition for serious illness in surgery. Opportunities remain in measuring the prevalence, identifying health trajectories, and developing screening criteria to integrate PC with restorative surgical care.
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J Pain Symptom Manage · Oct 2019
Randomized Controlled TrialCOMPASS: A Pilot Trial of an Early Palliative Care Intervention for Patients with End Stage Liver Disease.
Palliative care interventions have shown promise in improving quality of life and reducing health-care utilization among patients with chronic organ failure. ⋯ Logistical obstacles hindered completion of the trial as originally designed. Nevertheless, a preemptive palliative care intervention resulted in increased time to first readmission and more days alive outside the hospital in the first six months after study entry.