Palliative medicine
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Palliative medicine · Oct 2021
Identification of palliative care needs among people with dementia and its association with acute hospital care and community service use at the end-of-life: A retrospective cohort study using linked primary, community and secondary care data.
Hospital admissions among people dying with dementia are common. It is not known whether identification of palliative care needs could help prevent unnecessary admissions. ⋯ Further investigation of the mechanisms underlying the association between identification of palliative care needs and reduced hospital admissions could help reduce reliance on acute care for this population.
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Palliative medicine · Oct 2021
Improved quality of care and reduced healthcare costs at the end-of-life among older people with dementia who received palliative home care: A nationwide propensity score-matched decedent cohort study.
While palliative home care is advocated for people with dementia, evidence of its effectiveness is lacking. ⋯ Palliative home care use by home-dwelling older people with dementia is associated with improved quality and reduced costs of end-of-life care. Access remains low and should be increased.
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Palliative medicine · Oct 2021
Development and validation of a prediction model of poor performance status and severe symptoms over time in cancer patients (PROVIEW+).
Predictive cancer tools focus on survival; none predict severe symptoms. ⋯ The model accurately predicted changing cancer risk for low performance status and severe symptoms over time.