Journal of palliative medicine
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Web-based applications are available for prognostication of individual patients. These prognostic models were developed for groups of patients. No one is the average patient, and using these calculators to inform individual patients could provide misleading results. ⋯ Instead of reporting average risk scores, web-based calculators may improve accuracy of predictions by reporting the unconfounded risks.
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Lymphedema frequently develops as a long-term effect from cancer and/or its treatment, including head and neck cancer (HNC). There is a substantial lack of understanding regarding the symptoms and experiences related to head and neck lymphedema. ⋯ Clinicians need to inquire about tissue swelling and associated symptoms early in the post-treatment period to initiate lymphedema management strategies in a timely manner and facilitate reduction of long-term symptom burden and functional deficits.
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Hospital admissions at the end of life (EOL) represent an established indicator of poor quality of care. ⋯ The intensity of integrated HPCCD plans of care was associated with a reduction in EOL hospital stay and in hospital death.