Articles: palliative-care.
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J Pain Symptom Manage · Nov 2022
Review Meta AnalysisCannabis in palliative care: a systematic review of current evidence.
Palliative care aims to improve the quality of life in patients with incurable illness. Medicinal cannabis (MC) has been used in the palliative care setting to address multiple symptoms in patients. ⋯ While positive treatment effects have been reported for some MC products in the palliative care setting, further high quality evidence is needed to support recommendations for its use in clinical practice.
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Palliative medicine · Jul 2022
Meta AnalysisThe utility of the surprise question: A useful tool for identifying patients nearing the last phase of life? A systematic review and meta-analysis.
The surprise question is widely used to identify patients nearing the last phase of life. Potential differences in accuracy between timeframe, patient subgroups and type of healthcare professionals answering the surprise question have been suggested. Recent studies might give new insights. ⋯ We found overall reasonable test characteristics for the surprise question. Additionally, this study showed notable differences in performance within patient subgroups. However, we did not find an indication of notable differences between timeframe and healthcare professionals.
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Palliative medicine · Jul 2022
Meta AnalysisHow effective is virtual reality technology in palliative care? A systematic review and meta-analysis.
The efficacy of virtual reality for people living with a terminal illness is unclear. ⋯ Virtual reality in palliative care is feasible and acceptable. However, limited sample sizes and very low-quality studies mean that the efficacy of virtual reality needs further research.
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J Pain Symptom Manage · Jun 2022
Review Meta AnalysisThe therapeutic potential of psychedelic-assisted therapies for symptom control in patients diagnosed with serious illness: a systematic review.
People affected by serious illness usually experience suffering in its various dimensions, not only in the physical but also in the psychosocial and spiritual aspects. The interest in psychedelic-assisted therapies as a potential new therapeutic modality has increased since evidence suggests a significant impact of their use on the outcomes of patients with serious illness. ⋯ The evaluated evidence suggests positive effects of psychedelic-assisted therapies for symptom control in patients diagnosed with serious illness, especially regarding symptoms of psychological and spiritual nature.
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Patients with small intestinal neuroendocrine tumours (siNETs) usually present with advanced disease. Primary tumour resection without curative intent is controversial in patients with metastatic siNETs. The aim of this meta-analysis was to investigate survival after primary tumour resection without curative intent compared with no resection in patients with metastatic siNETs. ⋯ Primary tumour resection is associated with increased survival in patients with advanced, metastatic siNETs, even after adjusting for important confounders.