Palliative Care
RCT | Communication-priming intervention boosts goals-of-care discussions for seriously ill patients
29 May, 2023 | 11:12h | UTCIntervention to Promote Communication About Goals of Care for Hospitalized Patients With Serious Illness: A Randomized Clinical Trial – JAMA (free for a limited period)
Editorial: Conversations on Goals of Care With Hospitalized, Seriously Ill Patients – JAMA (free for a limited period)
See also: Visual Abstract
Commentary: Some Surrogate Endpoints Are Fine – By Dr John Mandrola
Pre-Post Study | Machine learning informs mortality risk, increases advanced care planning rates in hospitalized patients
28 Apr, 2023 | 12:54h | UTC
Commentary on Twitter
Communicating mortality predictions from #MachineLearning algorithm to hospitalists may help increase goals of care discussions with high-risk hospitalized patients. https://t.co/dyCmwybcJb @WashUi2db @HealthHandbook
— JAMA Network Open (@JAMANetworkOpen) April 19, 2023
Extracorporeal CPR dissemination and integration with organ preservation in the USA: ethical and logistical considerations
28 Apr, 2023 | 12:47h | UTC
Guideline | Significance of the comprehensive geriatric assessment in the administration of chemotherapy to older adults with cancer
28 Apr, 2023 | 12:43h | UTC
A systematic review on clinical guidelines of home health care in heart failure patients
28 Apr, 2023 | 12:41h | UTC
Opinion | Precision palliative care as a pragmatic solution for a care delivery problem
26 Apr, 2023 | 14:19h | UTC
Commentary from the author on Twitter (thread – click for more)
In the @JCO_ASCO‼️‼️, @ravi_b_parikh & I make the case for 🎯"Precision Palliative Care" 🎯as a pragmatic solution for a care delivery problem
A 🧵
Article https://t.co/1mYcaVIov4 pic.twitter.com/5Kj87rcuZK— Ramy Sedhom, MD (@ramsedhom) April 22, 2023
ESMO Guideline | Prognostic evaluation in patients with advanced cancer in the last months of life
26 Apr, 2023 | 14:07h | UTC
SR | Association between advanced care planning and emergency department visits
18 Apr, 2023 | 13:21h | UTC
Palliative care in the intensive care unit: not just end-of-life care
31 Mar, 2023 | 13:21h | UTCPalliative Care in the Intensive Care Unit: Not Just End-of-life Care – Intensive Care Research
Advantages and challenges of using telehealth for home-based palliative care | Systematic mixed studies review
16 Mar, 2023 | 13:14h | UTC
The adult and pediatric palliative care: differences and shared issues
28 Feb, 2023 | 13:30h | UTC
Cohort Study | Aggressive end-of-life care is still common among older adults with metastatic cancer in the US
27 Feb, 2023 | 13:11h | UTCSummary: The study aimed to compare the markers of aggressive end-of-life (EOL) care between older adults with metastatic cancer who are nursing home (NH) residents and those who live in community settings. The study analyzed data from 146,329 patients who died from metastatic breast, colorectal, lung, pancreas, or prostate cancer between 2013 and 2017, and found that aggressive EOL care was more common among NH residents than community-dwelling residents (63.6% vs. 58.3%). More than one hospital admission in the last 30 days of life and death in the hospital were the key markers associated with a higher prevalence of aggressive EOL care. The authors suggest that interventions targeting these factors could improve the quality of end-of-life care.
Prevalence of long-term decision regret and associated risk factors in a large cohort of ICU surrogate decision makers
22 Feb, 2023 | 12:22h | UTC
Commentary on Twitter
One in five #ICU surrogate decision makers experience moderate to strong regret about life support decisions in ICU.
Read the full article: https://t.co/epCXB4QHRY@jlvincen @ISICEM #FOAMed #FOAMcc pic.twitter.com/0Q3X2uFYk0
— Critical Care (@Crit_Care) February 20, 2023
Regulations on palliative sedation: an international survey across eight European countries
16 Feb, 2023 | 15:17h | UTC
Developments under assisted dying legislation: the experience in Belgium and other countries
14 Feb, 2023 | 11:02h | UTCSummary: The legalization of assisted dying (including euthanasia and physician-assisted suicide) remains a controversial issue as more countries consider such laws. A selective literature review was conducted to examine the developments globally, and the experience in Belgium was found to be instructive. Since legalization, the practice of assisted dying has increased gradually, accompanied by a growing acceptance among the public and physicians. Although fears have been largely alleviated, ongoing monitoring and research are necessary to address important concerns. Research in Belgium has not found evidence of harmful effects, but the implementation of assisted dying laws should always consider integration into the healthcare system, physician training, conscientious objection, availability of palliative care, public education, and monitoring systems. To ensure the quality of end-of-life care, it is advisable to set up monitoring and evaluation systems and carry out impartial studies. It is important to have high levels of openness and involvement with healthcare providers and the general public.
(By ChatGPT, reviewed and edited)
Perspective | Five new realities in critical care for patients with cancer
13 Feb, 2023 | 12:53h | UTCFive new realities in critical care for patients with cancer – Intensive Care Medicine
Related:
Consensus Conference: Critically ill cancer patient’s resuscitation.
Raising awareness for time-limited trial discussion upon ICU triage and admission.
Commentary on Twitter
New realities in critical care for pts with cancer
1️⃣ serious illness no longer means end of life
2️⃣ novel cancer therapies: changing outcomes but creating new diseases
3️⃣ take fresh look at ARF
4️⃣ goals of care & time‑limited trial
5️⃣ look beyond #ICU
📖 https://t.co/ZRNQD6AMIw pic.twitter.com/5QoYVSq5Br— Intensive Care Medicine (@yourICM) February 10, 2023
Consensus Paper | Use of cerebral CT angiography to support a clinical diagnosis of death using neurological criteria
10 Feb, 2023 | 13:48h | UTC
Updating international consensus on best practice in care of the dying: a Delphi study
6 Feb, 2023 | 13:41h | UTC
AHA Scientific Statement | Palliative care across the life span for children with heart disease
15 Jan, 2023 | 20:19h | UTCTop Things to Know: Palliative Care Across Lifespan for Children With Heart Disease – American Heart Association
Commentary: Palliative Care Across the Lifespan for Children with Heart Disease – American Heart Association
Review | End-of-life care in the intensive care unit
15 Jan, 2023 | 19:39h | UTCEnd-of-life care in the intensive care unit – Anaesthesia
Review | Palliative care for adolescents and young adults with advanced illness.
12 Dec, 2022 | 12:33h | UTC
Policy Statement | Palliative care early in the care continuum among patients with serious respiratory illness.
7 Dec, 2022 | 14:22h | UTC
Commentary on Twitter
Read "Palliative Care Early in the Care Continuum among Patients with Serious Respiratory Illness: An Official ATS/AAHPM/HPNA/SWHPN Policy Statement" here: https://t.co/vMALIcwp3K pic.twitter.com/lUclouz0Dj
— American Thoracic (@atscommunity) September 26, 2022
Phase 2b RCT | Cannabidiol oil failed to relieve symptoms in advanced cancer.
1 Dec, 2022 | 14:04h | UTCRelated:
Systematic Review: Cannabis-based products for chronic pain.
Podcast: #338 LIVE! Medical Cannabis: Is it still dope? – The Curbsiders
M-A: Birth outcomes of neonates exposed to marijuana in utero.
Cannabis-related allergies: an international overview and consensus recommendations.
Review: Cannabis-based medicines and medical cannabis for chronic neuropathic pain.
Cannabis products are being sold as sleep remedies – here’s the evidence about their effectiveness.
Guideline: Medical cannabis or cannabinoids for chronic pain.
NICE Guideline: Cannabis-Based Medicinal Products
Short Review: Drug Interactions with Cannabinoids
Meta-Analysis: Cannabinoids Not Effective for Cancer-Related Pain
Review: Considerations for cannabinoids in perioperative care by anesthesiologists.
Review: Cannabis-based Medicines and the Perioperative Physician
Perspective: If You Smoke Pot, Your Anesthesiologist Needs To Know
Brief Review | Tailoring treatments to older people in intensive care. A way forward.
29 Nov, 2022 | 13:51h | UTCTailoring treatments to older people in intensive care. A way forward – Intensive Care Medicine
Commentary on Twitter
Treating older pts in #ICU?
➡️ subgroup growing fast(est)
➡️ outcomes not so poor, but appropriateness context-specific
➡️clusters w similar clinical/prognostic profiles described: most appropriate interventions for them?
📎 https://t.co/iVp5A1gqoQOn
📎 https://t.co/WzN4L4LNt7 pic.twitter.com/2pcAEjmgmy— Intensive Care Medicine (@yourICM) November 11, 2022
Clinical practice guidelines on palliative sedation around the world: a systematic review.
29 Nov, 2022 | 13:43h | UTC