Study: Effect of Palliative Care on Aggressiveness of End-of-Life Care Among Patients With Advanced Cancer4 Sep, 2017 | 15:45h | UTC
Effect of Palliative Care on Aggressiveness of End-of-Life Care Among Patients With Advanced Cancer – Journal of Oncology Practice (link to abstract – $ for full-text)
Commentaries: Palliative Care May Substantially Decrease Health-Care Utilization in Patients With Advanced Cancer – ASCO Post (free) AND End-of-Life Palliative Care Lowered Utilization for Patients With Cancer – AJMC (free) AND Palliative Care Cut Healthcare Use in Advanced Cancer – MedPage Today (free registration required)
Doctors want to give their cancer patients every chance. But are they pushing off hard talks too long?4 Sep, 2017 | 15:29h | UTC
Source: Critical Care Review Newsletter
Original article: Are Hospital/ED Transfers Less Likely Among Nursing Home Residents With Do-Not-Hospitalize Orders? – Journal of Post-Acute and Long-Term Care Medicine (link to abstract – $ for full-text)
Narrative review: Palliative and end-of-life care in nephrology: moving from observations to interventions – Current Opinion in Nephrology & Hypertension, via Medscape (free registration required)
Should Doctors Decide When It’s Futile to Keep Charlie Gard Alive? – Medscape (free registration required)
Palliative Care in Heart Failure: The PAL-HF Randomized, Controlled Clinical Trial (link to abstract – $ for full-text)
Commentaries: Palliative Care Intervention Improves Quality of Life in Advanced Heart Failure Patients – American College of Cardiology, Latest in Cardiology (free) AND Palliative Care Improves Heart Failure Quality-of-Life – MedPage Today (free registration required)
Effect of specialist palliative care services on quality of life in adults with advanced incurable illness in hospital, hospice, or community settings: systematic review and meta-analysis – The BMJ (free)
The meta-analysis showed a small effect on quality of life with specialist palliative care. The effect was most pronounced for patients with cancer and for those who received specialized care early.
A Research Agenda for Communication Between Health Care Professionals and Patients Living With Serious Illness4 Jul, 2017 | 21:12h | UTC
An end of life strategy probably improved choice of where to die for people with severe respiratory disease – NIHR Signal (free)
Using the New ASCO Clinical Practice Guideline for Palliative Care Concurrent With Oncology Care Using the TEAM Approach16 Jun, 2017 | 01:30h | UTC
See more on Standardized Criteria for Palliative Care Consultation in our April 24 issue, see #8
A better way to care for the dying – The Economist (a few articles per month are free) (RT @EricTopol see Tweet)
“How the medical profession is starting to move beyond fighting death to easing it”.
Prospective, before-after cohort study: Standardized Criteria for Palliative Care Consultation on a Solid Tumor Oncology Service Reduces Downstream Health Care Use – Journal of Oncology Practice (free)
Commentaries on the study: Standardized Palliative Care Consults Cut Cancer Readmissions – Also, less chemotherapy after discharge – MedPage Today (free registration required) AND Standardized Cancer Palliative Care Consults Linked to Stronger Home-Based Support – AJMC (free)
Patients with at least one of the following 4 criteria: 1) advanced solid tumor; 2) prior hospitalization within 30 days; 3) hospitalization > 7 days; or 4) active symptoms – received automatic palliative care consultation. The rates of 30-day readmissions dropped from 35% to 18% and chemotherapy after discharge dropped from 44% to 18%.
See also: Use of Medications of Questionable Benefit at the End of Life in Nursing Home Residents with Advanced Dementia – CBCNews (free) AND Many With Advanced Dementia Receiving Drugs of Uncertain Benefit – Medscape (free registration required)
“Historically, the practice has been “if in doubt, err on the side of aggressive, life-sustaining treatment,””. That might be changing.