دورية أكاديمية
Specialist palliative and end-of-life care for patients with cancer and SARS-CoV-2 infection: a European perspective
| العنوان: | Specialist palliative and end-of-life care for patients with cancer and SARS-CoV-2 infection: a European perspective |
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| المؤلفون: | Soosaipillai, Gehan, Wu, Anjui, Dettorre, Gino M., Diamantis, Nikolaos, Chester, John, Moss, Charlotte, Aguilar Company, Juan, Bower, Mark, Sng, Christopher C. T., Salazar Soler, Ramón, Brunet, Joan, Jones, Eleanor, Mesía Nin, Ricard, Jackson, Amanda, Mukherjee, Uma, Sita-Lumsden, Ailsa, Seguí, Elia, Ottaviani, Diego, Carbó, Anna, Benafif, Sarah, Würstlein, Rachel, Carmona, Carme, Chopra, Neha, Cruz, Claudia Andrea, Swallow, Judith, Saoudi, Nadia, Felip, Eudald, Galazi, Myria, Garcia Fructuoso, Isabel, Lee, Alvin J. X., Newsom-Davis, Thomas, Wong, Yien Ning Sophia, Sureda, Anna, Maluquer, Clara, Ruiz Camps, Isabel, Cabirta, Alba, Prat Aparicio, Aleix, Loizidou, Angela, Gennari, Alessandra, Ferrante, Daniela, Tabernero Caturla, Josep, Russell, Beth, Van Hemelrijck, Mieke, Dolly, Saoirse, Hulbert-Williams, Nicholas J., Pinato, David J., Mollà, Meritxell, Reyes, Roxana, Marco Hernández, Javier, Bruna, Riccardo, Biello, Federica, Patriarca, Andrea, Zambelli, Alberto, Tondini, Carlo, Fotia, Vittoria, Chiudinelli, Lorenzo, Franchi, Michela, Generali, Daniele, Grisanti, Salvatore, Tovazzi, Valeria, Bertuzzi, Alexia, Marrari, Andrea, Seeva, Pavetha, Dileo, Palma, Rizzo, Gianpiero, Libertini, Michela, Maconi, Antonio, Betti, Marta, Provenzano, Salvatore, Harbeck, Nadia, Vincenzi, Bruno, Bertulli, Rossella, Liñan, Raquel, Roqué, Ariadna, Mirallas, Oriol, García Illescas, David, Scotti, Lorenza, Dalla Pria, Alessia, D’Avanzo, Francesca, Martinez, Maria, Evans, Joanne S., Sharkey, Rachel, Rimassa, Lorenza, Santoro, Armando, Gaidano, Gianluca, Izuzquiza, Macarena |
| المصدر: | Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL)) |
| بيانات النشر: | SAGE Publications |
| سنة النشر: | 2021 |
| المجموعة: | Dipòsit Digital de la Universitat de Barcelona |
| مصطلحات موضوعية: | COVID-19, Malalts de càncer, Tractament pal·liatiu, Cancer patients, Palliative treatment |
| الوصف: | Background: Specialist palliative care team (SPCT) involvement has been shown to improve symptom control and end-of-life care for patients with cancer, but little is known as to how these have been impacted by the COVID-19 pandemic. Here, we report SPCT involvement during the first wave of the pandemic and compare outcomes for patients with cancer who received and did not receive SPCT input from multiple European cancer centres. Methods: From the OnCovid repository (N = 1318), we analysed cancer patients aged ⩾18 diagnosed with COVID-19 between 26 February and 22 June 2020 who had complete specialist palliative care team data (SPCT+ referred; SPCT- not referred). Results: Of 555 eligible patients, 317 were male (57.1%), with a median age of 70 years (IQR 20). At COVID-19 diagnosis, 44.7% were on anti-cancer therapy and 53.3% had ⩾1 co-morbidity. Two hundred and six patients received SPCT input for symptom control (80.1%), psychological support (54.4%) and/or advance care planning (51%). SPCT+ patients had more 'Do not attempt cardio-pulmonary resuscitation' orders completed prior to (12.6% versus 3.7%) and during admission (50% versus 22.1%, p < 0.001), with more SPCT+ patients deemed suitable for treatment escalation (50% versus 22.1%, p < 0.001). SPCT involvement was associated with higher discharge rates from hospital for end-of-life care (9.7% versus 0%, p < 0.001). End-of-life anticipatory prescribing was higher in SPCT+ patients, with opioids (96.3% versus 47.1%) and benzodiazepines (82.9% versus 41.2%) being used frequently for symptom control. Conclusion: SPCT referral facilitated symptom control, emergency care and discharge planning, as well as high rates of referral for psychological support than previously reported. Our study highlighted the critical need of SPCTs for patients with cancer during the pandemic and should inform service planning for this population. |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | 17 p.; application/pdf |
| اللغة: | English |
| تدمد: | 1758-8359 |
| العلاقة: | Reproducció del document publicat a: https://doi.org/10.1177/17588359211042224Test; Therapeutic Advances in Medical Oncology, 2021, vol. 13; https://doi.org/10.1177/17588359211042224Test; http://hdl.handle.net/2445/180504Test |
| الإتاحة: | https://doi.org/10.1177/17588359211042224Test http://hdl.handle.net/2445/180504Test |
| حقوق: | cc by (c) Soosaipillai, Gehan et al, 2021 ; http://creativecommons.org/licenses/by/3.0/esTest/ ; info:eu-repo/semantics/openAccess |
| رقم الانضمام: | edsbas.CF8599F4 |
| قاعدة البيانات: | BASE |
Full Text Finder | تدمد: | 17588359 |
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