11 research outputs found
Search strategies for Medline, Psychinfo, CINAHL.
<p>Search strategies for Medline, Psychinfo, CINAHL.</p
Themes, categories and codes of the included qualitative articles.
<p>Themes, categories and codes of the included qualitative articles.</p
Description of the selected qualitative studies.
<p>Description of the selected qualitative studies.</p
Themes, categories and codes of the quantitative articles.
<p>Themes, categories and codes of the quantitative articles.</p
Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) flow diagram.
<p>Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) flow diagram.</p
Additional file 1: of Improving palliative care in selected settings in England using quality indicators: a realist evaluation
Overview of IMPACT Quality Indicators. (DOCX 18Ă‚Â kb
sj-pdf-1-pmj-10.1177_02692163231165106 – Supplemental material for The effect of an integrated palliative care intervention on quality of life and acute healthcare use in patients with COPD: Results of the COMPASSION cluster randomized controlled trial
Supplemental material, sj-pdf-1-pmj-10.1177_02692163231165106 for The effect of an integrated palliative care intervention on quality of life and acute healthcare use in patients with COPD: Results of the COMPASSION cluster randomized controlled trial by Johanna Broese, Rianne MJJ van der Kleij, Els ML Verschuur, Huib AM Kerstjens, Ewald M Bronkhorst, Yvonne Engels and Niels H Chavannes in Palliative Medicine</p
Addressing Palliative Sedation during Expert Consultation: A Descriptive Analysis of the Practice of Dutch Palliative Care Consultation Teams
<div><p>Main Objective</p><p>Since palliative sedation is considered a complex intervention, consultation teams are increasingly established to support general practice. This study aims to offer insight into the frequency and characteristics of expert consultations regarding palliative sedation.</p><p>Methods</p><p>We performed a retrospective analysis of a longitudinal database. This database contained all patient-related consultations by Dutch Palliative Care Consultation teams, that were requested between 2004 and 2011. We described the frequency and characteristics of these consultations, in particular of the subgroup of consultations in which palliative sedation was addressed (i.e. PSa consultations). We used multivariate regression analysis to explore consultation characteristics associated with a higher likelihood of PSa consultations.</p><p>Main Results and Their Significance</p><p>Of the 44,443 initial consultations, most were requested by general practitioners (73%) and most concerned patients with cancer (86%). Palliative sedation was addressed in 18.1% of all consultations. Palliative sedation was relatively more often discussed during consultations for patients with a neurologic disease (OR 1.79; <i>95% CI</i>: <i>1</i>.<i>51–2</i>.<i>12</i>) or COPD (OR 1.39; <i>95% CI</i>: <i>1</i>.<i>15–1</i>.<i>69)</i> than for patients with cancer. We observed a higher likelihood of PSa consultations if the following topics were also addressed during consultation: dyspnoea (OR 1.30; <i>95% CI</i>: <i>1</i>.<i>22–1</i>.<i>40</i>), agitation/delirium (OR 1.57; <i>95% CI</i>: <i>1</i>.<i>47–1</i>.<i>68</i>), exhaustion (OR 2.89; <i>95% CI</i>: <i>2</i>.<i>61–3</i>.<i>20</i>), euthanasia-related questions (OR 2.65; <i>95% CI</i>: <i>2</i>.<i>37–2</i>.<i>96</i>) or existential issues (OR 1.55; <i>95% CI</i>: <i>1</i>.<i>31–1</i>.<i>83</i>).</p><p>Conclusion</p><p>In conclusion, PSa consultations accounted for almost one-fifth of all expert consultations and were associated with several case-related characteristics. These characteristics may help clinicians in identifying patients at risk for a more complex disease trajectory at the end of life.</p></div
Characteristics of all consultations by Dutch PCC teams (2004–2011).
<p><b>PCC teams</b>: Palliative Care Consultation Team; <b>PS</b>: palliative sedation; <b>PSa consultation</b>: palliative sedation addressed during consultation; <b>95% CI</b>: 95% confidence interval.</p><p><sup>a</sup> Proportion = (PSa consultations / total consultations)*100%, per single variable.</p><p><sup>b</sup> Total of variables for “Symptoms” and “Issues” exceeds 100% due to more than one symptom / issue registered per consultation.</p><p>Characteristics of all consultations by Dutch PCC teams (2004–2011).</p
Univariate and multivariate analysis of all consultations by Dutch PCC teams (2004–2011)–Characteristics associated with PSa consultations.
<p><b>PCC teams</b>: Palliative Care Consultation Teams; <b>PS</b>: palliative sedation; <b>PSa consultation</b>: palliative sedation addressed during consultation; <b>95% CI</b>: 95% confidence interval.</p><p>Univariate and multivariate analysis of all consultations by Dutch PCC teams (2004–2011)–Characteristics associated with PSa consultations.</p