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Timely integration of palliative care. the reality check. a retrospective analysis.
Adamidis, F; Baumgartner, N S; Kitta, A; Kum, L; Ecker, F; Bär, J; Marosi, C; Kreye, G; Fischer, C; Zeilinger, E L; Paschen, C; Wenzel, C; Masel, E K.
Afiliación
  • Adamidis F; Department of Medicine I, Division of Palliative Medicine, Medical University of Vienna, Vienna, Austria. feroniki.adamidis@meduniwien.ac.at.
  • Baumgartner NS; Department of Medicine I, Division of Palliative Medicine, Medical University of Vienna, Vienna, Austria.
  • Kitta A; Department of Medicine I, Division of Palliative Medicine, Medical University of Vienna, Vienna, Austria.
  • Kum L; Department of Medicine I, Division of Palliative Medicine, Medical University of Vienna, Vienna, Austria.
  • Ecker F; Department of Medicine I, Division of Palliative Medicine, Medical University of Vienna, Vienna, Austria.
  • Bär J; Department of Medicine I, Division of Palliative Medicine, Medical University of Vienna, Vienna, Austria.
  • Marosi C; Department of Medicine I, Division of Palliative Medicine, Medical University of Vienna, Vienna, Austria.
  • Kreye G; Department of Internal Medicine II, Clinical Division of Palliative Medicine, University Hospital Krems, Krems an Der Donau, Austria.
  • Fischer C; Karl Landsteiner University of Health Sciences, Krems an Der Donau, Austria.
  • Zeilinger EL; Department of Health Economics, Center for Public Health, Medical University of Vienna, 1090, Vienna, Austria.
  • Paschen C; Department of Medicine I, Division of Palliative Medicine, Medical University of Vienna, Vienna, Austria.
  • Wenzel C; Department of Clinical and Health Psychology, Faculty of Psychology, University of Vienna, Vienna, Austria.
  • Masel EK; Department of Clinical Research SBG, Academy for Ageing Research, Haus Der Barmherzigkeit, Vienna, Austria.
Support Care Cancer ; 32(8): 518, 2024 Jul 17.
Article en En | MEDLINE | ID: mdl-39017732
ABSTRACT

PURPOSE:

A large volume of literature suggests that timely integration of palliative care (PC) enhances the well-being, quality of life and satisfaction of patients and their families. It may also positively impact clinical outcomes and healthcare costs throughout the disease trajectory. Therefore, reviewing clinical practice to reflect real-life situations regarding timely PC integration is essential.

METHODS:

This study, conducted at the Vienna General Hospital between March 2016 and August 2022, retrospectively examined PC consultation (PCC) requests. It aimed to assess the timeliness of PC integration by analysing the duration between diagnosis and the first PCC request, as well as the interval between the first PCC request and death.

RESULTS:

This study included 895 PCCs. The median time from diagnosis to the first PCC was 16.6 (interquartile range (IQR) 3.9-48.4) months, while the median time from the first PCC to death was 17.2 (IQR 6.1-50.7) days. The median time from diagnosis to first PCC was 10.4 months in females (confidence interval (CI) 6.0-14.8) compared to 10.6 months in males (CI 8.1-13.1; p = 0.675). There were no gender disparities in the time from first PCC to death, with a median of 23.3 days (CI 15.6-31.0) for females and 22.3 days (CI 16.2-28.4) for males (p = 0.93). Fifty percent of patients died between 5 and 47 days after the first PCC.

CONCLUSION:

These findings highlight the discrepancy between the clinical perception of PC as end-of-life care and the existing literature, thereby emphasising the importance of timely PC integration.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cuidados Paliativos Límite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged País/Región como asunto: Europa Idioma: En Revista: Support Care Cancer Asunto de la revista: NEOPLASIAS / SERVICOS DE SAUDE Año: 2024 Tipo del documento: Article País de afiliación: Austria Pais de publicación: Alemania
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cuidados Paliativos Límite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged País/Región como asunto: Europa Idioma: En Revista: Support Care Cancer Asunto de la revista: NEOPLASIAS / SERVICOS DE SAUDE Año: 2024 Tipo del documento: Article País de afiliación: Austria Pais de publicación: Alemania