Journal of pain and symptom management
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J Pain Symptom Manage · Mar 2021
ReviewPalliative care in the Greater China region: a systematic review of needs, models and outcomes.
There is rapidly increasing need for palliative care in Greater China because of rapidly aging populations. ⋯ Palliative care services within Greater China should pay more attention to management of nonmalignant disease and to integration into primary services. Policy support is key to establishing culturally appropriate person-centered services.
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J Pain Symptom Manage · Mar 2021
Emergency department use by Terminally Ill patients: a systematic review.
Terminally ill patients (TIP) frequently visit the emergency department (ED), but the prevalence of these visits is unclear. ⋯ Patients with terminal cancer frequently use the ED at the end of life, although use varies among patients and few studies have examined low-income countries or patients with nononcologic terminal illness. The global prevalence of TIP in the ED cannot be calculated from limited reports.
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J Pain Symptom Manage · Mar 2021
ReviewUser-centered design of the consideRATE questions, a measure of people's experiences when they are seriously ill.
No brief patient-reported experience measure focuses on the most significant concerns of seriously ill individuals. ⋯ Our brief patient-reported serious illness experience measure is based on what matters most to patients, families, and clinicians. It was acceptable to patients and families in a regional sample. It has promise for use in clinical settings.
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J Pain Symptom Manage · Mar 2021
Cerebrospinal fluid metabolomic profiles associated with fatigue during treatment for pediatric acute lymphoblastic leukemia.
Cancer-related fatigue (CRF) is one of the most distressing and persistent symptoms reported during pediatric acute lymphoblastic leukemia (ALL) therapy; however, information on the pathways underlying CRF severity is limited. ⋯ The metabolites identified in our assessment have been implicated in neurotransmitter transportation and glutathione recycling, suggesting that glutamatergic pathways or oxidative stress may contribute to ALL-associated CRF. This information could inform targeted therapies for reducing CRF in at-risk individuals.
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J Pain Symptom Manage · Mar 2021
The #PalliativeCare conversation on Twitter: An analysis of trends, content and caregiver perspectives.
Palliative care is known to improve patients' quality of life, but oftentimes these conversations occur outside of the health-care setting. ⋯ The use of Twitter as a platform for palliative care conversations is growing rapidly. Twitter serves as a platform to facilitate #PalliativeCare conversation among patients, caregivers, physicians, and other healthcare providers.