Journal of pain and symptom management
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J Pain Symptom Manage · Jun 2023
Review Meta AnalysisPalliative Care Interventions Effects on Psychological Distress: A Systematic Review & Meta-Analysis.
Managing psychological distress is an objective of palliative care. No meta-analysis has evaluated whether palliative care reduces psychological distress. ⋯ Psychological distress is not likely to be reduced in the context of a typical palliative care intervention. The systemic exclusion of patients with common mental health conditions in more than 1/3 of the studies raises ethical questions about the goals of palliative care RCTS and could perpetuate inequalities.
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J Pain Symptom Manage · Jun 2023
Review Meta AnalysisPalliative Care Interventions Effects on Psychological Distress: A Systematic Review & Meta-Analysis.
Managing psychological distress is an objective of palliative care. No meta-analysis has evaluated whether palliative care reduces psychological distress. ⋯ Psychological distress is not likely to be reduced in the context of a typical palliative care intervention. The systemic exclusion of patients with common mental health conditions in more than 1/3 of the studies raises ethical questions about the goals of palliative care RCTS and could perpetuate inequalities.
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J Pain Symptom Manage · Jun 2023
ReviewCommunity informed recruitment: a promising method to enhance clinical trial participation.
Low recruitment rates in palliative care clinical trials amongst Black and rural individuals have been attributed to lack of trust and procedural barriers. Community engagement strategies have increased clinical trial participation of under-represented populations. ⋯ A novel community-enhanced recruitment strategy demonstrated the potential to increase clinical trial participation from historically under-represented populations.
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J Pain Symptom Manage · Jun 2023
ReviewDEVELOPMENT AND VALIDATION A TOOL TO ASSESS THE STRUCTURAL QUALITY OF PALLIATIVE CARE SERVICES.
The current gap in access to palliative care requires the expansion of palliative care services worldwide. There is little information about the structural components required by palliative care services to provide adequate end-of-life care. No specific tools have been developed to assess the structural quality of these services. ⋯ The SQPCS-21 tool to assess structural quality of palliative care services, has good content and construct validity and its application provides information about institutions at the individual and aggregated level. This tool can provide guidance to monitor the structural quality of palliative care worldwide.
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J Pain Symptom Manage · Jun 2023
ReviewDon't Throw the Baby Out with the Bathwater: Meta-Analysis of Advance Care Planning and End-of-life Cancer Care.
There is ongoing discourse about the impact of advance care planning (ACP) on end-of-life (EOL) care. No meta-analysis exists to clarify ACP's impact on patients with cancer. ⋯ This meta-analysis demonstrated mixed evidence of the association between ACP and EOL cancer care, where tests of moderation suggested that the communication components of ACP carry more weight in influencing outcomes. Further disease-specific efforts to clarify models and components of ACP that work and matter to patients and caregivers will advance the field.