Journal of pain and symptom management
-
J Pain Symptom Manage · Jul 2023
Randomized Controlled TrialEffect of an Artificial Intelligence Decision Support Tool on Palliative Care Referral in Hospitalized Patients: A Randomized Clinical Trial.
Palliative care services are commonly provided to hospitalized patients, but accurately predicting who needs them remains a challenge. ⋯ A decision support tool integrated into palliative care practice and leveraging AI/ML demonstrated an increased palliative care consultation rate among hospitalized patients and reductions in hospitalizations.
-
J Pain Symptom Manage · Jun 2023
Randomized Controlled TrialThe Value of Advance Care Planning for Spokespersons of Patients with Advanced Illness.
Advance Care Planning (ACP) has fallen under scrutiny primarily because research has not consistently demonstrated patient-focused benefits. ⋯ Considering the recent debate about the utility of ACP and ADs, this analysis highlights the value of ACP for spokespersons involved in surrogate decision-making. Reframing the goals of ACP in terms of their benefit for spokespersons (and identifying appropriate outcome measures) may provide additional perspective on the utility of ACP.
-
J Pain Symptom Manage · Jun 2023
Randomized Controlled TrialA sequential multiple assignment randomized trial of symptom management after chemotherapy.
Many cancer survivors experience a lingering symptom burden after chemotherapy. ⋯ The SMSH may represent a simple effective option for symptom management, adding TIPC only when there is no response to SMSH alone for people with elevated depression and multiple co-morbidities.
-
J Pain Symptom Manage · May 2023
Randomized Controlled Trial Pragmatic Clinical TrialPrevalence, Severity, and Co-Occurrence of SPPADE Symptoms in 31,866 Patients with Cancer.
To examine the prevalence, severity, and co-occurrence of SPPADE symptoms as well as their association with cancer type and patient characteristics. ⋯ The high prevalence and co-occurrence of SPPADE symptoms in patients with all types of cancer warrants clinical approaches that optimize detection and management.
-
J Pain Symptom Manage · May 2023
Randomized Controlled TrialMassage Therapy for Hospitalized Patients Receiving Palliative Care: A Randomized Clinical Trial.
Massage therapy is increasingly used in palliative settings to improve quality of life (QoL) and symptom burden; however, the optimal massage "dosage" remains unclear. ⋯ Massage therapy in complex patients with advanced illness was beneficial beyond dosage. Findings support session length (10 or 20 minutes) was predictive of short-term improvements while treatment frequency (once or three consecutive days) predicted sustained improvement at follow-up.