Journal of palliative medicine
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Randomized Controlled Trial
A randomized phase II study to assess the effectiveness of fluid therapy or intensive nutritional support on survival in patients with advanced cancer who cannot be nourished via enteral route.
Experts advise against parenteral nutrition (PN) for patients with advanced cancer at the end of life. But because many patients and families fear starvation, many physicians administer PN to patients with terminal cancer in Korea. ⋯ This study did not conclusively determine the role of PN for patients with advanced cancer, however, PN support failed to significantly prolong survival in these patients compared to similar patients receiving only fluid.
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Randomized Controlled Trial
Clinician roles in early integrated palliative care for patients with advanced cancer: a qualitative study.
Early palliative care provides better quality of life, increased prognostic awareness, and even improved survival for patients with advanced cancer but how the integrated care model achieves these outcomes has not been completely explained. ⋯ These data lay the foundation for developing training programs for clinicians in early integrated palliative care.