Journal of palliative medicine
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Randomized Controlled Trial
A Randomized Controlled Trial Comparing the Letter Project Advance Directive to Traditional Advance Directive.
Simpler alternatives to traditional advance directives that are easy to understand and available in multiple formats and can be initiated by patients and families will help facilitate advance care planning. The goal of this study was to compare the acceptability of the letter advance directive (LAD) to the traditional advance directive (TAD) of the state of California. ⋯ Patients reported the letter advance directive to be a better alternative to the traditional advance directive form.
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Randomized Controlled Trial
Single-Fraction Radiation Treatment for Uncomplicated Bone Metastases #335.
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Randomized Controlled Trial
The Effect of 5 Minutes of Mindful Breathing to the Perception of Distress and Physiological Responses in Palliative Care Cancer Patients: A Randomized Controlled Study.
Palliative cancer patients suffer from high levels of distress. There are physiological changes in relation to the level of perceived distress. ⋯ Five-minute MB is a quick, easy to administer, and effective therapy for rapid reduction of distress in palliative setting. There is a need for future study to establish the long-term efficacy of the therapy.
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Randomized Controlled Trial
Cost Analysis of a Randomized Trial of Early Palliative Care in Patients with Metastatic Nonsmall-Cell Lung Cancer.
Several trials have shown that integrated palliative and oncology care improves quality of life and mood in patients with advanced cancers. However, the degree to which early involvement of palliative care (PC) in the outpatient setting impacts the cost of care remains unknown. ⋯ The delivery of early PC does not appear to increase overall medical care expenses for patients with metastatic NSCLC. Larger, sufficiently powered cost studies of early PC are needed.
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Randomized Controlled Trial
More with Less: A Trial of Reduced-Intensity Treatment in Transplant-Ineligible Hemodialysis Patients.
An increasing proportion of hemodialysis patients are ineligible for transplant. Often these patients are elderly, with multiple comorbidities and decreased functional status. Such patients may benefit from modified treatment goals to reduce symptom burden. ⋯ High-risk hemodialysis patients may benefit from liberalized treatment guidelines but larger studies are necessary.