Articles: palliative-care.
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Randomized Controlled Trial
Expanding Access to Home-Based Palliative Care: A Randomized Controlled Trial Protocol.
Introduction: Studies show that home-based palliative care (HBPC) improves participant outcomes and satisfaction with care while also decreasing hospitalizations and emergency department visits. U. S. health care payment reforms create financial opportunities to offer HBPC. ⋯ These include engaging primary care providers in the study and coordinating logistics with a health plan. Both challenges have contributed to a lag in participant enrollment. Despite these challenges, our study holds tremendous promise to accelerate adoption and spread of an evidence-based HBPC model across the country.
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Randomized Controlled Trial Multicenter Study Comparative Study Pragmatic Clinical Trial
Early palliative care and quality of life of advanced cancer patients-a multicenter randomized clinical trial.
To compare quality of life (QoL) of patients receiving early palliative care (EPC) vs. standard oncologic care (SOC). ⋯ In this study, EPC did not improve QoL in advanced cancer patients, but our findings highlight aspects which may guide future research on EPC.
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J Pain Symptom Manage · Sep 2019
Randomized Controlled Trial Multicenter StudyAssociation between Plasma Brain Natriuretic Peptide and Overall Survival in Patients with Advanced Cancer: Preliminary Findings.
Atrial and brain natriuretic peptides (ANP and BNP) are established diagnostic and prognostic markers in heart failure, but their utility in patients with advanced cancer is unclear. ⋯ Our preliminary findings suggest that BNP or Pro-BNP may be a novel objective prognostic marker in cancer patients without heart failure. Further research is needed to confirm these findings.
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J Pain Symptom Manage · Sep 2019
Randomized Controlled TrialUsability of PCforMe in patients with advanced cancer referred to outpatient palliative care: results of a randomized, active-controlled pilot trial.
Low utilization of palliative care services warrant testing of new solutions to educate and engage patients around the benefits of palliative care. ⋯ PCforMe is a usable mobile health tool to prepare patients for an upcoming palliative care appointment. Further research is needed to test effectiveness.
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Randomized Controlled Trial Comparative Study
Development of an Outpatient Palliative Care Protocol to Monitor Fidelity in the Emergency Medicine Palliative Care Access Trial.
Introduction: Palliative care is recommended for patients with life-limiting illnesses; however, there are few standardized protocols for outpatient palliative care visits. To address the paucity of data, this article aims to: (1) describe the elements of outpatient palliative care that are generalizable across clinical sites; (2) achieve consensus about standardized instruments used to assess domains within outpatient palliative care; and (3) develop a protocol and intervention checklist for palliative care clinicians to document outpatient visit elements that might not normally be recorded in the electronic heath record. ⋯ Implementation: The protocol and checklist are being used to document the contents of each outpatient palliative care visit conducted as a part of the Emergency Medicine Palliative Care Access (EMPallA) trial. Variation across palliative care team staffing, clinic session capacity, and physical clinic model presents a challenge to standardizing the delivery of outpatient palliative care.