Articles: palliative-care.
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Cardiovasc Intervent Radiol · Feb 2010
Randomized Controlled Trial Comparative StudyPercutaneous treatment of malignant jaundice due to extrahepatic cholangiocarcinoma: covered Viabil stent versus uncovered Wallstents.
To compare clinical effectiveness of Viabil-covered stents versus uncovered metallic Wallstents, for palliation of malignant jaundice due to extrahepatic cholangiocarcinoma, 60 patients were enrolled in a prospective and randomized study. In half of the patients a bare Wallstent was used, and in the other half a Viabil biliary stent. Patients were followed up until death. ⋯ Complications and mean cost were similar in the two groups. Viabil stent-grafts proved to be significantly superior to Wallstents for the palliation of malignant jaundice due to extrahepatic cholangiocarcinoma, with comparable cost and complication rates. Appropriate patient selection should be performed prior to stent placement.
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J Pain Symptom Manage · Dec 2009
Randomized Controlled TrialIs short-term palliative care cost-effective in multiple sclerosis? A randomized phase II trial.
Palliative care is being advocated for noncancer patients but needs evidence of effectiveness and cost-effectiveness. ⋯ The trial suggests that short-term palliative care for people severely affected by MS and their caregivers will be cost-effective and warrants further study. The fast-track trial design could be used to assess this.
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Randomized Controlled Trial
The FAMCARE-Patient scale: measuring satisfaction with care of outpatients with advanced cancer.
To provide confirmatory results concerning the psychometric properties of a measure of satisfaction with oncology care for use with advanced stage cancer patients, and test its sensitivity to change. ⋯ We recommend the use of the FAMCARE-P13 to assess satisfaction with outpatient palliative care interventions of patients with advanced stage cancer.
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Randomized Controlled Trial
Effects of a palliative care intervention on clinical outcomes in patients with advanced cancer: the Project ENABLE II randomized controlled trial.
There are few randomized controlled trials on the effectiveness of palliative care interventions to improve the care of patients with advanced cancer. ⋯ Compared with participants receiving usual oncology care, those receiving a nurse-led, palliative care-focused intervention addressing physical, psychosocial, and care coordination provided concurrently with oncology care had higher scores for quality of life and mood, but did not have improvements in symptom intensity scores or reduced days in the hospital or ICU or emergency department visits.
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Randomized Controlled Trial Multicenter Study Comparative Study
Cost comparison study of two different follow-up protocols after surgery for oesophageal cancer.
Costs of follow-up strategies in patients after surgery for oesophageal cancer have not been evaluated. We therefore randomised 109 patients to standard outpatient clinic follow-up by a surgeon (n=55) or home visits by a specialist nurse (n=54) and compared costs between these two strategies. ⋯ Nurse-led follow-up of patients after oesophageal cancer surgery is likely to be cost effective and may even generate cost savings. The results of this study further support a specific role of nurses in the medical care of patients with malignant diseases.