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Factors influencing death at home in terminally ill patients with cancer: systematic review
The relative influence of different factors on place of death in patients with cancer is determined to focus on ways of empowering families and public education, as well as intensifying home care, risk assessment, and training practitioners in end of life care.
The prevalence of symptoms in end-stage renal disease: a systematic review.
No evidence is available on symptom prevalence in ESRD patients managed conservatively (without dialysis), but evidence in patients discontinuing dialysis suggests they too have significant symptom burden.
Development and validation of a core outcome measure for palliative care: the palliative care outcome scale
The Palliative Care Outcome Scale (POS), the European Organisation for Research on Cancer Treatment, and the Support Team Assessment Schedule is validated and can be used to assess prospectively palliative care for patients with advanced cancer.
Better palliative care for older people
The needs of older people, the different trajec-tories of illnesses they suffer, evidence of underassessment of pain and other symptoms, their need to be involved in decision-making, evidence for effective palliative care solutions, and issues for the future are presented.
Heterogeneity and changes in preferences for dying at home: a systematic review
Evidence that most people prefer to die at home is found, yet around four fifths of patients did not change preference as their illness progressed, which supports focusing on home-based care for patients with advanced illness yet urges policy-makers to secure hospice and palliative care elsewhere for those who think differently or change their mind.
What is the best way to help caregivers in cancer and palliative care? A systematic literature review of interventions and their effectiveness
A systematic review of interventions for carers of patients using home cancer and palliative care services searched Medline, CancerLit, PsycInfo and Cinahl databases, finding nine interventions that were delivered solely to carers and only nine were targeted services.
Symptoms in advanced renal disease: a cross-sectional survey of symptom prevalence in stage 5 chronic kidney disease managed without dialysis.
This study demonstrates that patients with stage 5 CKD have considerable symptom control needs, similar to advanced cancer populations, but with different patterns of individual symptoms and severity, particularly pain.