What Is the Evidence That Palliative Care Teams Improve Outcomes for Cancer Patients and Their Families?

@article{Higginson2010WhatIT,
  title={What Is the Evidence That Palliative Care Teams Improve Outcomes for Cancer Patients and Their Families?},
  author={Irene J. Higginson and Catherine J. Evans},
  journal={The Cancer Journal},
  year={2010},
  volume={16},
  pages={423-435}
}
Patients with advanced cancer experience a complex web of problems, all of which interact. Specialist palliative care services have developed to meet these needs, but their effectiveness should be considered. We sought to determine whether specialist palliative care teams achieve their aims and improve outcomes for patients with advanced cancer and their caregivers, in terms of improving symptoms and quality of life and/or reducing the emotional concerns of family caregivers. We conducted a… 
A review of the trials which examine early integration of outpatient and home palliative care for patients with serious illnesses.
TLDR
A systematic review of randomized trials of outpatient and home palliative care for patients with newly diagnosed metastatic cancer found that better designed and executed studies are needed to determine the best time to intervene and the best model of care.
Early palliative care for adults with advanced cancer.
TLDR
Compared with usual/standard cancer care alone, early palliative care significantly improved health-related quality of life at a small effect size, and survival among adults with a diagnosis of advanced cancer.
Earlier multidisciplinary palliative care intervention for people with lung cancer: a systematic review and meta-analysis.
TLDR
Evidence that on-demand palliative care is equally, if not more effective than palliatives care that is routinely provided, raises the question whether initiation and provision of palliATIVE care as part of multidisciplinary lung cancer care ought to be guided by an early referral or need-based referral.
Hospital-based specialist palliative care compared with usual care for adults with advanced illness and their caregivers: a systematic review
TLDR
Hospital-based specialist palliative care may offer benefits for person-centred outcomes including health-related quality of life, symptom burden, patient depression and satisfaction with care, while also increasing the chances of patients dying in their preferred place (measured by home death) with little evidence of harm.
Challenges in defining ‘palliative care’ for the purposes of clinical trials
TLDR
Key aspects of palliative care interventions are incurable disease, multidisciplinary approach, focus on symptom management including standardized assessment, psychosocial and family support, and (advance) care planning.
Early Palliative Care for Patients with Advanced Cancer
TLDR
The rationale for delivering palliative care services early in the course of disease for patients diagnosed with advanced cancer is provided, the evidence base for this new model of integrated palliatives care is reviewed, the key clinical interventions are highlighted, and a case example is described using the approach.
Do palliative care interventions reduce emergency department visits among patients with cancer at the end of life? A systematic review.
TLDR
Overall there is limited evidence to support the use of palliative care interventions to reduce ED visits, although studies examining effect of hospice care and those conducted outside of the United States reported a statistically significant reduction in ED visits.
A nurse practitioner directed intervention improves the quality of life of patients with metastatic cancer: results of a randomized pilot study.
TLDR
An ARNP-directed intervention that explains the benefits of hospice and addresses advanced directives early in the course of metastatic cancer patients' treatment, is well received by the patients and their relatives and leads to measurable improvement in the patient's emotional and mental QoL.
Integrating palliative care in lung cancer: an early feasibility study.
TLDR
Qualitative data indicated that the participants found this extra layer of supportive care useful in identifying and managing their needs, as well as enabling future planning.
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TLDR
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TLDR
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TLDR
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TLDR
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TLDR
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