Specialist Palliative Care Consultation for Patients with Nonmalignant Pulmonary Diseases: A Retrospective Study.
| Autor: | Pihlaja H; TUNI Palliative Care Research Group, Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland.; Palliative Care Centre, Department of Oncology, Tampere University Hospital, Tampere, Finland., Rantala H; TUNI Palliative Care Research Group, Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland.; Department of Respiratory Medicine, Tampere University Hospital, Tampere, Finland., Leivo-Korpela S; TUNI Palliative Care Research Group, Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland.; Palliative Care Centre and Department of Geriatrics, Tampere University Hospital, Tampere, Finland., Lehtimäki L; TUNI Palliative Care Research Group, Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland.; Allergy Centre, Tampere University Hospital, Tampere, Finland., Lehto JT; TUNI Palliative Care Research Group, Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland.; Palliative Care Centre, Department of Oncology, Tampere University Hospital, Tampere, Finland., Piili RP; TUNI Palliative Care Research Group, Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland.; Palliative Care Centre, Department of Oncology, Tampere University Hospital, Tampere, Finland. |
|---|---|
| Jazyk: | angličtina |
| Zdroj: | Palliative medicine reports [Palliat Med Rep] 2023 Apr 14; Vol. 4 (1), pp. 108-115. Date of Electronic Publication: 2023 Apr 14 (Print Publication: 2023). |
| DOI: | 10.1089/pmr.2022.0068 |
| Abstrakt: | Background: Few patients with chronic nonmalignant pulmonary diseases receive specialist palliative care consultation, despite their high symptom burden in end of life. Objectives: To study palliative care decision making, survival, and hospital resource usage in patients with nonmalignant pulmonary diseases with or without a specialist palliative care consultation. Methods: A retrospective chart review of all patients with a chronic nonmalignant pulmonary disease and a palliative care decision (palliative goal of therapy), who were treated in Tampere University Hospital, Finland, between January 1, 2018 and December 31, 2020. Results: A total of 107 patients were included in the study, 62 (58%) had chronic obstructive pulmonary disease (COPD), and 43 (40%) interstitial lung disease (ILD). Median survival after palliative care decision was shorter in patients with ILD than in patients with COPD (59 vs. 213 days, p = 0.004). Involvement of a palliative care specialist in the decision making was not associated with the survival. Patients with COPD who received palliative care consultation visited less often emergency room (73% vs. 100%, p = 0.019) and spent fewer days in the hospital (7 vs. 18 days, p = 0.007) during the last year of life. When a palliative care specialist attended the decision making, the presence and opinions of the patients were recorded more often, and the patients were more frequently referred to a palliative care pathway. Conclusions: Specialist palliative care consultation seems to enable better end-of-life care and supports shared decision making for patients with nonmalignant pulmonary diseases. Therefore, palliative care consultations should be utilized in nonmalignant pulmonary diseases preferably before the last days of life. Competing Interests: The authors declare that there are no conflicts of interest with respect to the research, authorship, and/or publication of this article. (© Hanna Pihlaja et al., 2023; Published by Mary Ann Liebert, Inc.) |
| Databáze: | MEDLINE |
| Externí odkaz: |
|