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27.60
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Published on Feb 4, 2016in BMJ27.60
Sonya S. Lowe6
Estimated H-index: 6
(Cross Cancer Institute),
Cheryl Nekolaichuk24
Estimated H-index: 24
(U of A: University of Alberta)
+ 3 AuthorsRobin L. Fainsinger43
Estimated H-index: 43
(U of A: University of Alberta)
Objective The objective of this study was to describe the clinical characteristics of patient initial presentations, and to explore associations between patients’ clinical characteristics at initial presentation and number of encounters (single vs multiple) to an integrated palliative care programme. Methods This was a retrospective study of a decedent cohort of 2922 patient initial presentations to the Edmonton Zone Palliative Care Program (EZPCP). Data included age, gender, setting of encounte...
Published on Apr 16, 2019in BMJ27.60
Sarah Stanley , Alexandra McDougall (Aintree University Hospitals NHS Foundation Trust)+ 1 AuthorsAmara Callistus Nwosu5
Estimated H-index: 5
(University of Liverpool)
Palliative care research is essential for evidence-based models of care that improve terminal illness outcomes.1 Investment in hospice research is essential for the projected increases in palliative needs.2 Hospices are crucial to practice and policy development, but there are many hospice research barriers.3 Well-documented problems include lack of research funding, governance challenges, methodological issues and absence of research culture.1 4 Hospices require strategic infrastructure and pro...
Published on Feb 26, 2019in BMJ27.60
Mark Taubert MBChB Mrcgp DipPallMed9
Estimated H-index: 9
(Cardiff University),
Lucie Webber (Cardiff University)+ 2 AuthorsMark Harvey
Background Virtual reality (VR) immersive environments have been shown to be effective in medical teaching. Our university hospital received funding from our deanery, Health Education in Wales, to film teaching videos with a 360-degree camera. Aims To evaluate whether VR is an effective and acceptable teaching environment. VR headsets were set up for medical students who rotated through Velindre Cancer Hospital’s Palliative Care department. Methods Students were asked to put on a VR headset and ...
Published on Jan 12, 2019in BMJ27.60
Marina Maffoni2
Estimated H-index: 2
(UNIPV: University of Pavia),
Piergiorgio Argentero13
Estimated H-index: 13
(UNIPV: University of Pavia)
+ 2 AuthorsAnna Giardini4
Estimated H-index: 4
Objectives Palliative care providers may be exposed to numerous detrimental psychological and existential challenges. Ethical issues in the healthcare arena are subject to continual debate, being fuelled with ongoing medical, technological and legal advancements. This work aims to systematically review studies addressing the moral distress experienced by healthcare professionals who provide adult palliative care. Methods A literature search was performed on PubMed, Scopus, Web of Science and Psy...
Published on Mar 23, 2018in BMJ27.60
James Park11
Estimated H-index: 11
,
Niall Woodley + 1 AuthorsPaul Glen8
Estimated H-index: 8
Objectives Palliative self-expandable metallic stent (SEMS) insertion is common in patients not suitable for resection of oesophagogastric (OG) cancer. Factors which may determine survival, however, are not clear. The present study examined the relationship between tumour and host factors, including the systemic inflammatory response and survival of patients undergoing palliative SEMS insertion. Methods Patients with a diagnosis of OG cancer who were considered suitable for palliative SEMS only ...
Published on Mar 5, 2018in BMJ27.60
Sivakumar Subramaniam1
Estimated H-index: 1
,
Pauline Dand1
Estimated H-index: 1
+ 8 AuthorsGeorgina Parker1
Estimated H-index: 1
Objectives In palliative care settings, predicting prognosis is important for patients and clinicians. The Palliative Prognostic Index (PPI), a prognostic tool calculated using clinical indices alone has been validated within cancer population. This study was to further test the discriminatory ability of the PPI (ie, its ability to determine whether a subject will live more or less than a certain amount of time) in a larger sample but with a palliative care context and to compare predictions at ...
Published on Jul 17, 2018in BMJ27.60
Gunnhild Jakobsen4
Estimated H-index: 4
,
Morten Engstrøm12
Estimated H-index: 12
+ 5 AuthorsPål Klepstad4
Estimated H-index: 4
Objective Sleep is often disturbed in patients with advanced cancer. There is limited knowledge about sleep in patients with cancer treated with strong opioids. This study examines sleep quality in patients with advanced cancer who are treated with a WHO Step III opioid for pain. Methods An international, multicentre, cross-sectional study with 604 adult patients with cancer pain using WHO Step III opioids. Sleep quality was assessed by the Pittsburgh Sleep Quality Index (PSQI) global score (ran...
Published on Dec 6, 2018in BMJ27.60
Background Driving is a complex activity that requires physical abilities and adequate executive and cognitive functioning. There is concern among specialist palliative care services about patients continuing to drive despite having progressive incurable illnesses, comorbidities and medications to manage their symptoms. Objectives To determine the quality of literature available about driving that would apply to palliative care patients, specifically in relation to road test or simulated driving...
Published on Jan 18, 2019in BMJ27.60
It was with great enthusiasm that we have seen the results published by Francis et al concerning the adjuvant hormone therapy. In the SOFT study (Suppression of Ovarian Function With Either Tamoxifen or Exemestane Compared With Tamoxifen Alone in Treating Premenopausal Women With Hormone-Responsive Breast Cancer), the 8-year disease-free survival rate was 78.9% in patients with only tamoxifen, 83.2% with tamoxifen and ovarian suppression and 85.9% with exemestane and ovarian suppression.1 The hi...
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