Full metadata record
DC Field | Value | Language |
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dc.creator | Hjermstad, M.J. (M. J.) | - |
dc.creator | Aass, N. (N.) | - |
dc.creator | Aielli, F. (F.) | - |
dc.creator | Bennett, M. (M.) | - |
dc.creator | Brunelli, C. (C.) | - |
dc.creator | Caraceni, A. (A.) | - |
dc.creator | Cavanna, L. (L.) | - |
dc.creator | Fassbender, K. (K.) | - |
dc.creator | Feio, M. (M.) | - |
dc.creator | Haugen, D.F. (D. F.) | - |
dc.creator | Jakobsen, G. (G.) | - |
dc.creator | Laird, B. (B.) | - |
dc.creator | Løhre, E.T. (E. T.) | - |
dc.creator | Martinez-Garcia, M. (Marina) | - |
dc.creator | Nabal, M. (María) | - |
dc.creator | Noguera, A. (Antonio) | - |
dc.creator | Pardon, K. (K.) | - |
dc.creator | Pigni, A. (A.) | - |
dc.creator | Piva, L. (L.) | - |
dc.creator | Porta-Sales, J. (Josep) | - |
dc.creator | Rizzi, F. (F.) | - |
dc.creator | Rondini, E. (E.) | - |
dc.creator | Sjøgren, P. (P.) | - |
dc.creator | Strasser, F. (F.) | - |
dc.creator | Turriziani, A. (A.) | - |
dc.creator | Kaasa, S. (S.) | - |
dc.date.accessioned | 2024-02-12T13:46:28Z | - |
dc.date.available | 2024-02-12T13:46:28Z | - |
dc.date.issued | 2018 | - |
dc.identifier.citation | Hjermstad, M.J. (M. J.); Aass, N. (N.); Aielli, F. (F.); et al. "Characteristics of the case mix, organisation and delivery in cancer palliative care: a challenge for good-quality research". BMJ Supportive & Palliative Care. 8 (4), 2018, 456 - 467 | es |
dc.identifier.issn | 2045-435X | - |
dc.identifier.uri | https://hdl.handle.net/10171/69085 | - |
dc.description.abstract | Objectives: Palliative care (PC) services and patients differ across countries. Data on PC delivery paired with medical and self-reported data are seldom reported. Aims were to describe (1) PC organisation and services in participating centres and (2) characteristics of patients in PC programmes. Methods: This was an international prospective multicentre study with a single web-based survey on PC organisation, services and academics and patients' self-reported symptoms collected at baseline and monthly thereafter, with concurrent registrations of medical data by healthcare providers. Participants were patients ≥18 enrolled in a PC programme. Results: 30 centres in 12 countries participated; 24 hospitals, 4 hospices, 1 nursing home, 1 home-care service. 22 centres (73%) had PC in-house teams and inpatient and outpatient services. 20 centres (67%) had integral chemotherapy/radiotherapy services, and most (28/30) had access to general medical or oncology inpatient units. Physicians or nurses were present 24 hours/7 days in 50% and 60% of centres, respectively. 50 centres (50%) had professorships, and 12 centres (40%) had full-time/part-time research staff. Data were available on 1698 patients: 50% females; median age 66 (range 21-97); median Karnofsky score 70 (10-100); 1409 patients (83%) had metastatic/disseminated disease; tiredness and pain in the past 24 hours were most prominent. During follow-up, 1060 patients (62%) died; 450 (44%) <3 months from inclusion and 701 (68%) within 6 months. ANOVA and χ2 tests showed that hospice/nursing home patients were significantly older, had poorer performance status and had shorter survival compared with hospital-patients (p<.0.001). Conclusions: There is a wide variation in PC services and patients across Europe. Detailed characterisation is the first step in improving PC services and research. | es_ES |
dc.description.sponsorship | Central Norway Regional Health Authority (grant no. 46055100), The Cancer Foundation St Olavs Hospital, Trondheim University Hospital (grant no. 6070) and an unrestricted grant from the Helsinn group, Switzerland | es_ES |
dc.language.iso | eng | es_ES |
dc.publisher | BMJ Publishing Group | es_ES |
dc.rights | info:eu-repo/semantics/openAccess | es_ES |
dc.subject | Cancer | es_ES |
dc.subject | Generalisability | es_ES |
dc.subject | Integration | es_ES |
dc.subject | Palliative Care | es_ES |
dc.subject | Patient characteristics | es_ES |
dc.subject | Survival | es_ES |
dc.title | Characteristics of the case mix, organisation and delivery in cancer palliative care: a challenge for good-quality research | es_ES |
dc.type | info:eu-repo/semantics/article | es_ES |
dc.description.note | This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license | es_ES |
dc.identifier.doi | 10.1136/bmjspcare-2015-000997 | - |
dadun.citation.endingPage | 467 | es_ES |
dadun.citation.number | 4 | es_ES |
dadun.citation.publicationName | BMJ Supportive & Palliative Care | es_ES |
dadun.citation.startingPage | 456 | es_ES |
dadun.citation.volume | 8 | es_ES |
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