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dc.creatorSiouta, N. (Naouma)-
dc.creatorPreston, N. (Nancy)-
dc.creatorHodiamont, F. (Farina)-
dc.creatorPayne, S. (Sheila)-
dc.creatorRadbruch, L. (Lukas)-
dc.creatorVan Beek, K. (Karen)-
dc.creatorMenten, J. (Johan)-
dc.creatorCsikos, A. (Agnes)-
dc.creatorHasselaar, J. (Jeroen)-
dc.creatorvan der Eerden, M. (Marlieke)-
dc.creatorCenteno, C. (Carlos)-
dc.creatorBusa, C. (Csilla)-
dc.creatorGarralda, E. (Eduardo)-
dc.creatorGroot, M. (M.)-
dc.creatorHughes, S. (Sean)-
dc.date.accessioned2017-02-23T09:31:13Z-
dc.date.available2017-02-23T09:31:13Z-
dc.date.issued2016-
dc.identifier.citationSiouta, Naouma et al. 2016. “Towards integration of palliative care in patients with chronic heart failure and chronic obstructive pulmonary disease: a systematic literature review of European guidelines and pathways.” BMC Palliative Care 15(1):18.es_ES
dc.identifier.issn1472-684X-
dc.identifier.urihttps://hdl.handle.net/10171/43012-
dc.description.abstractDespite the positive impact of Palliative Care (PC) on the quality of life for patients and their relatives, the implementation of PC in non-cancer health-care delivery in the EU seems scarcely addressed. The aim of this study is to assess guidelines/pathways for integrated PC in patients with advanced Chronic Heart Failure (CHF) and Chronic Obstructive Pulmonary Disease (COPD) in Europe via a systematic literature review. Methods Search results were screened by two reviewers. Eligible studies of adult patients with CHF or COPD published between 01/01/1995 and 31/12/2013 in Europe in 6 languages were included. Nine electronic databases were searched, 6 journals were hand-searched and citation tracking was also performed. For the analysis, a narrative synthesis was employed. Results The search strategy revealed 26,256 studies without duplicates. From these, 19 studies were included in the review; 17 guidelines and 2 pathways. 18 out of 19 focused on suffering reduction interventions, 13/19 on a holistic approach and 15/19 on discussions of illness prognosis and limitations. The involvement of a PC team was mentioned in 13/19 studies, the assessment of the patients’ goals of care in 12/19 and the advance care planning in 11/19. Only 4/19 studies elaborated on aspects such as grief and bereavement care, 7/19 on treatment in the last hours of life and 8/19 on the continuation of goal adjustment. Conclusion The results illustrate that there is a growing awareness for the importance of integrated PC in patients with advanced CHF or COPD. At the same time, however, they signal the need for the development of standardized strategies so that existing barriers are alleviated.es_ES
dc.description.sponsorship“InSup-C, Patient-centered integrated palliative care pathways in advanced cancer and chronic disease, is funded by the European Union Seventh Framework Programme (FP7/HEALTH, under grant agreement 305555)es_ES
dc.language.isoenges_ES
dc.publisherBioMed Centrales_ES
dc.relationinfo:eu-repo/grantAgreement/EC/FP7/305555-
dc.rightsinfo:eu-repo/semantics/openAccesses_ES
dc.subjectPalliative carees_ES
dc.subjectChronic heart failurees_ES
dc.subjectChronic obstructive pulmonary diseasees_ES
dc.subjectGuidelineses_ES
dc.subjectMaterias Investigacion::Ciencias de la Saludes_ES
dc.titleTowards integration of palliative care in patients with chronic heart failure and chronic obstructive pulmonary disease:a systematic literature review of European guidelines and pathwayses_ES
dc.typeinfo:eu-repo/semantics/articlees_ES
dc.identifier.doihttp://dx.doi.org/10.1186/s12904-016-0089-4es_ES

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