Haematological malignancy: are patients appropriately referred for specialist palliative and hospice care? A systematic review and meta-analysis of published data.
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| Title: | Haematological malignancy: are patients appropriately referred for specialist palliative and hospice care? A systematic review and meta-analysis of published data. |
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| Authors: | Howell, Debra A, Shellens, Rhiannon, Roman, Eve, Garry, Anne C, Patmore, Russell, Howard, Martin R |
| Source: | Palliative Medicine. Sep2011, Vol. 25 Issue 6, p630-641. 12p. 1 Diagram, 4 Charts. |
| Subjects: | Blood diseases, CINAHL database, Confidence intervals, Hospice care, Medical information storage & retrieval systems, Psychology information storage & retrieval systems, Medical referrals, MEDLINE, Meta-analysis, Palliative treatment, Tumors, Systematic reviews, Relative medical risk |
| Abstract: | Haematological malignancies are complex diseases, affecting the entire age spectrum, and having marked differences in presentation, treatment, progression and outcome. Patients have a significant symptom burden and despite treatment improvements for some sub-types, many patients die from their disease. We carried out a systematic review and meta-analysis to examine the proportion of patients with haematological malignancies that received any form of specialist palliative or hospice care. Twenty-four studies were identified, nine of which were suitable for inclusion in the meta-analysis. Our review showed that patients with haematological malignancies were far less likely to receive care from specialist palliative or hospice services compared to other cancers (Risk Ratio 0.46, [95% confidence intervals 0.42–0.50]). There are several possible explanations for this finding, including: ongoing management by the haematology team and consequent strong bonds between staff and patients; uncertain transitions to a palliative approach to care; and sudden transitions, leaving little time for palliative input. Further research is needed to explore: transitions to palliative care; potential unmet patient needs; where patients want to be cared for and die; existing practices in the delivery of palliative and end-of-life care; and barriers to specialist palliative care and hospice referral and how these might be overcome. [ABSTRACT FROM PUBLISHER] |
| Copyright of Palliative Medicine is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
| FullText | Links: – Type: pdflink Text: Availability: 0 |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 65151743 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Haematological malignancy: are patients appropriately referred for specialist palliative and hospice care? A systematic review and meta-analysis of published data. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Howell%2C+Debra+A%22">Howell, Debra A</searchLink><br /><searchLink fieldCode="AR" term="%22Shellens%2C+Rhiannon%22">Shellens, Rhiannon</searchLink><br /><searchLink fieldCode="AR" term="%22Roman%2C+Eve%22">Roman, Eve</searchLink><br /><searchLink fieldCode="AR" term="%22Garry%2C+Anne+C%22">Garry, Anne C</searchLink><br /><searchLink fieldCode="AR" term="%22Patmore%2C+Russell%22">Patmore, Russell</searchLink><br /><searchLink fieldCode="AR" term="%22Howard%2C+Martin+R%22">Howard, Martin R</searchLink> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Palliative+Medicine%22">Palliative Medicine</searchLink>. Sep2011, Vol. 25 Issue 6, p630-641. 12p. 1 Diagram, 4 Charts. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Blood+diseases%22">Blood diseases</searchLink><br /><searchLink fieldCode="DE" term="%22CINAHL+database%22">CINAHL database</searchLink><br /><searchLink fieldCode="DE" term="%22Confidence+intervals%22">Confidence intervals</searchLink><br /><searchLink fieldCode="DE" term="%22Hospice+care%22">Hospice care</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+information+storage+%26+retrieval+systems%22">Medical information storage & retrieval systems</searchLink><br /><searchLink fieldCode="DE" term="%22Psychology+information+storage+%26+retrieval+systems%22">Psychology information storage & retrieval systems</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+referrals%22">Medical referrals</searchLink><br /><searchLink fieldCode="DE" term="%22MEDLINE%22">MEDLINE</searchLink><br /><searchLink fieldCode="DE" term="%22Meta-analysis%22">Meta-analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Palliative+treatment%22">Palliative treatment</searchLink><br /><searchLink fieldCode="DE" term="%22Tumors%22">Tumors</searchLink><br /><searchLink fieldCode="DE" term="%22Systematic+reviews%22">Systematic reviews</searchLink><br /><searchLink fieldCode="DE" term="%22Relative+medical+risk%22">Relative medical risk</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Haematological malignancies are complex diseases, affecting the entire age spectrum, and having marked differences in presentation, treatment, progression and outcome. Patients have a significant symptom burden and despite treatment improvements for some sub-types, many patients die from their disease. We carried out a systematic review and meta-analysis to examine the proportion of patients with haematological malignancies that received any form of specialist palliative or hospice care. Twenty-four studies were identified, nine of which were suitable for inclusion in the meta-analysis. Our review showed that patients with haematological malignancies were far less likely to receive care from specialist palliative or hospice services compared to other cancers (Risk Ratio 0.46, [95% confidence intervals 0.42–0.50]). There are several possible explanations for this finding, including: ongoing management by the haematology team and consequent strong bonds between staff and patients; uncertain transitions to a palliative approach to care; and sudden transitions, leaving little time for palliative input. Further research is needed to explore: transitions to palliative care; potential unmet patient needs; where patients want to be cared for and die; existing practices in the delivery of palliative and end-of-life care; and barriers to specialist palliative care and hospice referral and how these might be overcome. [ABSTRACT FROM PUBLISHER] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Palliative Medicine is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1177/0269216310391692 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 12 StartPage: 630 Subjects: – SubjectFull: Blood diseases Type: general – SubjectFull: CINAHL database Type: general – SubjectFull: Confidence intervals Type: general – SubjectFull: Hospice care Type: general – SubjectFull: Medical information storage & retrieval systems Type: general – SubjectFull: Psychology information storage & retrieval systems Type: general – SubjectFull: Medical referrals Type: general – SubjectFull: MEDLINE Type: general – SubjectFull: Meta-analysis Type: general – SubjectFull: Palliative treatment Type: general – SubjectFull: Tumors Type: general – SubjectFull: Systematic reviews Type: general – SubjectFull: Relative medical risk Type: general Titles: – TitleFull: Haematological malignancy: are patients appropriately referred for specialist palliative and hospice care? A systematic review and meta-analysis of published data. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Howell, Debra A – PersonEntity: Name: NameFull: Shellens, Rhiannon – PersonEntity: Name: NameFull: Roman, Eve – PersonEntity: Name: NameFull: Garry, Anne C – PersonEntity: Name: NameFull: Patmore, Russell – PersonEntity: Name: NameFull: Howard, Martin R IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 09 Text: Sep2011 Type: published Y: 2011 Identifiers: – Type: issn-print Value: 02692163 Numbering: – Type: volume Value: 25 – Type: issue Value: 6 Titles: – TitleFull: Palliative Medicine Type: main |
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