Introduction of Various Models of Palliative Oncology Care: A Systematic Review.

IF 1.4 Q4 PHARMACOLOGY & PHARMACY

Reviews on recent clinical trials Pub Date : 2024-01-01 DOI:10.2174/0115748871272511231215053624

Mahdieh Arian, Fatemeh Hajiabadi, Zakiyeh Amini, Mohammad Bagher Oghazian, Ali Valinejadi, Amirhossein Sahebkar

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引用次数: 0

Abstract

Background: The aim of this study is to synthesize the existing evidence on various palliative care (PC) models for cancer patients. This effort seeks to discern which facets of PC models are suitable for various patient cohorts, elucidate their mechanisms, and clarify the circumstances in which these models operate.

Methods: A comprehensive search was performed using MeSH terms related to PC and cancer across various databases. The Preferred Reporting Items for Systematic Reviews and a comprehensive evidence map were also applied.

Results: Thirty-three reviews were published between 2009 and 2023. The conceptual PC models can be classified broadly into time-based, provider-based, disease-based, nurse-based, issue-based, system-based, team-based, non-hospice-based, hospital-based, community-based, telehealth-based, and setting-based models. The study argues that the outcomes of PC encompass timely symptom management, longitudinal psychosocial support, enhanced communication, and decision-making. Referral methods to specialized PC services include oncologist-initiated referral based on clinical judgment alone, via referral criteria, automatic referral at the diagnosis of advanced cancer, or referral based on symptoms or other triggers.

Conclusion: The gold standard for selecting a PC model in the context of oncology is a model that ensures broad availability of early PC for all patients and provides well-timed, scheduled, and specialized care for patients with the greatest requirement.

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介绍各种肿瘤姑息治疗模式：系统性综述。

研究背景本研究旨在综合癌症患者各种姑息关怀模式的现有证据。这项工作旨在辨别姑息治疗模式的哪些方面适合不同的患者群，阐明其机制，并阐明这些模式的运作环境：方法：在各种数据库中使用与 PC 和癌症相关的 MeSH 术语进行了全面检索。方法：在各种数据库中使用与 PC 和癌症相关的 MeSH 关键词进行了全面检索，同时还应用了系统综述首选报告项目和综合证据图：结果：2009 年至 2023 年间共发表了 33 篇综述。概念性 PC 模式可大致分为基于时间的模式、基于提供者的模式、基于疾病的模式、基于护士的模式、基于问题的模式、基于系统的模式、基于团队的模式、非基于医院的模式、基于医院的模式、基于社区的模式、基于远程医疗的模式和基于环境的模式。研究认为，PC 的成果包括及时的症状管理、纵向的社会心理支持、加强沟通和决策。专科 PC 服务的转诊方法包括肿瘤科医生仅根据临床判断主动转诊、通过转诊标准转诊、在诊断出晚期癌症时自动转诊或根据症状或其他触发因素转诊：在肿瘤学领域，选择 PC 模式的黄金标准是确保所有患者都能广泛获得早期 PC 服务，并为需求最大的患者提供适时、有计划的专业护理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Reviews on recent clinical trials PHARMACOLOGY & PHARMACY-

CiteScore

3.10

自引率

5.30%

发文量

期刊介绍： Reviews on Recent Clinical Trials publishes frontier reviews on recent clinical trials of major importance. The journal"s aim is to publish the highest quality review articles in the field. Topics covered include: important Phase I – IV clinical trial studies, clinical investigations at all stages of development and therapeutics. The journal is essential reading for all researchers and clinicians involved in drug therapy and clinical trials.