Early palliative care and its impact on end of life care.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-12-01 Epub Date: 2024-10-30 DOI:10.1097/SPC.0000000000000729

Dan Monnery, Joanne Droney

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引用次数: 0

Abstract

Purpose of review: The impacts of early palliative care for patients with advanced cancer are well described. This has led to endorsement of early palliative care, alongside cancer treatment, by leading cancer organisations. The aim of this review is to consider how best to adopt and integrate the learning from studies of early palliative care into an effective, sustainable service that is offered as part of routine cancer care.

Recent findings: 'Timely', 'targeted' and 'precision' approaches have been proposed to ensure that limited palliative care resources are available to those who are most likely to benefit. Triage and referral based on individual patients' needs has been shown to be both efficient and effective. Standardised referral criteria and the use of tools to assess complexity may support equitable service development. A specialist multidisciplinary approach is a common factor underpinning successful integration between palliative care and oncology but does not negate the importance patient-centred considerations such as advance care planning, which can be facilitated by non-specialist teams.

Summary: The challenge is no longer whether early palliative care should be provided, but how. Evidence-based strategies about how best to implement early palliative care are needed to inform appropriate resourcing, funding, and delivery.

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早期姑息关怀及其对生命末期关怀的影响。

回顾的目的：早期姑息关怀对晚期癌症患者的影响已被充分描述。这使得早期姑息关怀与癌症治疗一起得到了主要癌症组织的认可。本综述的目的是考虑如何最好地采纳早期姑息关怀研究的成果，并将其整合为一项有效的、可持续的服务，作为常规癌症治疗的一部分。最近的研究结果："及时"、"有针对性 "和 "精准 "的方法已被提出，以确保将有限的姑息关怀资源提供给那些最有可能受益的人。事实证明，根据患者的个人需求进行分流和转诊既高效又有效。标准化的转诊标准和评估复杂性的工具可以支持公平的服务发展。专科多学科的方法是姑息关怀与肿瘤学成功整合的共同因素，但这并不否定以患者为中心的考虑因素的重要性，如预先关怀计划，这可以由非专科团队来推动。摘要：挑战不再是是否应该提供早期姑息关怀，而是如何提供。关于如何最好地实施早期姑息关怀，需要以证据为基础的策略，以便为适当的资源配置、资金投入和服务提供依据。

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

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.