Early and simultaneous palliative care in cancer patients: an overview.

IF 2.8 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
Mara Vicenzini, Sara Di Lorenzo, Margherita Venturini
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引用次数: 0

Abstract

Purpose: The timing of access to palliative care is still a debated topic. We aim to investigate recent evidence on early and simultaneous palliative care to better understand what the most appropriate timing for integration and its impact on the quality of life of cancer patients and their carers might be.

Methods: This is an overview of systematic reviews published between November 2020 and February 2024. Three search strings were launched on the PubMed, CINAHL, Cochrane Library and Scopus databases. Results were screened according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) statement.

Results: A total of 17/1052 articles were selected. The following categories emerged and were described: need to define a timing for integration; definition of specific criteria for referral; access to palliative care; benefits of early and simultaneous palliative care; needs of patients and carers and their preferences. No specific timing for referral to palliative care emerged: one article suggested within 8 weeks of diagnosis, while another identified multiple time points. The term "supportive care" appears to facilitate early referral to palliative care services.

Conclusion: There is ample evidence that early and simultaneous access to palliative care ensures a better care pathway. Although it is not possible to standardise referral times, communication between professionals, patients and carers, shared and advance care planning are key elements in the identification of palliative care needs and their early integration. Much research is still needed to ensure equitable and appropriate access to palliative care.

癌症患者的早期和同时姑息治疗:概述。
目的:获得姑息治疗的时机仍然是一个有争议的话题。我们的目标是调查早期和同时姑息治疗的最新证据,以更好地了解整合的最合适时机及其对癌症患者及其护理人员生活质量的影响。方法:这是对2020年11月至2024年2月间发表的系统综述的综述。在PubMed、CINAHL、Cochrane Library和Scopus数据库上启动了三个搜索字符串。根据系统评价和荟萃分析的首选报告项目(PRISMA)声明筛选结果。结果:共入选17/1052篇文献。出现了以下类别并进行了描述:需要定义集成的时间;确定转诊的具体标准;获得姑息治疗;早期和同步姑息治疗的益处;患者和护理人员的需求及其偏好。没有出现转诊到姑息治疗的具体时间:一篇文章建议在诊断的8周内,而另一篇文章则确定了多个时间点。“支持性护理”一词似乎有助于早期转诊到姑息治疗服务。结论:有充分的证据表明,早期和同时获得姑息治疗可确保更好的护理途径。虽然不可能使转诊时间标准化,但专业人员、患者和护理人员之间的沟通、共享和预先的护理计划是确定姑息治疗需求并将其早期整合的关键要素。为确保公平和适当地获得姑息治疗,仍需要进行大量研究。
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
Supportive Care in Cancer
Supportive Care in Cancer 医学-康复医学
CiteScore
5.70
自引率
9.70%
发文量
751
审稿时长
3 months
期刊介绍: Supportive Care in Cancer provides members of the Multinational Association of Supportive Care in Cancer (MASCC) and all other interested individuals, groups and institutions with the most recent scientific and social information on all aspects of supportive care in cancer patients. It covers primarily medical, technical and surgical topics concerning supportive therapy and care which may supplement or substitute basic cancer treatment at all stages of the disease. Nursing, rehabilitative, psychosocial and spiritual issues of support are also included.
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