Indian Journal of Palliative Care最新文献

{"title":"Cross-Cultural Adaptation and Validation of European Organization for Research and Treatment of Cancer Quality of Life Questionnaire - Oral Health 15 into Hindi Version for Cancer Patients.","authors":"Neha Agrawal, Narinder Dev Gupta, Shahid Ali Siddiqui","doi":"10.25259/IJPC_242_2024","DOIUrl":"https://doi.org/10.25259/IJPC_242_2024","url":null,"abstract":"<p><strong>Objectives: </strong>The multidimensional concept of quality of life (QoL) has become vital in cancer care, and research and is crucial for epidemiological investigations. The primary objective of the research was to translate and culturally adapt the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire - Oral Health15 (EORTC QLQ OH15) questionnaire into Hindi, assessing its reliability and validity for implementation among cancer patients of Aligarh.</p><p><strong>Materials and methods: </strong>This study was carried out from June 2019 to May 2021. Permissions were obtained from the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ) group for cross-cultural adaptation and translation of the Quality of Life Questionnaire-Oral Health15 (QLQ-OH15) and ethical clearance was secured from the Institutional Ethical Review Board at Aligarh Muslim University. Informed consent was provided by participating patients. The translation and cultural adaptation of the QLQ-OH15 followed an eight-phase procedure in compliance with the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire translation manual, ensuring consistency. Psychometric properties were evaluated using the Statistical Program for the Social Sciences 20, assessing content validity, convergent and discriminant validity, criterion validity, construct validity, reliability and test-retest reproducibility.</p><p><strong>Results: </strong>The content validity ratio exceeded 0.75, with Cronbach's alpha values above 0.70 for each scale, confirming reliability. Factor analysis identified five factors: 'Pain and discomfort,' 'Information,' 'Soreness,' 'Denture' and 'Xerostomia.' Every item in every scale had its item convergent validity validated; all values were over 0.4 and there were no scaling mistakes observed. All of the items' correlation coefficients for the other scales were lower than their scales, indicating discriminant validity. There were statistically significant associations between Hindi EORTC QLQ-OH15 scores and three proxy measures: Perceived oral health (<i>P</i> = 0.000), perceived satisfaction with the mouth (<i>P</i> = 0.000) and perceived dental treatment need (<i>P</i> = 0.001).</p><p><strong>Conclusion: </strong>The Hindi version of the QLQ-OH15 is a valid and reliable tool for assessing oral health-related quality of life in Indian cancer patients. This adaptation facilitates better symptom management and improved QoL in this population, emphasising the importance of oral health in comprehensive cancer care.</p>","PeriodicalId":13319,"journal":{"name":"Indian Journal of Palliative Care","volume":"31 1","pages":"52-59"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11866660/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143541873","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring Influence of Spiritual Well-being on Caregiver Burden in Head-and-Neck Malignancy: A Cross-sectional Study.","authors":"Rutam Bhalendu Vaishnav, Girish Mishra, Yojana Sharma, Jaishree Deepak Ganjiwale, Dinesh Kumar, Dipali Bhatt","doi":"10.25259/IJPC_271_2024","DOIUrl":"https://doi.org/10.25259/IJPC_271_2024","url":null,"abstract":"<p><strong>Objectives: </strong>Taking care of a patient with head-and-neck malignancy (HNM) entails enormous physical, emotional, cognitive and moral challenges. Caregivers frequently turn to spiritual practices such as prayer, offering and meditation to enhance inner strength and coping ability. Assessment of caregiver burden (CGB) would remain incomplete without considering spiritual well-being (SWB). We set out to assess CGB and SWB in caregivers of patients suffering from HNMs.</p><p><strong>Materials and methods: </strong>This cross-sectional study was carried out in a medical college-associated tertiary care centre after approval from the institutional ethics committee. CGB was determined using a translated version of Zarit Burden interview 22. SWB was determined by the spiritual wellbeing scale (SWBS), which was translated into Gujarati and validated. Relevant demographic data were also collected and analysed.</p><p><strong>Results: </strong>(1) Patient characteristics: (i) Number of participants: 60 (37 males and 23 females). Mean age: 55.56 years, (ii) Mean time since diagnosis: 7.33 months, (iii) Type of malignancy: Buccal mucosae 31, tongue 12, hard palate 7, lip 4, others 6, (iv) Type of family: Nuclear 14, joint 46. Locale: Rural: 36, urban: 24. (2) Caregiver characteristics: (i) Mean age: 44 years, (ii) Educational status: Graduate and above: 19, undergraduate: 22, primary education: 19, (iii) Occupation: Home-makers: 13, skilled: 18, semi-skilled: 18, others: 6. (3) CGB scores: Mean: 35.30 (Standard deviation [SD] = 11.25). Mild, moderate and high burden were reported by 66.7%, 25% and 3.3% caregivers, respectively. 5% of caregivers reported no burden. (4) SWB score: Mean: 81.70 (SD = 14.84). Low, moderate and high SWB scores were observed in 1.7%, 93.3% and 5%, respectively. (5) There was a significant correlation between higher SWB and lower CGB scores at 0.01 level.</p><p><strong>Conclusion: </strong>Moderate/high SWB was observed in 95% of caregivers regardless of their educational, social and family backgrounds. There was a significant correlation between higher SWB and lower CGB scores.</p>","PeriodicalId":13319,"journal":{"name":"Indian Journal of Palliative Care","volume":"31 1","pages":"60-66"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11866668/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143541875","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Unveiling the Role of Pain Catastrophising as a Predictor of Fear of Personal Death amongst Brain Tumour Patients.","authors":"Diksha Mathreja, Arefa Mansuri","doi":"10.25259/IJPC_182_2024","DOIUrl":"https://doi.org/10.25259/IJPC_182_2024","url":null,"abstract":"<p><strong>Objectives: </strong>According to the National Health Portal, brain cancer is witnessing an upward curve in India. The reports by medical professionals suggest that brain tumours will become the second most common cancer by 2030. Any life-threatening illness not only impacts the physical well-being of the patient but also affects the mental well-being of the patient. As an interdisciplinary field, psychology aims to understand the psychosocial components of an illness that goes beyond the realm of medical treatments. Hence, the present study focused on two psychological constructs, namely Pain Catastrophising and Fear of Personal Death. The present research aims to evaluate the relationship between Pain Catastrophising and Fear of Personal Death as well as assess the predictive role of Pain Catastrophising for Fear of Personal Death.</p><p><strong>Materials and methods: </strong>A correlational design was adopted for the present study. The sample consisted of 180 patients who were diagnosed with a brain tumour and were scheduled for surgery for the removal of the tumour. A purposive sampling technique was used for the selection of the sample. Data were collected on two psychological measures, namely the Pain Catastrophising Scale and the Fear of Personal Death Scale. Pearson's product-moment method and regression analysis were employed for statistical analysis.</p><p><strong>Results: </strong>The findings highlight that there exists a positive association between the two components of Pain Catastrophising, namely Magnification (r = 0.644, <i>P</i> < 0.01) and Helplessness (r = 0.456, <i>P</i> < 0.01) with the Fear of Personal death. Rumination (0.026, <i>P</i> > 0.05) component exhibited no association with Fear of Personal Death. Linear regression analysis reveals that magnification (R = 0.644, R2 = 0.414, F = 125.861, <i>P</i> < 0.01) and helplessness (R = 0.456, R2 = 0.208, F = 46.857, <i>P</i> < 0.01) are significant predictors of Fear of Personal Death for the selected sample.</p><p><strong>Conclusion: </strong>Pain Catastrophising tendencies and feelings of Fear of Personal Death are prevalent amongst the selected cohort. Pain-catastrophising components are significantly associated with fear of personal death (FPD) and are also significant predictors of FPD amongst brain tumour patients.</p>","PeriodicalId":13319,"journal":{"name":"Indian Journal of Palliative Care","volume":"31 1","pages":"32-38"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11866698/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143541691","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trocar Catheter: A New Alternative for Point of Care for Management of Pleural Effusion by Palliative Care Physicians.","authors":"Himanshu Varshney, Prateek Maurya, Sachidanand Jee Bharati, Nishkarsh Gupta","doi":"10.25259/IJPC_303_2024","DOIUrl":"https://doi.org/10.25259/IJPC_303_2024","url":null,"abstract":"","PeriodicalId":13319,"journal":{"name":"Indian Journal of Palliative Care","volume":"31 1","pages":"88-89"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11866659/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143541668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Palliative Care Services in Bhutan: Current Progress and Future Needs.","authors":"Namkha Dorji, Yangden Yangden, Kinley Bhuti, Yeshey Dorjey, Sangay Tshering, Cheong Leong Giam, Tara Devi Laabar","doi":"10.25259/IJPC_206_2024","DOIUrl":"https://doi.org/10.25259/IJPC_206_2024","url":null,"abstract":"<p><p>Palliative care (PC) is a young concept in Bhutan. Since the establishment of home-based PC services at the national referral hospital of Bhutan for the residents of Thimphu City in 2018, many patients have benefitted. The need for PC in Bhutan is huge and urgent. The provision of quality PC is important to improve the quality of life of people facing life-limiting illnesses and end-of-life care, irrespective of their diagnosis. At present, efforts are being made to expand the services to the rest of the country by developing human resources. The plan is to train the existing manpower with the help of regional and international experts so that the PC services in Bhutan are sustainable.</p>","PeriodicalId":13319,"journal":{"name":"Indian Journal of Palliative Care","volume":"31 1","pages":"79-85"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11866669/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143541462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Lived Experiences of Pancreatic Cancer Patients Undergone Whipple Procedure: A Qualitative Study.","authors":"Priyanka Chauhan, Sukhpal Kaur, Neena Vir Singh, Maninderdeep Kaur, Rajesh Gupta","doi":"10.25259/IJPC_205_2024","DOIUrl":"https://doi.org/10.25259/IJPC_205_2024","url":null,"abstract":"<p><strong>Objectives: </strong>Pancreatic cancer is a devastating illness with significant impacts on patients' health-related quality of life (HRQoL). The Whipple procedure, a common surgical intervention for pancreatic cancer, presents numerous challenges for recovery and adaptation. This study aims to provide a comprehensive understanding of the lived experiences of patients' post-Whipple surgery. The objective of the study is to explore the lived experiences of patients having cancer of the pancreas undergone Whipple's procedures.</p><p><strong>Materials and methods: </strong>A qualitative phenomenological approach was employed to delve into the experiences of patients who underwent the Whipple procedure. Twenty-seven patients attending the surgical gastroenterology outpatient department of a tertiary care institution for follow-up were enrolled in the study. The patients were enrolled consecutively till the saturation of data. An interview guide was used to collect the data. The data were analysed using Colaizzi's method to identify the key themes.</p><p><strong>Results: </strong>The participants, with a mean age of 51.61 ± 10.89 years, were predominantly male (61.7%) and Hindu (70%) by religion. Most participants had tumours of the head of the pancreas and were hospitalised for 16-30 days at the time of surgery. Thematic analysis revealed eleven themes, i.e. post-diagnosis reaction, burden of the disease, physical problems, socioeconomic burden, psychological issues, impact on social life, financial support, disturbed body image, spirituality, communication with healthcare professionals and hospital experiences.</p><p><strong>Conclusion: </strong>This study underscores the multifaceted challenges faced by pancreatic cancer patients post-Whipple procedure, highlighting the importance of addressing physical, emotional and socioeconomic aspects to improve their HRQoL. The findings can inform healthcare professionals in developing holistic care strategies tailored to these patients' unique needs.</p>","PeriodicalId":13319,"journal":{"name":"Indian Journal of Palliative Care","volume":"31 1","pages":"67-73"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11866703/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143541037","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Yoga Intervention and Inflammatory Homoeostasis in Breast Cancer Patients.","authors":"Kaini Cecilia Kaje, Fatima Dsilva, Praveen Kumar Shetty, Rajashekar Mohan, Shishir Kumar, Neevan Dsouza, Caren D'souza, Shwetha Shetty Kalladka, Dhananjay B Alagundagi, Krithika Kalladka","doi":"10.25259/IJPC_181_2024","DOIUrl":"https://doi.org/10.25259/IJPC_181_2024","url":null,"abstract":"<p><strong>Objectives: </strong>Yoga, renowned for its ability to maintain physical, mental and spiritual well-being, has recently gained prominence as a supportive therapy during conventional breast cancer (BC) treatment. This paradigm shift reflects a growing trend of people embracing yoga to enhance their overall health and aid in managing BC. The objective of this study was to determine the yoga intervention and inflammatory homoeostasis in newly diagnosed BC patients.</p><p><strong>Materials and method: </strong>This study recruited 44 newly diagnosed BC patients at stages II, III and IV (without distant metastasis or other inflammatory diseases), all admitted for neoadjuvant chemotherapy followed by surgery. A prospective non-randomised control design was employed. Baseline assessments were conducted before the first chemotherapy cycle, with follow-ups before the 2^nd and 3^rd chemotherapy cycles, before surgery, and 2 months post-surgery. The outcome was compared with the control group.</p><p><strong>Results: </strong>The study showed significant within-subject effects in the yoga intervention group on serum tumour necrosis factor-alpha, interleukin (IL)-1-beta and IL-6 levels, while no significant changes were observed in the control group. Although between groups did not show statistically significant, the mean values indicated a consistent downregulation of proinflammatory markers over time in the yoga group.</p><p><strong>Conclusion: </strong>Incorporating yoga as a complementary therapy alongside conventional BC treatment significantly improved the health outcomes of BC patients by modulating proinflammatory markers.</p>","PeriodicalId":13319,"journal":{"name":"Indian Journal of Palliative Care","volume":"31 1","pages":"1-7"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11866663/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143541795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Opioid Accessibility for Palliative Care in Nepal: A Review of Achievement and Remaining Challenges.","authors":"Rajeev Shrestha, Sunil Shrestha, Shakti Shrestha, Amrita Shrestha, Bishnu Dutta Paudel, Daniel Munday","doi":"10.25259/IJPC_118_2024","DOIUrl":"https://doi.org/10.25259/IJPC_118_2024","url":null,"abstract":"<p><p>This study aimed to explore current opioid availability and accessibility for palliative care (PC) practice in Nepal. A narrative review was conducted by performing literature searches in electronic databases, grey literature, policy documents, and pharmaceutical websites. This was supplemented by utilising the authors' expertise and experience in this field. Six different opioids are available in Nepal, including oral immediate and modified-release morphine formulations. Morphine is produced and distributed by only one manufacturer, which imports all raw materials from Europe. Access to morphine in rural areas is poor, with rural-level healthcare centres rarely stocking morphine, particularly in PC formulations. Fentanyl transdermal (TD) patch and methadone syrup are available in Nepal but are imported. The Fentanyl TD patch is extremely expensive, and methadone syrup is only available for the management of addiction. While opioid availability has increased in Nepal, there is a need to improve opioid accessibility for PC services, particularly in rural areas. Several approaches are explored in this review.</p>","PeriodicalId":13319,"journal":{"name":"Indian Journal of Palliative Care","volume":"31 1","pages":"74-78"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11866692/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143541058","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Optimising Initial Pain Management and its Influence on Compliance and Treatment Abandonment in Newly Diagnosed Head-and-Neck Cancer Patients: A Real-world Experience.","authors":"Bharath V S S K Talagadadeevi, Ravi Kannan, Surendran Veeraiah, Arun Seshachalam, Tanu Anand, S Vijayakanth, Kapil Malik","doi":"10.25259/IJPC_153_2024","DOIUrl":"https://doi.org/10.25259/IJPC_153_2024","url":null,"abstract":"<p><strong>Objectives: </strong>Improper pain management is a significant contributing factor and a potential correctable factor for low cure rates of head-and-neck cancer (HNC) patients. This study aims to assess the significance of the Quantitative Improvement Programme (QIP) in evaluating pain levels and its correlation with treatment compliance in recently diagnosed HNC patients undergoing curative treatment at a surgical oncology outpatient department (OPD). The study was conducted from January 2022 to August 2023 at a tertiary cancer care centre in Northeast India.</p><p><strong>Materials and methods: </strong>This cohort study used secondary data. We implemented the QIP in December 2022. There were 204 patients in the non-implemented group (NIG) (January 2022 to December 2022), and 110 patients were in the implemented group (IG) (January 2023 to August 2023).</p><p><strong>Results: </strong>The study included 314 HNC patients. The mean age was 57 years, and the male-to-female ratio was 3:1. More than two-thirds (70%) of patients presented with pain. Pain assessment was carried out in 63% (120) of patients in the NIG and 86% (95) patients in the IG and was found to differ significantly (<i>P</i> < 0.0001) between the groups. Treatment abandonment (default before starting treatment) was reported amongst 23% in the NIG, compared to 16% in the IG. 41% (85) of patients in the NIG and 39% (43) in the IG reported non-compliance with treatment (breaks after commencing treatment). There were only 7% of patients from the NIG and 4% of patients from the IG who experienced unfavourable events (relapse, death and treatment failure). Of the various factors analysed, we found age as the single most significant predictor of compliance to treatment (age 18-39 years: Risk ratio [RR] = 2.482, 95% confidence interval [CI]: 0.88, 6.99 [<i>P</i> < 0.08]; age group 40-64 years: RR = 0.54, 95% CI: 0.33, 0.90 [<i>P</i> < 0.01]).</p><p><strong>Conclusion: </strong>QIP for pain management resulted in efficient pain assessment, enhanced patient compliance and reduced rates of treatment abandonment. The study findings mandate QIP for effective pain management of HNC patients in all cancer centres.</p>","PeriodicalId":13319,"journal":{"name":"Indian Journal of Palliative Care","volume":"31 1","pages":"15-20"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11866678/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143541259","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Outcomes of Specialist Palliative Care Consultation for Patients with Advanced Cancer in an Oncological Emergency Department: A Retrospective Analysis.","authors":"Sumith Surendran, Jayita Deodhar, Shamali Srinivas Poojary, Pallavi Singh, Prarthna Jayaseelan","doi":"10.25259/IJPC_232_2024","DOIUrl":"https://doi.org/10.25259/IJPC_232_2024","url":null,"abstract":"<p><strong>Objectives: </strong>Research on palliative care (PC) consultation and its outcomes in the emergency department (ED) within a low-and middle-income country (LMIC) setting is limited. This study aimed to evaluate PC consultation outcomes, symptom burden and management, and referral patterns in patients with advanced cancer referred for specialist PC (SPC) in the ED of an urban tertiary care cancer centre in India.</p><p><strong>Materials and methods: </strong>Data of adult advanced cancer patients referred for SPC services in the ED between August 2017 and June 2019 were retrospectively screened. Patients' sociodemographic features, clinical characteristics, ED visit-related data, and treatment-related data were documented. Multinomial logistic regression, incorporating significant univariate factors, was performed to analyse the independent predictive factors of consultation outcomes in the ED.</p><p><strong>Results: </strong>Of the 644 consultations, 366 (56.8%) were discharged home, 166 (25.8%) were admitted to various settings (hospital/respite care/hospice), 74 (11.5%) died in the ED, and 38 (5.9%) were unresponsive upon arrival. Sex, performance status (PS), gastrointestinal and cardiovascular events, pain, cancer progression, and receipt of pharmacological treatment were predictive of consultation outcomes. Male patients and those with poor PS were more likely to be admitted to the ED, whereas patients with poor PS and cancer progression were more likely to die. Discharge rates were higher among females, those with gastrointestinal symptoms and pain, and those receiving pharmacological treatment.</p><p><strong>Conclusion: </strong>More than 50% of the patients referred for SPC consultations were discharged. In addition, we also identified predictors for each consultation outcome in the LMIC-ED setting. Future research should investigate advanced care planning and survival analyses in comparable ED settings.</p>","PeriodicalId":13319,"journal":{"name":"Indian Journal of Palliative Care","volume":"31 1","pages":"39-47"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11866695/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143541354","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}