Journal of palliative medicine最新文献_第3页

Palliative Care and End-of-Life Care in Metastatic Pancreatic Cancer. 转移性胰腺癌的姑息治疗和临终关怀。

IF 2.2 3区医学

Journal of palliative medicine Pub Date : 2025-02-01 Epub Date: 2024-12-05 DOI: 10.1089/jpm.2024.0313

Jenny O'Brien, Brenton Halsey, Meghan Connors, Mengying Deng, Elizabeth Handorf, Giuliana Berardi, Shannon Lynch, Kristen Sorice, Sanjay Reddy, Joshua Meyer, Jessica Bauman, Efrat Dotan

{"title":"Palliative Care and End-of-Life Care in Metastatic Pancreatic Cancer.","authors":"Jenny O'Brien, Brenton Halsey, Meghan Connors, Mengying Deng, Elizabeth Handorf, Giuliana Berardi, Shannon Lynch, Kristen Sorice, Sanjay Reddy, Joshua Meyer, Jessica Bauman, Efrat Dotan","doi":"10.1089/jpm.2024.0313","DOIUrl":"10.1089/jpm.2024.0313","url":null,"abstract":"Background: Patients with metastatic pancreatic cancer (mPC) have a five-year survival of 2.7%. Studies have shown that patients with mPC receive aggressive care at the end of life (EOL), which has been associated with worse quality of life for patients and high use of health care resources when they are least likely to benefit patients. Multiple studies suggest that integration of palliative care (PC) teams often leads to less aggressive EOL care. Methods: A retrospective database of patients with mPC treated at a tertiary cancer center between 2010 and 2021 was analyzed for utilization of PC consultation and EOL care. Results: We identified 610 patients with mPC, of whom 39% were seen by PC, 56% were referred to hospice, and 91.8% are deceased. The average time from mPC diagnosis to PC consult was 232 days, the average time from PC consult to death was 121 days. Patients who had PC consultations were less likely to receive chemotherapy within 14 days of death (7.7% vs. 13.3%, p = 0.05), more likely to have a do not resuscitate (DNR) code status (83.3% vs. 44.5%, p < 0.0001), and more likely to be referred to hospice (83.9% vs. 35.9%, p < 0.0001). The average length of time on hospice was 24 days with no difference between those who saw PC and those who did not. Patients who were referred to hospice were also less likely to receive chemotherapy within 14 days of death (6.7% vs. 19.8%, p < 0.0001). Lastly, no significant difference was observed in mean overall survival from time of diagnosis in patient referred to PC and those who were not (349.4 vs. 349.6 days, p = 0.992). Conclusions: Patients with mPC who had a PC team involved in their care were significantly less likely to receive aggressive EOL care.","PeriodicalId":16656,"journal":{"name":"Journal of palliative medicine","volume":" ","pages":"217-223"},"PeriodicalIF":2.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142786065","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Our Unrealized Imperative: Integrating Mental Health Care into Hospice and Palliative Care. 我们未实现的当务之急：将精神卫生保健纳入临终关怀和姑息治疗。

IF 2.2 3区医学

Journal of palliative medicine Pub Date : 2025-02-01 Epub Date: 2024-12-10 DOI: 10.1089/jpm.2024.0366

Susan Block

{"title":"Our Unrealized Imperative: Integrating Mental Health Care into Hospice and Palliative Care.","authors":"Susan Block","doi":"10.1089/jpm.2024.0366","DOIUrl":"10.1089/jpm.2024.0366","url":null,"abstract":"The field of Hospice and Palliative Medicine (HPM) has its roots in the principles, promulgated by Dame Cicely Saunders, that patient and family are the unit of care and that comprehensive integration of physical, psychological, social, and spiritual care is necessary to address suffering in all its dimensions. Although we aspire to provide comprehensive care for our patients, most hospice and palliative care (HPM) physicians lack basic competencies for identifying and managing patients with psychological distress and mental health distress and disorders, a growing segment of our clinical population. In this article, I argue that we are not living up to the founding values of our field in how we practice, how we educate our trainees, our research, and in how we pursue our own professional development as faculty. The history of our field, the nature of our clinical workforce, the culture of PC, and our educational programs all contribute to our current practice model, which is not adequate to meet the mental health needs of our patients. I propose strategies to address these challenges focused on enhancing integration between psychiatry/psychology and HPM, changes in fellowship education and faculty development, addressing the stigma against people with mental health diagnoses, and addressing system and cultural challenges that limit our ability to provide the kind of comprehensive, integrative care that our field aspires to.","PeriodicalId":16656,"journal":{"name":"Journal of palliative medicine","volume":" ","pages":"151-161"},"PeriodicalIF":2.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142800984","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

In this Issue.

IF 2.2 3区医学

Journal of palliative medicine Pub Date : 2025-02-01 DOI: 10.1089/jpm.2024.0519

引用次数: 0

Caring for Undocumented Immigrant Patients at the End of Life #495. 照顾生命尽头的无证移民患者#495。

IF 2.2 3区医学

Journal of palliative medicine Pub Date : 2025-02-01 Epub Date: 2024-12-09 DOI: 10.1089/jpm.2024.0506

Suha Na Javeed, Grace N La Torre

引用次数: 0

Challenges in Prognostication of an Older Adult with Severe Obesity and End-Stage Heart Failure: A Case Study. 对患有严重肥胖症和终末期心力衰竭的老年人进行诊断的挑战：病例研究。

IF 2.2 3区医学

Journal of palliative medicine Pub Date : 2025-02-01 Epub Date: 2024-07-15 DOI: 10.1089/jpm.2024.0101

Sara Margosian, Caroline Vitale, Shenbagam Dewar

引用次数: 0

The CMO Curtain. CMO 帷幕

IF 2.2 3区医学

Journal of palliative medicine Pub Date : 2025-02-01 Epub Date: 2024-10-28 DOI: 10.1089/jpm.2024.0438

Jennifer A Carolan

引用次数: 0

Not Either Yes or No, Rather Both Yes and No Simultaneously. 不是 "是 "或 "否"，而是同时 "是 "和 "否"。

IF 2.2 3区医学

Journal of palliative medicine Pub Date : 2025-02-01 Epub Date: 2024-11-28 DOI: 10.1089/jpm.2024.0376

Peter Heikkinen

引用次数: 0

Providing Palliative Care for Sexual and Gender Minority Individuals: A Qualitative Interview Study of Physicians' Attitudes and Experiences. 为性少数群体和性别少数群体提供姑息治疗：对医生态度和经验的定性访谈研究。

IF 2.2 3区医学

Journal of palliative medicine Pub Date : 2025-02-01 Epub Date: 2024-11-28 DOI: 10.1089/jpm.2024.0283

Alexandre Coholan, Justin J Sanders, Carey Candrian

{"title":"Providing Palliative Care for Sexual and Gender Minority Individuals: A Qualitative Interview Study of Physicians' Attitudes and Experiences.","authors":"Alexandre Coholan, Justin J Sanders, Carey Candrian","doi":"10.1089/jpm.2024.0283","DOIUrl":"10.1089/jpm.2024.0283","url":null,"abstract":"Introduction: Sexual and gender minority (SGM) individuals face increased risk of receiving suboptimal care, including palliative care. Despite research demonstrating strategies to improve care, little is known about the experiences of palliative care clinicians providing care to these communities. Objectives: The primary aim of this study is to characterize attitudes and practices of palliative care physicians around providing care to SGM individuals. Design: This exploratory, qualitative study used semi-structured interviewing. Interviews were transcribed and coded using reflexive thematic analysis. Setting and Participants: Twenty-four palliative care physicians practicing in the homecare, hospice, and hospital settings from geographically diverse sites across Canada were recruited from palliative care organizations using convenience and snowball sampling. Results: Four main themes represent perspectives on improving palliative care for SGM individuals: (1) increasing experience with and knowledge about SGM communities increases clinicians' confidence and competency; (2) standardizing inclusive sexual orientation and gender identity (SOGI) data collection and documentation can improve patient care; (3) addressing individual, systemic, and societal biases may improve palliative care provided to SGM individuals; and (4) knowing SOGI improves care quality. Conclusions: Clinicians must familiarize themselves with the importance of SOGI to the care provided as well as the palliative care needs of SGM communities. Institutions should provide tailored training around the unique needs of SGM patients and implement policies and tools that standardize sexual and gender orientation data collection and documentation.","PeriodicalId":16656,"journal":{"name":"Journal of palliative medicine","volume":" ","pages":"224-233"},"PeriodicalIF":2.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142739609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Regret in Clinical Trial Participation Among Cancer Patients. 癌症患者参与临床试验后的后悔。

IF 2.2 3区医学

Journal of palliative medicine Pub Date : 2025-02-01 Epub Date: 2024-11-28 DOI: 10.1089/jpm.2024.0147

Kayla M Baker, Lucy Andersen, Molly McHugh, Anessa M Foxwell, Qiuping Zhou, Sarah J Ratcliffe, Liming Huang, Subhash Aryal, Christine Grady, Connie M Ulrich

{"title":"Regret in Clinical Trial Participation Among Cancer Patients.","authors":"Kayla M Baker, Lucy Andersen, Molly McHugh, Anessa M Foxwell, Qiuping Zhou, Sarah J Ratcliffe, Liming Huang, Subhash Aryal, Christine Grady, Connie M Ulrich","doi":"10.1089/jpm.2024.0147","DOIUrl":"10.1089/jpm.2024.0147","url":null,"abstract":"Background: This analysis examined regret from participation in cancer clinical trials (CCT) and explored associations between regret and symptom burden, symptom bother, therapeutic optimism, and the importance of spiritual beliefs. Methods: This is a secondary analysis of cross-sectional data from a study of American CCT patient-participants conducted from 2015 to 2019. Descriptive statistics, bivariate associations, and logistic regression were used to evaluate regret in this sample (n = 325). Results: About 10% of the sample reported regret. Younger age, increased symptom burden, increased symptom bother, increased severe symptoms, and a lower level of therapeutic optimism were significantly associated with regret (p < 0.05) compared to those who did not experience regret. The final regression model identified that younger age, symptom burden, and therapeutic optimism significantly predicted regret (p < 0.05). Conclusions: Understanding regret among research participants may improve CCT retention and ensure ethical research practices. Symptom experiences may play a key role in experiences of regret in CCT participation.","PeriodicalId":16656,"journal":{"name":"Journal of palliative medicine","volume":" ","pages":"185-192"},"PeriodicalIF":2.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142739729","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Letter to the Editor: Collaborative Management of Suspected Anencephaly as Part of Perinatal Palliative Care. 致编辑的信：作为围产期姑息治疗一部分的疑似无脑畸形的协同管理。

IF 2.2 3区医学

Journal of palliative medicine Pub Date : 2025-02-01 Epub Date: 2024-12-09 DOI: 10.1089/jpm.2024.0134

Christine Mott, William Lo

引用次数: 0