European journal of cancer care · 2019
The COMPASS study: A descriptive study on the characteristics of palliative care team consultation for cancer patients in hospitals.
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Brinkman-Stoppelenburg Arianne, Polinder Suzanne, Meerum-Terwogt Jetske, de Nijs Ellen, van der Padt-Pruijsten Annemiek, Peters Liesbeth, van der Vorst Maurice, van Zuylen Lia, Lingsma Hester, van der Heide Agnes
Аннотация
OBJECTIVE: To describe the characteristics of palliative care team (PCT) consultation for patients with cancer who are admitted in hospital and to investigate when and why PCTs are consulted.
METHODS: In this descriptive study in ten Dutch hospitals, the COMPASS study, we compared characteristics of patients with cancer for whom a PCT was or was not consulted (substudy 1). We also collected information about the process of PCT consultations and the disciplines involved (substudy 2).
RESULTS: In substudy 1, we included 476 patients. A life expectancy <3 months, unplanned hospitalisation and lack of options for anti-cancer treatment increased the likelihood of PCT consultation. In substudy 2, 64% of 550 consultations concerned patients with a life expectancy of <3 months. The most frequently mentioned problems that were identified by the PCTS were complex pain problems (56%), issues around the organisation of care (31%), fatigue (27%) and dyspnoea (27%). There was much variance between hospitals in the disciplines that were involved in consultations.
CONCLUSION: Palliative care teams in Dutch hospitals are most often consulted for patients with a life expectancy of <3 months who have an unplanned hospital admission because of physical symptoms or problems. We found much variance between hospitals in the composition and activities of PCTs.
METHODS: In this descriptive study in ten Dutch hospitals, the COMPASS study, we compared characteristics of patients with cancer for whom a PCT was or was not consulted (substudy 1). We also collected information about the process of PCT consultations and the disciplines involved (substudy 2).
RESULTS: In substudy 1, we included 476 patients. A life expectancy <3 months, unplanned hospitalisation and lack of options for anti-cancer treatment increased the likelihood of PCT consultation. In substudy 2, 64% of 550 consultations concerned patients with a life expectancy of <3 months. The most frequently mentioned problems that were identified by the PCTS were complex pain problems (56%), issues around the organisation of care (31%), fatigue (27%) and dyspnoea (27%). There was much variance between hospitals in the disciplines that were involved in consultations.
CONCLUSION: Palliative care teams in Dutch hospitals are most often consulted for patients with a life expectancy of <3 months who have an unplanned hospital admission because of physical symptoms or problems. We found much variance between hospitals in the composition and activities of PCTs.
Предметные рубрики MeSH
Adaptation, PsychologicalAgedAnesthesiologistsCancer PainDyspneaFatigueFemaleGeneral PractitionersHospitalizationHospitalsHumansLife ExpectancyMaleMiddle AgedNeoplasmsNetherlandsNurse PractitionersNursesOncologistsPain ManagementPalliative CarePatient CarePatient Care TeamReferral and ConsultationWithholding Treatment