Arianne Brinkman-Stoppelenburg1, Yvonne Vergouwe2, Monique Booms3, Mathijs P Hendriks4, Liesbeth A Peters5, Patricia Quarles van Ufford-Mannesse6, Frederiek Terheggen7, Sylvia Verhage8, Maurice J D L van der Vorst9,10, Ingrid Willemen11, Suzanne Polinder2, Agnes van der Heide2. 1. Department of Public Health, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands, a.brinkman-stoppelenburg@erasmusmc.nl. 2. Department of Public Health, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands. 3. Department of Medical Oncology, Erasmus MC Cancer Institute, Rotterdam, The Netherlands. 4. Department of Internal Medicine, Northwest Clinics, Alkmaar, The Netherlands. 5. Department of Pulmonary Diseases, Northwest Clinics, Den Helder, The Netherlands. 6. Department of Medical Oncology, Haga Hospital, The Hague, The Netherlands. 7. Department of Internal Medicine, Bravis Hospital, Bergen op Zoom, The Netherlands. 8. Breast Center, Jeroen Bosch Hospital, 's-Hertogenbosch, The Netherlands. 9. Department of Medical Oncology, Cancer Center Amsterdam, Amsterdam UMC, Amsterdam, The Netherlands. 10. Department of Internal Medicine, Rijnstate Hospital, Arnhem, The Netherlands. 11. Department of Internal Medicine, Elisabeth-Tweesteden Hospital, Tilburg, The Netherlands.
Abstract
INTRODUCTION: Experimental studies have shown that palliative care team (PCT) involvement can improve quality of life (QoL) and symptom burden of patients with advanced cancer. It is unclear to what extent this effect is sustained in daily practice of hospital care. OBJECTIVE: This observational study aims to investigate the effect of PCT consultation on QoL and symptom burden of hospitalized patients with advanced cancer in daily practice. METHODS: After admission to 1 of 9 participating hospitals, patients with advanced cancer for whom the attending physician answered "no" to the Surprise Question were invited to complete a questionnaire, including the EORTC QLQ-C15-PAL, at 6 points in time, until 3 months after admission. Outcomes were compared between patients who received PCT consultation and patients who did not, taking into account differences in baseline characteristics. RESULTS: A total of 164 patients consented to participate, of whom 32 received PCT consultation. Of these patients, 108 were able to complete a questionnaire at day 14, of whom 19 after receiving PCT consultation. After adjusting for baseline differences, EORTC QLQ-C15-PAL scores for pain, appetite, and emotional functioning at day 14 were more favorable for patients who received a PCT consultation. CONCLUSION: PCT consultation decreased patients' symptom burden and tends to have a positive effect on QoL of hospitalized patients with advanced cancer, even if the PCT is consulted late in the patient's disease trajectory.
INTRODUCTION: Experimental studies have shown that palliative care team (PCT) involvement can improve quality of life (QoL) and symptom burden of patients with advanced cancer. It is unclear to what extent this effect is sustained in daily practice of hospital care. OBJECTIVE: This observational study aims to investigate the effect of PCT consultation on QoL and symptom burden of hospitalized patients with advanced cancer in daily practice. METHODS: After admission to 1 of 9 participating hospitals, patients with advanced cancer for whom the attending physician answered "no" to the Surprise Question were invited to complete a questionnaire, including the EORTC QLQ-C15-PAL, at 6 points in time, until 3 months after admission. Outcomes were compared between patients who received PCT consultation and patients who did not, taking into account differences in baseline characteristics. RESULTS: A total of 164 patients consented to participate, of whom 32 received PCT consultation. Of these patients, 108 were able to complete a questionnaire at day 14, of whom 19 after receiving PCT consultation. After adjusting for baseline differences, EORTC QLQ-C15-PAL scores for pain, appetite, and emotional functioning at day 14 were more favorable for patients who received a PCT consultation. CONCLUSION: PCT consultation decreased patients' symptom burden and tends to have a positive effect on QoL of hospitalized patients with advanced cancer, even if the PCT is consulted late in the patient's disease trajectory.
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