AutomedicationFrancoV1, Main, Exploration, bibRecord, 000E36

Palliative care needs at different phases in the illness trajectory: a survey study in patients with cancer.

Identifieur interne : 000E36 ( Main/Exploration ); précédent : 000E35; suivant : 000E37

Palliative care needs at different phases in the illness trajectory: a survey study in patients with cancer.

Auteurs : K. Beernaert [Belgique] ; K. Pardon [Belgique] ; L. Van Den Block [Belgique] ; D. Devroey [Belgique] ; M. De Laat [Belgique] ; K. Geboes [Belgique] ; V. Surmont [Belgique] ; L. Deliens [Belgique] ; J. Cohen [Belgique]

Source :

European journal of cancer care [ 1365-2354 ] ; 2016.

RBID : pubmed:27271354

Descripteurs français

KwdFr :
- Activités de la vie quotidienne (MeSH), Adolescent (MeSH), Adulte (MeSH), Adulte d'âge moyen (MeSH), Belgique (MeSH), Coûts indirects de la maladie (MeSH), Femelle (MeSH), Humains (MeSH), Jeune adulte (MeSH), Mâle (MeSH), Prestations des soins de santé (normes), Qualité de vie (MeSH), Soins palliatifs (normes), Spiritualité (MeSH), Sujet âgé (MeSH), Tumeurs (psychologie), Tumeurs (thérapie), Études longitudinales (MeSH), Études transversales (MeSH), Évaluation des besoins (MeSH).
MESH :
- normes : Prestations des soins de santé, Soins palliatifs.
- psychologie : Tumeurs.
- thérapie : Tumeurs.
- Activités de la vie quotidienne, Adolescent, Adulte, Adulte d'âge moyen, Belgique, Coûts indirects de la maladie, Femelle, Humains, Jeune adulte, Mâle, Qualité de vie, Spiritualité, Sujet âgé, Études longitudinales, Études transversales, Évaluation des besoins.

English descriptors

KwdEn :
- Activities of Daily Living (MeSH), Adolescent (MeSH), Adult (MeSH), Aged (MeSH), Belgium (MeSH), Cost of Illness (MeSH), Cross-Sectional Studies (MeSH), Delivery of Health Care (standards), Female (MeSH), Humans (MeSH), Longitudinal Studies (MeSH), Male (MeSH), Middle Aged (MeSH), Needs Assessment (MeSH), Neoplasms (psychology), Neoplasms (therapy), Palliative Care (standards), Quality of Life (MeSH), Spirituality (MeSH), Young Adult (MeSH).
MESH :
- psychology : Neoplasms.
- standards : Delivery of Health Care, Palliative Care.
- therapy : Neoplasms.
- Activities of Daily Living, Adolescent, Adult, Aged, Belgium, Cost of Illness, Cross-Sectional Studies, Female, Humans, Longitudinal Studies, Male, Middle Aged, Needs Assessment, Quality of Life, Spirituality, Young Adult.

Abstract

Despite the growing consensus on the benefits of initiating palliative care early in the disease trajectory, it remains unclear at what point palliative care needs emerge. This study investigates quality of life and unmet palliative care needs at three phases in the cancer trajectory, curative, life-prolonging and most advanced (prognosis <6 months/no further disease-modifying treatment). We collected self-reported data from 620 patients with cancer in the University Hospital of Ghent, Belgium. They completed a questionnaire on quality of life (using the EORTC QLQ-C30) and unmet care needs within the domains of palliative care. We used European reference values of the EORTC QLQ-C30 to compare the mean scores with a norm group. The groups further on in the cancer trajectory reported statistically and clinically poorer functioning compared with earlier phases, also when controlled for the effects of sex, age or type of cancer. Higher symptom burdens for fatigue, pain, dyspnoea and appetite loss were found in groups further into the trajectory, p < .001. Patients in the curative phase experienced physical symptoms and had clinically worse functioning than a European reference group. This paper demonstrates the ongoing need for oncologists to address the broader palliative care needs of patients from diagnosis onwards.

DOI: 10.1111/ecc.12522
PubMed: 27271354

Affiliations:

Links toward previous steps (curation, corpus...)

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Le document en format XML

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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Activities of Daily Living (MeSH)</term>
<term>Adolescent (MeSH)</term>
<term>Adult (MeSH)</term>
<term>Aged (MeSH)</term>
<term>Belgium (MeSH)</term>
<term>Cost of Illness (MeSH)</term>
<term>Cross-Sectional Studies (MeSH)</term>
<term>Delivery of Health Care (standards)</term>
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<term>Humans (MeSH)</term>
<term>Longitudinal Studies (MeSH)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Needs Assessment (MeSH)</term>
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<term>Neoplasms (therapy)</term>
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<term>Adolescent (MeSH)</term>
<term>Adulte (MeSH)</term>
<term>Adulte d'âge moyen (MeSH)</term>
<term>Belgique (MeSH)</term>
<term>Coûts indirects de la maladie (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Jeune adulte (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Prestations des soins de santé (normes)</term>
<term>Qualité de vie (MeSH)</term>
<term>Soins palliatifs (normes)</term>
<term>Spiritualité (MeSH)</term>
<term>Sujet âgé (MeSH)</term>
<term>Tumeurs (psychologie)</term>
<term>Tumeurs (thérapie)</term>
<term>Études longitudinales (MeSH)</term>
<term>Études transversales (MeSH)</term>
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<keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Neoplasms</term>
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<keywords scheme="MESH" qualifier="standards" xml:lang="en"><term>Delivery of Health Care</term>
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<term>Adult</term>
<term>Aged</term>
<term>Belgium</term>
<term>Cost of Illness</term>
<term>Cross-Sectional Studies</term>
<term>Female</term>
<term>Humans</term>
<term>Longitudinal Studies</term>
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<term>Adolescent</term>
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<term>Adulte d'âge moyen</term>
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<term>Mâle</term>
<term>Qualité de vie</term>
<term>Spiritualité</term>
<term>Sujet âgé</term>
<term>Études longitudinales</term>
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<front><div type="abstract" xml:lang="en">Despite the growing consensus on the benefits of initiating palliative care early in the disease trajectory, it remains unclear at what point palliative care needs emerge. This study investigates quality of life and unmet palliative care needs at three phases in the cancer trajectory, curative, life-prolonging and most advanced (prognosis <6 months/no further disease-modifying treatment). We collected self-reported data from 620 patients with cancer in the University Hospital of Ghent, Belgium. They completed a questionnaire on quality of life (using the EORTC QLQ-C30) and unmet care needs within the domains of palliative care. We used European reference values of the EORTC QLQ-C30 to compare the mean scores with a norm group. The groups further on in the cancer trajectory reported statistically and clinically poorer functioning compared with earlier phases, also when controlled for the effects of sex, age or type of cancer. Higher symptom burdens for fatigue, pain, dyspnoea and appetite loss were found in groups further into the trajectory, p < .001. Patients in the curative phase experienced physical symptoms and had clinically worse functioning than a European reference group. This paper demonstrates the ongoing need for oncologists to address the broader palliative care needs of patients from diagnosis onwards. </div>
</front>
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<Abstract><AbstractText>Despite the growing consensus on the benefits of initiating palliative care early in the disease trajectory, it remains unclear at what point palliative care needs emerge. This study investigates quality of life and unmet palliative care needs at three phases in the cancer trajectory, curative, life-prolonging and most advanced (prognosis <6 months/no further disease-modifying treatment). We collected self-reported data from 620 patients with cancer in the University Hospital of Ghent, Belgium. They completed a questionnaire on quality of life (using the EORTC QLQ-C30) and unmet care needs within the domains of palliative care. We used European reference values of the EORTC QLQ-C30 to compare the mean scores with a norm group. The groups further on in the cancer trajectory reported statistically and clinically poorer functioning compared with earlier phases, also when controlled for the effects of sex, age or type of cancer. Higher symptom burdens for fatigue, pain, dyspnoea and appetite loss were found in groups further into the trajectory, p < .001. Patients in the curative phase experienced physical symptoms and had clinically worse functioning than a European reference group. This paper demonstrates the ongoing need for oncologists to address the broader palliative care needs of patients from diagnosis onwards. </AbstractText>
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<ForeName>K</ForeName>
<Initials>K</Initials>
<AffiliationInfo><Affiliation>Department of Internal Medicine, Ghent University Hosptial, Ghent, Belgium.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Surmont</LastName>
<ForeName>V</ForeName>
<Initials>V</Initials>
<AffiliationInfo><Affiliation>Department of Respiratory Medicine, Ghent University Hospital, Ghent, Belgium.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Deliens</LastName>
<ForeName>L</ForeName>
<Initials>L</Initials>
<AffiliationInfo><Affiliation>End-of-Life Care Research Group, Vrije Universiteit Brussel (VUB) & Ghent University, Brussels, Belgium.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Department of Medical Oncology, Ghent University Hospital, Ghent, Belgium.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Cohen</LastName>
<ForeName>J</ForeName>
<Initials>J</Initials>
<AffiliationInfo><Affiliation>End-of-Life Care Research Group, Vrije Universiteit Brussel (VUB) & Ghent University, Brussels, Belgium.</Affiliation>
</AffiliationInfo>
</Author>
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<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType>
</PublicationTypeList>
<ArticleDate DateType="Electronic"><Year>2016</Year>
<Month>06</Month>
<Day>07</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo><Country>England</Country>
<MedlineTA>Eur J Cancer Care (Engl)</MedlineTA>
<NlmUniqueID>9301979</NlmUniqueID>
<ISSNLinking>0961-5423</ISSNLinking>
</MedlineJournalInfo>
<CitationSubset>N</CitationSubset>
<MeshHeadingList><MeshHeading><DescriptorName UI="D000203" MajorTopicYN="N">Activities of Daily Living</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName>
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<MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
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<MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D001530" MajorTopicYN="N">Belgium</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D017281" MajorTopicYN="N">Cost of Illness</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D003430" MajorTopicYN="N">Cross-Sectional Studies</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D003695" MajorTopicYN="N">Delivery of Health Care</DescriptorName>
<QualifierName UI="Q000592" MajorTopicYN="N">standards</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008137" MajorTopicYN="N">Longitudinal Studies</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D020380" MajorTopicYN="N">Needs Assessment</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D009369" MajorTopicYN="N">Neoplasms</DescriptorName>
<QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName>
<QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D010166" MajorTopicYN="N">Palliative Care</DescriptorName>
<QualifierName UI="Q000592" MajorTopicYN="Y">standards</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D011788" MajorTopicYN="N">Quality of Life</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D029181" MajorTopicYN="N">Spirituality</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName>
</MeshHeading>
</MeshHeadingList>
<KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">cancer</Keyword>
<Keyword MajorTopicYN="N">care needs</Keyword>
<Keyword MajorTopicYN="N">care provision</Keyword>
<Keyword MajorTopicYN="N">palliative care</Keyword>
<Keyword MajorTopicYN="N">quality of life</Keyword>
</KeywordList>
</MedlineCitation>
<PubmedData><History><PubMedPubDate PubStatus="accepted"><Year>2016</Year>
<Month>04</Month>
<Day>15</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="entrez"><Year>2016</Year>
<Month>6</Month>
<Day>9</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="pubmed"><Year>2016</Year>
<Month>6</Month>
<Day>9</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="medline"><Year>2017</Year>
<Month>4</Month>
<Day>11</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
</History>
<PublicationStatus>ppublish</PublicationStatus>
<ArticleIdList><ArticleId IdType="pubmed">27271354</ArticleId>
<ArticleId IdType="doi">10.1111/ecc.12522</ArticleId>
</ArticleIdList>
</PubmedData>
</pubmed>
<affiliations><list><country><li>Belgique</li>
</country>
<region><li>Région de Bruxelles-Capitale</li>
</region>
<settlement><li>Bruxelles</li>
</settlement>
</list>
<tree><country name="Belgique"><region name="Région de Bruxelles-Capitale"><name sortKey="Beernaert, K" sort="Beernaert, K" uniqKey="Beernaert K" first="K" last="Beernaert">K. Beernaert</name>
</region>
<name sortKey="Cohen, J" sort="Cohen, J" uniqKey="Cohen J" first="J" last="Cohen">J. Cohen</name>
<name sortKey="De Laat, M" sort="De Laat, M" uniqKey="De Laat M" first="M" last="De Laat">M. De Laat</name>
<name sortKey="Deliens, L" sort="Deliens, L" uniqKey="Deliens L" first="L" last="Deliens">L. Deliens</name>
<name sortKey="Deliens, L" sort="Deliens, L" uniqKey="Deliens L" first="L" last="Deliens">L. Deliens</name>
<name sortKey="Devroey, D" sort="Devroey, D" uniqKey="Devroey D" first="D" last="Devroey">D. Devroey</name>
<name sortKey="Geboes, K" sort="Geboes, K" uniqKey="Geboes K" first="K" last="Geboes">K. Geboes</name>
<name sortKey="Pardon, K" sort="Pardon, K" uniqKey="Pardon K" first="K" last="Pardon">K. Pardon</name>
<name sortKey="Surmont, V" sort="Surmont, V" uniqKey="Surmont V" first="V" last="Surmont">V. Surmont</name>
<name sortKey="Van Den Block, L" sort="Van Den Block, L" uniqKey="Van Den Block L" first="L" last="Van Den Block">L. Van Den Block</name>
</country>
</tree>
</affiliations>
</record>

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Palliative care needs at different phases in the illness trajectory: a survey study in patients with cancer.

Palliative care needs at different phases in the illness trajectory: a survey study in patients with cancer.

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Abstract

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