肿瘤学中姑息治疗的传播和实施。
Dissemination and Implementation of Palliative Care in Oncology.
机构信息
City of Hope National Medical Center, Duarte, CA.
Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins Medicine, Baltimore, MD.
出版信息
J Clin Oncol. 2020 Mar 20;38(9):995-1001. doi: 10.1200/JCO.18.01766. Epub 2020 Feb 5.
Abstract
Palliative care began in academic centers with specialty consultation services, and its value to patients, families, and health systems has been evident. The demand for palliative care to be integrated throughout the cancer trajectory, combined with a limited palliative care workforce, means that new models of care are needed. This review discusses evidence regarding the need for integration of palliative care into routine oncology care and describes best practices recognized for dissemination of palliative care. The available evidence suggests that palliative care be widely adopted by clinicians in all oncology settings to benefit patients with cancer and their families. Efforts are needed to adapt and integrate palliative care into community practice. Limitations of these models are discussed, as are future directions to continue implementation efforts. The benefits of palliative care can only be realized through effective dissemination of these principles of care, with more primary palliative care delivered by oncology clinicians.
摘要
姑息治疗始于提供专业咨询服务的学术中心，其对患者、家庭和卫生系统的价值已显而易见。姑息治疗需要整合到癌症治疗全程，而姑息治疗专业人员有限，这意味着需要新的照护模式。本综述讨论了姑息治疗需要整合到常规肿瘤学照护中的证据，并介绍了姑息治疗传播的公认最佳实践。现有证据表明，姑息治疗应被所有肿瘤学环境中的临床医生广泛采用，以使癌症患者及其家庭受益。需要努力使姑息治疗适应并整合到社区实践中。本文讨论了这些模式的局限性，以及继续实施工作的未来方向。只有通过有效传播这些护理原则，由肿瘤学临床医生提供更多的初级姑息治疗，才能实现姑息治疗的益处。
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2
A Systematic Review in Support of the National Consensus Project Clinical Practice Guidelines for Quality Palliative Care, Fourth Edition.支持国家共识项目第四版优质姑息治疗临床实践指南的系统评价。
J Pain Symptom Manage. 2018 Dec;56(6):831-870. doi: 10.1016/j.jpainsymman.2018.09.008. Epub 2018 Oct 31.
3
What do transplant physicians think about palliative care? A national survey study.移植医生如何看待姑息治疗？一项全国性调查研究。
Cancer. 2018 Dec 1;124(23):4556-4566. doi: 10.1002/cncr.31709. Epub 2018 Oct 5.
4
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J Pain Symptom Manage. 2018 Nov;56(5):709-718. doi: 10.1016/j.jpainsymman.2018.07.018. Epub 2018 Aug 2.
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J Hosp Palliat Nurs. 2018 Aug;20(4):407-415. doi: 10.1097/NJH.0000000000000470.
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