Acceptance and benefits of two different strategies to timely integrate specialist palliative care into routine cancer care

• Verfasst von: Ullrich, Anneke [VerfasserIn]
• Verfasst von: Wilde, Svenja [VerfasserIn]
• Verfasst von: Müller, Volkmar [VerfasserIn]
• Verfasst von: Sinn, Marianne [VerfasserIn]
• Verfasst von: Gebhardt, Christoffer [VerfasserIn]
• Verfasst von: Velthaus, Janna-Lisa [VerfasserIn]
• Verfasst von: Gerlach, Christina [VerfasserIn]
• Verfasst von: Bokemeyer, Carsten [VerfasserIn]
• Verfasst von: Oechsle, Karin [VerfasserIn]
• Titel: Acceptance and benefits of two different strategies to timely integrate specialist palliative care into routine cancer care
• Titelzusatz: a randomized pilot study
• Verf.angabe: Anneke Ullrich, Svenja Wilde, Volkmar Müller, Marianne Sinn, Christoffer Gebhardt, Janna-Lisa Velthaus, Christina Gerlach, Carsten Bokemeyer, Karin Oechsle
• Jahr: 2022
• Umfang: 12 S.
• Fussnoten: Published online: November 24, 2021 ; Gesehen am 02.09.2022
• Titel Quelle: Enthalten in: Oncology research and treatment
• Ort Quelle: Basel : Karger, 2014
• Jahr Quelle: 2022
• Band/Heft Quelle: 45(2022), 3, Seite 118-129
• ISSN Quelle: 2296-5262
• DOI: doi:10.1159/000521077
• Datenträger: Online-Ressource
• Sprache: eng
• Sach-SW: Cancer care
• Sach-SW: Early integration
• Sach-SW: Humans
• Sach-SW: Informational brochure
• Sach-SW: Neoplasms
• Sach-SW: Oncology
• Sach-SW: Palliative care
• Sach-SW: Palliative Care
• Sach-SW: Palliative care counselling
• Sach-SW: Pilot Projects
• Sach-SW: Referral and Consultation
• K10plus-PPN: 1815688165

Abstract

BACKGROUND/AIMS: The aim of this study is to investigate the acceptance and benefits of two different strategies to timely integrate specialist palliative care (SPC) in routine cancer care: commonly recommended early SPC counselling versus an informational brochure plus SPC counselling upon patients' request. - METHODS: Patients diagnosed with incurable cancer within the last 6-12 weeks were sequentially randomized. Endpoints were acceptance of the two strategies after 3 months as well as the use of SPC counselling and psychosocial support, presence of advance directives, palliative care outcome (Integrated Palliative care Outcome Scale [IPOS]), and psychosocial distress (Distress Thermometer [DT]) after 3 and 6 months. In a qualitative part, SPC consultations were analyzed using a content analysis. - RESULTS: Overall, 43 patients received SPC counselling and 37 a brochure with SPC counselling on demand. In the brochure group, only one patient later registered for SPC counselling from own initiative. SPC timing was appropriate in 70% of patients (75% counselling/61% brochure, n.s.). Sufficiency, helpfulness and relevance of information, provision of security, and help with finding contacts for specific support were perceived adequate in both groups. No significant differences were found regarding potential effects of the interventions on IPOS or DT after 3 and 6 months. The use of psychosocial support was comparable between the groups and 4 patients had new advance directives (3 counselling/1 brochure). Five key themes of SPC consultations were identified: symptoms, rapport, coping, illness understanding, and advance care planning. - CONCLUSIONS: Both SPC integration strategies were well accepted. However, patients seem not to benefit from a brochure in terms of initiating SPC counselling timely after a palliative cancer diagnosis.