Early specialised palliative care: interventions, symptoms, problems

Research output: Contribution to journal › Journal article › Research › peer-review

Standard

Early specialised palliative care : interventions, symptoms, problems. / Skjoedt, Nete; Johnsen, Anna Thit; Sjøgren, Per; Neergaard, Mette Asbjoern; Damkier, Anette; Gluud, Christian; Lindschou, Jane; Fayers, Peter; Higginson, Irene J; Strömgren, Annette S; Groenvold, Mogens.

In: BMJ Supportive & Palliative Care, Vol. 11, No. 4, 2021, p. 444-453.

Research output: Contribution to journal › Journal article › Research › peer-review

Harvard

Skjoedt, N, Johnsen, AT, Sjøgren, P, Neergaard, MA, Damkier, A, Gluud, C, Lindschou, J, Fayers, P, Higginson, IJ, Strömgren, AS & Groenvold, M 2021, 'Early specialised palliative care: interventions, symptoms, problems', BMJ Supportive & Palliative Care, vol. 11, no. 4, pp. 444-453. https://doi.org/10.1136/bmjspcare-2019-002043

APA

Skjoedt, N., Johnsen, A. T., Sjøgren, P., Neergaard, M. A., Damkier, A., Gluud, C., Lindschou, J., Fayers, P., Higginson, I. J., Strömgren, A. S., & Groenvold, M. (2021). Early specialised palliative care: interventions, symptoms, problems. BMJ Supportive & Palliative Care, 11(4), 444-453. https://doi.org/10.1136/bmjspcare-2019-002043

Vancouver

Skjoedt N, Johnsen AT, Sjøgren P, Neergaard MA, Damkier A, Gluud C et al. Early specialised palliative care: interventions, symptoms, problems. BMJ Supportive & Palliative Care. 2021;11(4):444-453. https://doi.org/10.1136/bmjspcare-2019-002043

Author

Skjoedt, Nete ; Johnsen, Anna Thit ; Sjøgren, Per ; Neergaard, Mette Asbjoern ; Damkier, Anette ; Gluud, Christian ; Lindschou, Jane ; Fayers, Peter ; Higginson, Irene J ; Strömgren, Annette S ; Groenvold, Mogens. / Early specialised palliative care : interventions, symptoms, problems. In: BMJ Supportive & Palliative Care. 2021 ; Vol. 11, No. 4. pp. 444-453.

Bibtex

@article{919325db771147e59c4ae0b8ff1758c1,
title = "Early specialised palliative care: interventions, symptoms, problems",
abstract = "BACKGROUND: Few studies have investigated the content of interventions provided in early specialised palliative care (SPC).OBJECTIVES: To characterise the content of interventions delivered in early SPC in the Danish Palliative Care Trial (DanPaCT), a multicentre trial with six participating sites.METHODS: A retrospective qualitative and quantitative study coding all new interventions initiated by the palliative teams and documented in the medical records during the 8-week study period of DanPaCT. Interventions were categorised according to (a) symptom/problem prompting the intervention, (b) type of intervention and (c) professional(s) providing the intervention.RESULTS: In total, 145 patients were randomised to the SPC teams. According to the medical records, patients received a median of 3.5 (range 0-22) new interventions in the 8-week intervention-period from the palliative teams. For 24 (18%) of the patients there was no documented interventions in the medical records. The most frequent symptom/problems treated were pain, (100 interventions; 20% of interventions given) and impaired physical function (62; 13% of interventions given). The most frequent type of intervention was pharmacological (232; 42% of interventions given).CONCLUSIONS: This is one of the first studies to meticulously investigate the content of interventions documented in the medical records for patients receiving early SPC. Diverse symptoms were treated with many different interventions. However, a relatively low number of interventions were documented. This may explain the lack of effect in DanPaCT but also questions whether all interventions were adequately documented TRIAL REGISTRATION NUMBER: NCT01348048.",
author = "Nete Skjoedt and Johnsen, {Anna Thit} and Per Sj{\o}gren and Neergaard, {Mette Asbjoern} and Anette Damkier and Christian Gluud and Jane Lindschou and Peter Fayers and Higginson, {Irene J} and Str{\"o}mgren, {Annette S} and Mogens Groenvold",
note = "{\textcopyright} Author(s) (or their employer(s)) 2020. No commercial re-use. See rights and permissions. Published by BMJ.",
year = "2021",
doi = "10.1136/bmjspcare-2019-002043",
language = "English",
volume = "11",
pages = "444--453",
journal = "BMJ Supportive & Palliative Care",
issn = "2045-435X",
publisher = "BMJ Publishing Group",
number = "4",

}

RIS

TY - JOUR

T1 - Early specialised palliative care

T2 - interventions, symptoms, problems

AU - Skjoedt, Nete

AU - Johnsen, Anna Thit

AU - Sjøgren, Per

AU - Neergaard, Mette Asbjoern

AU - Damkier, Anette

AU - Gluud, Christian

AU - Lindschou, Jane

AU - Fayers, Peter

AU - Higginson, Irene J

AU - Strömgren, Annette S

AU - Groenvold, Mogens

N1 - © Author(s) (or their employer(s)) 2020. No commercial re-use. See rights and permissions. Published by BMJ.

PY - 2021

Y1 - 2021

N2 - BACKGROUND: Few studies have investigated the content of interventions provided in early specialised palliative care (SPC).OBJECTIVES: To characterise the content of interventions delivered in early SPC in the Danish Palliative Care Trial (DanPaCT), a multicentre trial with six participating sites.METHODS: A retrospective qualitative and quantitative study coding all new interventions initiated by the palliative teams and documented in the medical records during the 8-week study period of DanPaCT. Interventions were categorised according to (a) symptom/problem prompting the intervention, (b) type of intervention and (c) professional(s) providing the intervention.RESULTS: In total, 145 patients were randomised to the SPC teams. According to the medical records, patients received a median of 3.5 (range 0-22) new interventions in the 8-week intervention-period from the palliative teams. For 24 (18%) of the patients there was no documented interventions in the medical records. The most frequent symptom/problems treated were pain, (100 interventions; 20% of interventions given) and impaired physical function (62; 13% of interventions given). The most frequent type of intervention was pharmacological (232; 42% of interventions given).CONCLUSIONS: This is one of the first studies to meticulously investigate the content of interventions documented in the medical records for patients receiving early SPC. Diverse symptoms were treated with many different interventions. However, a relatively low number of interventions were documented. This may explain the lack of effect in DanPaCT but also questions whether all interventions were adequately documented TRIAL REGISTRATION NUMBER: NCT01348048.

AB - BACKGROUND: Few studies have investigated the content of interventions provided in early specialised palliative care (SPC).OBJECTIVES: To characterise the content of interventions delivered in early SPC in the Danish Palliative Care Trial (DanPaCT), a multicentre trial with six participating sites.METHODS: A retrospective qualitative and quantitative study coding all new interventions initiated by the palliative teams and documented in the medical records during the 8-week study period of DanPaCT. Interventions were categorised according to (a) symptom/problem prompting the intervention, (b) type of intervention and (c) professional(s) providing the intervention.RESULTS: In total, 145 patients were randomised to the SPC teams. According to the medical records, patients received a median of 3.5 (range 0-22) new interventions in the 8-week intervention-period from the palliative teams. For 24 (18%) of the patients there was no documented interventions in the medical records. The most frequent symptom/problems treated were pain, (100 interventions; 20% of interventions given) and impaired physical function (62; 13% of interventions given). The most frequent type of intervention was pharmacological (232; 42% of interventions given).CONCLUSIONS: This is one of the first studies to meticulously investigate the content of interventions documented in the medical records for patients receiving early SPC. Diverse symptoms were treated with many different interventions. However, a relatively low number of interventions were documented. This may explain the lack of effect in DanPaCT but also questions whether all interventions were adequately documented TRIAL REGISTRATION NUMBER: NCT01348048.

U2 - 10.1136/bmjspcare-2019-002043

DO - 10.1136/bmjspcare-2019-002043

M3 - Journal article

C2 - 32220944

VL - 11

SP - 444

EP - 453

JO - BMJ Supportive & Palliative Care

JF - BMJ Supportive & Palliative Care

SN - 2045-435X

IS - 4

ER -

ID: 272582482