Defining "early palliative care" for adults diagnosed with a life-limiting illness: a scoping review

被引:0
|
作者
Kircher, Colleen E. [1 ,2 ]
Hanna, Timothy P. [3 ,4 ,5 ]
Tranmer, Joan [1 ,2 ,5 ]
Goldie, Craig E. [6 ]
Ross-White, Amanda [2 ,7 ]
Moulton, Elizabeth [8 ]
Flegal, Jack [8 ]
Goldie, Catherine L. [1 ,2 ]
机构
[1] Queens Univ, Fac Hlth Sci, Sch Nursing, Cataraqui Bldg,92 Barrie St, Kingston, ON K7L 3N6, Canada
[2] Queens Collaborat Hlth Care Qual, JBI Ctr Excellence, Kingston, ON, Canada
[3] Queens Univ, Canc Res Inst, Div Canc Care & Epidemiol, Kingston, ON, Canada
[4] Queens Univ, Sch Med, Dept Oncol, Fac Hlth Sci, Kingston, ON, Canada
[5] Queens Univ, ICES, Kingston, ON, Canada
[6] Queens Univ, Fac Hlth Sci, Sch Med, Dept Med,Div Palliat Med, Kingston, ON, Canada
[7] Queens Univ, Bracken Hlth Sci Lib, Kingston, ON, Canada
[8] St Lawrence Coll, Sch Nursing, Kingston, ON, Canada
来源
BMC PALLIATIVE CARE | 2025年 / 24卷 / 01期
关键词
Early palliative care; Life-limiting illness; Cancer; Chronic illness; scoping review; ADVANCED LUNG-CANCER; QUALITY-OF-LIFE; EARLY INTEGRATION; ONCOLOGY CARE; EARLY INTERVENTION; PAIN MANAGEMENT; HEART-FAILURE; TASK-FORCE; END; CONSULTATION;
D O I
10.1186/s12904-025-01712-7
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
BackgroundPalliative care is for people suffering from life-limiting illnesses that focuses on providing relief from symptoms and stress of illness. Previous studies have demonstrated that specialist palliative care consultation delivered earlier in the disease process can enhance patients' quality of life, reduce their symptom burden, reduce use of hospital-based acute care services and extend their survival. However, various definitions exist for the term early palliative care (EPC).ObjectiveTo investigate how EPC has been defined in the literature for adults with life- limiting illnesses.MethodsThis review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) extension for Scoping Reviews guidelines and follows the Joanna Briggs Institution methodology for scoping reviews. The literature search was conducted using MEDLINE (Ovid), CINAHL (EBSCO), Embase (Ovid), PsycINFO (Ovid), Web of Science Core Collection, Ovid Cochrane Library, and ProQuest (Health and Medicine and Sociology Collections). All articles retrieved were screened by three independent reviewers.Results153 articles met the inclusion criteria between 2008 and 2024. Five categories of definitions for EPC were created to organize definitions: (1) time-based (e.g. time from advanced cancer diagnosis to EPC initiation); (2) prognosis-based (e.g. prognosis or the 'surprise question'); (3) location-based (e.g. access point within the healthcare system such as outpatient setting); (4) treatment-based (e.g. physician's judgement or prior to specific therapies); and (5) symptom-based (e.g. using symptom intensity questionnaires). Many studies included patients with cancer (n = 103), with the most common definition category being time-based (n = 53). Amongst studies focusing on multiple or non-cancer diagnoses (n = 50), the most common definition category was symptom-based (n = 16).ConclusionOur findings provide a useful reference point for those seeking to understand the scope and breadth of existing EPC definitions in cancer and non-cancer illnesses and contemplate their application within clinical practice.
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页数:13
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