Simultaneous Care in Oncology: A 7-Year Experience at ESMO Designated Centre at Veneto Institute of Oncology, Italy

Cancers

Mariateresa Nardi¹  Letizia Procaccio²  Umberto Basso²  Vittorina Zagonel²  Marco Maruzzo²  Evelina Lamberti²  Giuseppe Lombardi²  Antonella Brunello²  Antonella Galiano²  Silvia Finotto²  Francesca Bergamo²  Chiara Pittarello²  Mario Domenico Rizzato²  Chiara De Toni²  Maital Bolshinsky²  Silvia Stragliotto³  Sara Lonardi³  Alessandra Feltrin⁴  Stefania Schiavon⁵  Ardi Pambuku⁵  Alice Dal Col⁵  Fabio Formaglio⁵ 

[1] Clinical Nutrition Unit, Veneto Institute of Oncology IOV-IRCCS, 35128 Padua, Italy;Department of Oncology, Medical Oncology 1, Veneto Institute of Oncology IOV-IRCCS, Via Gattamelata 64, 35128 Padua, Italy;Department of Oncology, Medical Oncology 3, Veneto Institute of Oncology IOV-IRCCS, 31033 Castelfranco Veneto, Italy;Hospital Psychology, Veneto Institute of Oncology IOV-IRCCS, 35128 Padua, Italy;Pain Therapy and Palliative Care Unit, Veneto Institute of Oncology IOV-IRCCS, Via Gattamelata 64, 35128 Padua, Italy;

关键词: simultaneous care;    early palliative care;    indicators of integration;    advanced disease;    symptom control;   

DOI  :  10.3390/cancers14102568

来源: DOAJ

【 摘 要 】

Benefits of early palliative care referral in oncology are well-validated. At the Veneto Institute of Oncology-IRCCS, a simultaneous-care outpatient clinic (SCOC) has been active since 2014, where patients with advanced cancer are evaluated by an oncologist together with a palliative care team. We prospectively assessed SCOC patients’ characteristics and SCOC outcomes through internal procedure indicators. Data were retrieved from the SCOC prospectively maintained database. There were 753 eligible patients. The median age was 68 years; primary tumor sites were gastrointestinal (75.2%), genitourinary (15.0%) and other sites (9.8%). Predominant symptoms were psychological issues (69.4%), appetite loss (67.5%) and pain (65.9%). Dyspnea was reported in 53 patients (7%) in the referral form, while it was detected in 226 patients (34.2%) during SCOC visits (p < 0.0001). Median survival of patients after the SCOC visit was 7.3 months. Survival estimates by the referring oncologist were significantly different from the actual survival. Psychological intervention was deemed necessary and undertaken in 34.6% of patients, and nutritional support was undertaken in 37.9% of patients. Activation of palliative care services was prompted for 77.7% of patients. Out of 357 patients whose place of death is known, 69.2% died at home, in hospice or residential care. With regard to indicators’ assessment, the threshold was reached for 9 out of 11 parameters (81.8%) requested by the procedure. This study confirmed the importance of close collaboration between oncologists and palliative care teams in responding properly to cancer patients’ needs. The introduction of a procedure with indicators allowed punctual assessment of a team’s performance.

【 授权许可】

Unknown