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Wu CH, Ma KJ, Liang YW, Chung WS, Wang JY. Exploring the effects of acceptable palliative care models on survival time and healthcare expenditure among patients with cancer: a national longitudinal population-based study. Support Care Cancer 2024; 32:116. [PMID: 38240819 DOI: 10.1007/s00520-023-08297-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2023] [Accepted: 12/28/2023] [Indexed: 01/23/2024]
Abstract
OBJECTIVE Hospice care ensures better end-of-life quality by relieving terminal symptoms. Prior research has indicated that hospice care could prolong survival and reduce end-of-life medical expenditures among patients with cancer. However, the dearth of studies on the effects of hospice care type and use sequence on survival time and end-of-life medical expenditures substantiates the need for investigation. DATA SOURCES AND STUDY SETTING Two million random records were obtained from the National Health Insurance Research Database. STUDY DESIGN We estimated the effects of the type and sequence of hospice care use on survival time and medical expenditures among advanced cancer patients. This was a cross-sectional study. DATA COLLECTION/EXTRACTION METHODS Patient data were collected from 2 million random records provided by the National Health Insurance Research Database of Taiwan. We included people with cancer and excluded patients under 20 years of age; 2860 patients remained after matching. PRINCIPAL FINDINGS The results indicated that the average survival time of patients who received inpatient palliative care (1022 days) was significantly shorter than that of patients who did not receive palliative care (P < 0.001), but the health care expenditure during the entire course of cancer therapy was not the lowest. Interestingly, patients who received inpatient palliative care had the lowest health care expenditure at 1 year or month before the end of life (P < 0.001). CONCLUSION The type and sequence of palliative care affected the survival time and health care expenditures of cancer patients. Receiving palliative care did not prolong survival but rather reduced health care expenditures. The sequence of receiving palliative care significantly affected health care expenditures.
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Affiliation(s)
- Cheng-Hsi Wu
- Department of Family Medicine, Jen-Ai Hospital, Taichung, 41265, Taiwan
| | - Kai-Jie Ma
- Department of Public Health, China Medical University, Taichung, Taiwan
| | - Ya-Wen Liang
- Department of Senior Citizen Service Management, National Taichung University of Science and Technology, Taichung, 40343, Taiwan
| | - Wei-Sheng Chung
- Department of Internal Medicine, Taichung Hospital, Ministry of Health and Welfare, Taichung, 40343, Taiwan.
| | - Jong-Yi Wang
- Department of Health Services Administration, China Medical University, Taichung, Taiwan.
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Nadales Rodríguez D, Bermúdez-González G, Soler-García IP. Influence of the Corporate Image of Nursing Homes on the Loyalty of Residents’ Family Members. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19159216. [PMID: 35954572 PMCID: PMC9368088 DOI: 10.3390/ijerph19159216] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 06/29/2022] [Revised: 07/25/2022] [Accepted: 07/26/2022] [Indexed: 11/17/2022]
Abstract
This study analyzes the influence of the corporate image of nursing homes on the decisions made by family members as to whether their elderly relatives will stay in the same nursing home. An empirical study was conducted considering 566 residents’ family members with the capacity to decide whether said residents will remain in the same nursing home, using a binary regression model with a logistic link function (i.e., logit). For the first time in the nursing home sector, these results show the specific variables of the corporate image that influence family members when deciding whether their elders will stay in the same nursing home. In order of importance, these variables are the level of trust conveyed by the nursing home, the investment made in the facilities, price-quality ratio, emotional connection to the nursing home, and the promotion of the nursing home’s services. The study also highlights the importance of other personal factors in family members’ decisions to keep their elders in the same nursing home, such as the family members’ employment situations (higher loyalty among those employed by third parties) and the determining factors involved in the relative’s choice of nursing home (higher loyalty among those whose choice was mainly based on humane and dignified treatment). This study offers a discussion of the theoretical contributions this research brings to academia as well as managerial implications for the industry. We believe that one future line of research should be continued after the COVID-19 pandemic comes to an end to compare the results and observe whether the most influential variables on family members’ loyalty remain the same as data for this study was collected from November 2019 to February 2020.
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Emiliussen J, Engelsen S, Christiansen R, Klausen SH. The Good Life in Care Homes–a Qualitative Investigation with Residents, Relatives, Care Workers and Managers. AGEING INTERNATIONAL 2021. [DOI: 10.1007/s12126-021-09438-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Ward V, Freeman S, Banner D. Hospice Care Provider Perspectives of Medical Assistance in Dying in a Canadian Hospice That Does Not Provide Medical Assistance in Dying. Can J Nurs Res 2021; 54:3-14. [PMID: 33435718 DOI: 10.1177/0844562120985995] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND Medical assistance in Dying (MAiD) is offered across diverse settings, including hospices. There is little research exploring the experiences of hospice care providers who support patients who undergo MAiD at an off-site location. PURPOSE To describe hospice care provider perceptions of MAiD in an in-patient hospice facility that does not provide MAiD. METHODS Participants included hospice administrators, nurses, staff and volunteers who provide care at an in-patient hospice facility in a geographically isolated medium sized city (population <100,000) in a western Canadian province. Using a qualitative descriptive approach, eight in-depth semi-structured interviews were undertaken. Data were digitally recorded, transcribed, analyzed inductively, and organized thematically. RESULTS Introduction of MAiD challenged and disrupted care practices. Themes included: Situating MAiD within hospice and palliative care, caring for patients undergoing MAiD within a non-provider facility, and balancing interpersonal dynamics in an interdisciplinary team environment. Themes were underpinned by participants' attempts to reconcile MAiD within personal beliefs and work environment. CONCLUSION Caring for patients who chose MAiD changed the dynamic of care. Participants focused on providing patient-centred care while attempting to normalize the MAiD process. Educational resources to support patient-centred care for patients who undergo MAiD off-site, address care provider self-care, and to facilitate safe and effective interdisciplinary communication are needed.
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Affiliation(s)
- Valerie Ward
- Northern Medical Program, University of British Columbia, Prince George, BC, Canada
| | - Shannon Freeman
- School of Nursing, University of Northern British Columbia, Prince George, BC, Canada
| | - Davina Banner
- School of Nursing, University of Northern British Columbia, Prince George, BC, Canada
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Ishimoto H, Ikeda T, Kadooka Y. Factors related to satisfaction of cancer patients with transfer arrangements made by university hospitals at the end-of-life in Japan: a cross-sectional questionnaire survey of bereaved family members. Support Care Cancer 2020; 29:3091-3101. [PMID: 33057817 DOI: 10.1007/s00520-020-05822-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2020] [Accepted: 10/07/2020] [Indexed: 11/26/2022]
Abstract
PURPOSE Cancer patients in university hospitals often face a difficult decision regarding transfer to other care settings at the end-of-life. Arrangements for a satisfying transfer are important for reducing the psychosocial impact of the transition, but few studies have evaluated this aspect. This study aimed to identify factors related to the satisfying arrangement of transfers to other care settings from university hospitals. METHODS A total of 400 bereaved family members of cancer patients in Japan participated in this cross-sectional web-based questionnaire survey. Statistical methods including decision tree analysis were conducted to identify factors significantly associated with satisfying transfer arrangements. RESULTS More than 60% of cancer patients were satisfied with the transfer arrangements made by university hospitals. Decision tree analysis revealed that the factor most significantly associated with satisfaction with transfer arrangements was "satisfaction with contents of the explanation about transfer." The following significant factors were also extracted: "timing of being informed of transfer," "presence of primary care physician," and "presence of trustworthy staff." "Satisfaction with overall care from university hospital staff" and "involvement of palliative care team" were identified as factors contributing to a high degree of satisfaction with transfer arrangements. CONCLUSION In order to make satisfying transfer arrangements from university hospitals for cancer patients at the end-of-life, healthcare professionals should provide satisfactory explanations about the transfer process in order to meet the information needs of patients. To be effective, healthcare professionals should initiate transfer arrangements prior to cancer treatment, while simultaneously building trusting relationships with patients.
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Affiliation(s)
- Hiroko Ishimoto
- Department of Bioethics, Kumamoto University Graduate School of Medical Sciences, 1-1-1 Honjyo, Chuo-ku, Kumamoto, 860-8556, Japan.
| | - Tokunori Ikeda
- Laboratory of Clinical Pharmacology and Therapeutics, Sojo University Faculty of Pharmaceutical Sciences, 4-22-1 Ikeda, Nishi-ku, Kumamoto, 860-0082, Japan
- Department of Medical Information Sciences and Administration Planning, Kumamoto University Hospital, 1-1-1 Honjo, Chuo-ku, Kumamoto, 860-8556, Japan
| | - Yasuhiro Kadooka
- Department of Bioethics, Kumamoto University Faculty of Life Sciences, 1-1-1 Honjyo, Chuo-ku, Kumamoto, 860-8556, Japan
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Tark A, Estrada LV, Tresgallo ME, Quigley DD, Stone PW, Agarwal M. Palliative care and infection management at end of life in nursing homes: A descriptive survey. Palliat Med 2020; 34:580-588. [PMID: 32153248 PMCID: PMC7405898 DOI: 10.1177/0269216320902672] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
Abstract
BACKGROUND Infections are common occurrences at end of life that are associated with high rates of morbidity and mortality among frail elderly individuals. The problem of infections in nursing homes has led to a subsequent overuse and misuse of antibiotics in this already-frail population. Improving palliative care in nursing homes has been proposed as a key strategy to reduce the use of antibiotics. AIM The aim of this study was to describe the current status of how nursing homes integrates palliative care and infection management at end of life across the nation. DESIGN This is a cross-sectional survey of nationally representative US nursing homes. SETTING/PARTICIPANTS Between November 2017 and October 2018, a survey was conducted with a nationally representative random sample of nursing homes and 892 surveys were completed (49% response rate). The weighted study sample represented 15,381 nursing homes across the nation. RESULTS Most nursing homes engaged in care plan documentation on what is important to residents (90.43%) and discussed spiritual needs of terminally ill residents (89.50%). In the event of aspiration pneumonia in terminally ill residents, 59.43% of nursing homes responded that resident would be transferred to the hospital. In suspected urinary tract infection among terminally ill residents, 66.62% of nursing homes responded that the resident will be treated with antibiotics. CONCLUSION The study found wide variations in nursing home palliative care practices, particularly for timing of end-of-life care discussions, and suboptimal care reported for antibiotic usage. Further education for nursing home staff on appropriate antibiotic usage and best practices to integrate infection management in palliative care at the end of life is needed.
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Affiliation(s)
- Aluem Tark
- School of Nursing, Columbia University, New York, NY, USA
| | - Leah V Estrada
- School of Nursing, Columbia University, New York, NY, USA
| | | | | | | | - Mansi Agarwal
- School of Nursing, Columbia University, New York, NY, USA
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Stiel H, Nagarajan SV, Forster BC, Clayton JM. Palliative care physicians' perspectives on transferring patients to nursing homes and communication strategies to facilitate this transition: A qualitative study. Palliat Med 2019; 33:323-331. [PMID: 30758275 PMCID: PMC6505501 DOI: 10.1177/0269216319827803] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
BACKGROUND: As modern medicine extends the life expectancy of patients with life-limiting illnesses and health system resource pressures intensify, palliative care physicians increasingly need to transfer stable patients from specialist palliative care units to nursing homes. The experience of palliative care physicians in decision-making and communicating with patients and families about the need for this transition is underexplored in the literature. AIM: This study aimed to explore the experiences of and communication techniques used by palliative care physicians as they consider and discuss nursing home placements for their patients. DESIGN: A qualitative approach using semi-structured interviews was used. Interviews were transcribed verbatim and analysed using thematic analysis. SETTING/PARTICIPANTS: Purposive sampling was used to recruit 18 Australian palliative care physicians known for their interest or strength in communication skills across a range of palliative care settings. RESULTS: Themes emerged from domains of physician experience (abandonment, systemic pressures, prognostic uncertainty, exacerbation of loss, and restoring resilience) and communication strategies (forecasting, checking in, provide context, and acknowledging grief). CONCLUSION: This study highlights the tension Australian palliative care physicians experience when transferring palliative care patients to nursing home and the complexity involved in decision-making. Physicians identified several communication strategies to engage patients and families to ease the transition.
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Affiliation(s)
- Hilary Stiel
- 1 Centre for Learning & Research in Palliative Care, HammondCare, Sydney, NSW, Australia.,2 Palliative & Supportive Care Services, Greenwich Hospital, HammondCare, Sydney, NSW, Australia
| | - Srivalli V Nagarajan
- 1 Centre for Learning & Research in Palliative Care, HammondCare, Sydney, NSW, Australia.,3 Sydney Medical School, University of Sydney, Sydney, NSW, Australia
| | - Benjamin C Forster
- 1 Centre for Learning & Research in Palliative Care, HammondCare, Sydney, NSW, Australia.,2 Palliative & Supportive Care Services, Greenwich Hospital, HammondCare, Sydney, NSW, Australia.,3 Sydney Medical School, University of Sydney, Sydney, NSW, Australia
| | - Josephine M Clayton
- 1 Centre for Learning & Research in Palliative Care, HammondCare, Sydney, NSW, Australia.,2 Palliative & Supportive Care Services, Greenwich Hospital, HammondCare, Sydney, NSW, Australia.,3 Sydney Medical School, University of Sydney, Sydney, NSW, Australia
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Uhrenfeldt L, Fegran L, Aagaard H, Ludvigsen MS. Significant others' experience of hospitalized patients' transfer to home: A systematic review and meta-synthesis. ZEITSCHRIFT FUR EVIDENZ FORTBILDUNG UND QUALITAET IM GESUNDHEITSWESEN 2018; 139:1-9. [PMID: 30477973 DOI: 10.1016/j.zefq.2018.11.006] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/18/2018] [Revised: 11/05/2018] [Accepted: 11/13/2018] [Indexed: 11/28/2022]
Abstract
BACKGROUND Significant others are individuals representing family members or neighbors, friends, colleagues or members of the same household, who act as relatives or surrogates. Significant others play an important role when patients are transferred or discharged after hospitalization. OBJECTIVE The objective of this review is to identify, appraise and synthesize the best available evidence exploring significant others' experiences of the discharge or transfer of adult patients after hospitalization. METHODS A qualitative comprehensive systematic review and meta aggregation. TYPES OF PARTICIPANTS Participants of this review are the 'significant other(s); persons who are important or influential to the patient's life. PHENOMENA OF INTEREST How the significant others' experience hospitalized patients' transitions and the psychosocial and existential issues during transfer from hospital to home. CONTEXT Studies that investigate the organizational culture during hospitalization. TYPES OF STUDIES Studies that focus on qualitative data including, but not limited to, designs such as phenomenology, grounded theory, ethnography, action research and feminist research. SEARCH STRATEGY The search aimed at finding published and unpublished studies in English, German, Danish, Swedish and Norwegian, and was unrestricted by time. Eleven electronic databases and eleven websites were searched. CRITICAL APPRAISAL Methodological validity of the qualitative papers was assessed independently by two reviewers using the standardized critical appraisal instruments from the Joanna Briggs Institute Qualitative Assessment and Review Instrument. DATA EXTRACTION Data were extracted from papers included in the review using the standardized data extraction tool from the Joanna Briggs Institute Qualitative Assessment and Review Instrument. DATA SYNTHESIS Qualitative research findings were synthesized. RESULTS A total of 189 findings from twelve studies were aggregated into three categories. An aggregated finding was generated based on the primary studies: SOs existential strength is linked to preparations for the discharge including care planning meeting(s) and learning-by-doing care activities led by health care providers during hospitalizations. CONCLUSIONS The studies in this review provided useful and credible statements from caregivers' voices that are not previously aggregated nor presented. The findings enlighten both positive and burdensome experiences in the everyday life of caring for a significant other after discharge.
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Affiliation(s)
- Lisbeth Uhrenfeldt
- Danish Centre of Systematic Reviews: a Joanna Briggs Institute Centre of Excellence, Aalborg University, Aalborg, Denmark; Faculty of Nursing and Health Sciences, Nord University, Bodø, Norway.
| | - Liv Fegran
- Department of Health and Nursing Science, Faculty of Health and Sport Sciences, University of Agder, Kristiansand, Norway
| | - Hanne Aagaard
- Lovisenberg Diaconal University College, Oslo, Norway; Section for Nursing, Aarhus University, Aarhus, Denmark
| | - Mette Spliid Ludvigsen
- Danish Centre of Systematic Reviews: a Joanna Briggs Institute Centre of Excellence, Aalborg University, Aalborg, Denmark; Randers Regional Hospital, Randers and Department of Clinical medicine, Aarhus University, Aarhus, Denmark
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Thomas T, Clarke G, Barclay S. The difficulties of discharging hospice patients to care homes at the end of life: A focus group study. Palliat Med 2018; 32:1267-1274. [PMID: 29708014 DOI: 10.1177/0269216318772735] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
BACKGROUND Discharge from inpatient palliative care units to long-term care can be challenging. In the United Kingdom, hospice inpatients move to a care home if they no longer require specialist palliative care and cannot be discharged home. There is evidence to suggest that patients and families find the prospect of such a move distressing. AIM To investigate the issues that arise when patients are transferred from hospice to care home at the end of life, from the perspective of the hospice multidisciplinary team. DESIGN A qualitative study, using thematic analysis to formulate themes from focus group discussions with hospice staff. SETTING/PARTICIPANTS Five focus groups were conducted with staff at five UK hospices. Participants included multidisciplinary team members involved in discharge decisions. All groups had representation from a senior nurse and doctor at the hospice, with group size between three and eight participants. All but one group included physiotherapists, occupational therapists and family support workers. RESULTS A major focus of group discussions concerned dilemmas around discharge. These included (1) ethical concerns (dilemmas around the decision, lack of patient autonomy and allocation of resources); (2) communication challenges; and (3) discrepancies between the ideals and realities of hospice palliative care. CONCLUSION Hospice palliative care unit staff find discharging patients to care homes necessary, but often unsatisfactory for themselves and distressing for patients and relatives. Further research is needed to understand patients' experiences concerning moving to care homes for end of life care, in order that interventions can be implemented to mitigate this distress.
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Affiliation(s)
| | - Gemma Clarke
- 2 Primary Care Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK
| | - Stephen Barclay
- 2 Primary Care Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK
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Buckley de Meritens A, Margolis B, Blinderman C, Prigerson HG, Maciejewski PK, Shen MJ, Hou JY, Burke WM, Wright JD, Tergas AI. Practice Patterns, Attitudes, and Barriers to Palliative Care Consultation by Gynecologic Oncologists. J Oncol Pract 2017; 13:e703-e711. [PMID: 28783424 DOI: 10.1200/jop.2017.021048] [Citation(s) in RCA: 29] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022] Open
Abstract
PURPOSE We sought to describe practice patterns, attitudes, and barriers to the integration of palliative care services by gynecologic oncologists. METHODS Members of the Society of Gynecologic Oncology were electronically surveyed regarding their practice of incorporating palliative care services and to identify barriers for consultation. Descriptive statistics were used, and two-sample z-tests of proportions were performed to compare responses to related questions. RESULTS Of the 145 respondents, 71% were attending physicians and 58% worked at an academic medical center. The vast majority (92%) had palliative care services available for consultation at their hospital; 48% thought that palliative care services were appropriately used, 51% thought they were underused, and 1% thought they were overused. Thirty percent of respondents thought that palliative care services should be incorporated at first recurrence, whereas 42% thought palliative care should be incorporated when prognosis for life expectancy is ≤ 6 months. Most participants (75%) responded that palliative care consultation is reasonable for symptom control at any stage of disease. Respondents were most likely to consult palliative care services for pain control (53%) and other symptoms (63%). Eighty-three percent of respondents thought that communicating prognosis is the primary team's responsibility, whereas the responsibilities for pain and symptom control, resuscitation status, and goals of care discussions were split between the primary team only and both teams. The main barrier for consulting palliative care services was the concern that patients and families would feel abandoned by the primary oncologist (73%). Ninety-seven percent of respondents answered that palliative care services are useful to improve patient care. CONCLUSION The majority of gynecologic oncologists perceived palliative care as a useful collaboration that is underused. Fear of perceived abandonment by the patient and family members was identified as a significant barrier to palliative care consult.
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Affiliation(s)
- Alexandre Buckley de Meritens
- Rutgers Cancer Institute of New Jersey, New Brunswick, NJ; Columbia University College of Physicians and Surgeons; New York Presbyterian Hospital-Columbia University Irving Medical Center; Weill Cornell Medicine; and Mailman School of Public Health, Columbia University, New York, NY
| | - Benjamin Margolis
- Rutgers Cancer Institute of New Jersey, New Brunswick, NJ; Columbia University College of Physicians and Surgeons; New York Presbyterian Hospital-Columbia University Irving Medical Center; Weill Cornell Medicine; and Mailman School of Public Health, Columbia University, New York, NY
| | - Craig Blinderman
- Rutgers Cancer Institute of New Jersey, New Brunswick, NJ; Columbia University College of Physicians and Surgeons; New York Presbyterian Hospital-Columbia University Irving Medical Center; Weill Cornell Medicine; and Mailman School of Public Health, Columbia University, New York, NY
| | - Holly G Prigerson
- Rutgers Cancer Institute of New Jersey, New Brunswick, NJ; Columbia University College of Physicians and Surgeons; New York Presbyterian Hospital-Columbia University Irving Medical Center; Weill Cornell Medicine; and Mailman School of Public Health, Columbia University, New York, NY
| | - Paul K Maciejewski
- Rutgers Cancer Institute of New Jersey, New Brunswick, NJ; Columbia University College of Physicians and Surgeons; New York Presbyterian Hospital-Columbia University Irving Medical Center; Weill Cornell Medicine; and Mailman School of Public Health, Columbia University, New York, NY
| | - Megan J Shen
- Rutgers Cancer Institute of New Jersey, New Brunswick, NJ; Columbia University College of Physicians and Surgeons; New York Presbyterian Hospital-Columbia University Irving Medical Center; Weill Cornell Medicine; and Mailman School of Public Health, Columbia University, New York, NY
| | - June Y Hou
- Rutgers Cancer Institute of New Jersey, New Brunswick, NJ; Columbia University College of Physicians and Surgeons; New York Presbyterian Hospital-Columbia University Irving Medical Center; Weill Cornell Medicine; and Mailman School of Public Health, Columbia University, New York, NY
| | - William M Burke
- Rutgers Cancer Institute of New Jersey, New Brunswick, NJ; Columbia University College of Physicians and Surgeons; New York Presbyterian Hospital-Columbia University Irving Medical Center; Weill Cornell Medicine; and Mailman School of Public Health, Columbia University, New York, NY
| | - Jason D Wright
- Rutgers Cancer Institute of New Jersey, New Brunswick, NJ; Columbia University College of Physicians and Surgeons; New York Presbyterian Hospital-Columbia University Irving Medical Center; Weill Cornell Medicine; and Mailman School of Public Health, Columbia University, New York, NY
| | - Ana I Tergas
- Rutgers Cancer Institute of New Jersey, New Brunswick, NJ; Columbia University College of Physicians and Surgeons; New York Presbyterian Hospital-Columbia University Irving Medical Center; Weill Cornell Medicine; and Mailman School of Public Health, Columbia University, New York, NY
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Costello J. Research roundup. Int J Palliat Nurs 2017; 23:100-101. [PMID: 28245160 DOI: 10.12968/ijpn.2017.23.2.100] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
Synopses of a selection of recently published research articles of relevance to palliative care.
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Affiliation(s)
- John Costello
- Senior Lecturer, University of Manchester School of Nursing, Midwifery and Social Work
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