palliative care consultation
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Introduction
Also see:
Clinical significance
- palliative care consultation in the MICU does not increase MICU or in hospital mortality, but may decrease MICU stay[1][2]
- family members generally rate inpatient palliative care units better than standard care[2]
- palliative care units generally have lower costs than standard care[2]
- palliative care consultation is cost effective[3]
- palliative care units do not have lower mortality than standard care[2]
- among inpatients with advanced cancer, palliative care consultation was associated with lower hospital costs[5]
- palliative care consultation in nursing homes reduces end-of-life hospitalizations & emergency department visits[7]
- patients may complete advance directives & POLST forms during the consultation[8]
- early palliative care consultation associated with likelihood of DNR code status, increased hospice use, & diminished utilitzation of ICU resources[9]
- palliative care consultation for cancer patients at the end-of-life may reduce inappropriate antibiotic prescribing (also see antimicrobial stewardship)[10]
More general terms
Additional terms
References
- ↑ 1.0 1.1 Norton SA et al, Proactive palliative care in the medical intensive care unit: Effects of length of stay for selected high-risk patients. Crit Care Med 2007, 35:1530 PMID: https://www.ncbi.nlm.nih.gov/pubmed/17452930
Luce JM and White DB The pressure to withhold or withdraw life-sustaining therapy from critically ill patients in the United States. Am J Respir Crit Care Med 2007, 175:1104 PMID: https://www.ncbi.nlm.nih.gov/pubmed/17379853 - ↑ 2.0 2.1 2.2 2.3 2.4 Casarett D, Johnson M, Smith D, Richardson D. The optimal delivery of palliative care: A national comparison of the outcomes of consultation teams vs inpatient units. Arch Intern Med 2011; 171(7):649-655. PMID: https://www.ncbi.nlm.nih.gov/pubmed/21482838
Chai E, Meier DE. Invited Commentary: Identifying the effective components of palliative care: Comment on "The Optimal Delivery of Palliative Care." Arch Intern Med 2011; 171(7):655-656 PMID: https://www.ncbi.nlm.nih.gov/pubmed/21482839 - ↑ 3.0 3.1 Medical Knowledge Self Assessment Program (MKSAP) 16, 17. American College of Physicians, Philadelphia 2012, 2015
- ↑ Morrison RS, Penrod JD, Cassel JB et al Cost savings associated with US hospital palliative care consultation programs. Arch Intern Med. 2008 Sep 8;168(16):1783-90. PMID: https://www.ncbi.nlm.nih.gov/pubmed/18779466
- ↑ 5.0 5.1 May P et al. Prospective cohort study of hospital palliative care teams for inpatients with advanced cancer: Earlier consultation is associated with larger cost-saving effect. J Clin Oncol 2015 Sep 1; 33:2745 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/26056178 <Internet> http://jco.ascopubs.org/content/33/25/2745
- ↑ Weissman DE, Meier DE. Identifying patients in need of a palliative care assessment in the hospital setting: a consensus report from the Center to Advance Palliative Care. J Palliat Med. 2011 Jan;14(1):17-23. PMID: https://www.ncbi.nlm.nih.gov/pubmed/21133809
- ↑ 7.0 7.1 Miller SC, Dahal R, Lima JC et al Palliative Care Consultations in Nursing Homes and End-of-Life Hospitalizations. J Pain Symptom Manage. 2016 Sep 17. PMID: https://www.ncbi.nlm.nih.gov/pubmed/27650008
Miller SC, Lima JC, Intrator O, Martin E, Bull J, Hanson LC. Palliative care consultations in nursing homes and reductions in acute care use and potentially burdensome end-of-life transitions. J Am Geriatr Soc 2016 Nov; 64:2280 PMID: https://www.ncbi.nlm.nih.gov/pubmed/27641157 - ↑ 8.0 8.1 Bischoff K, O'Riordan DL, Marks AK, Sudore R, Pantilat SZ. Care planning for inpatients referred for palliative care consultation. JAMA Intern Med 2017 Nov 20; PMID: https://www.ncbi.nlm.nih.gov/pubmed/29159371
- ↑ 9.0 9.1 Ma J, Chi S, Buettner B et al. Early palliative care consultation in the medical ICU: A cluster randomized crossover trial. Crit Care Med 2019 Dec; 47:1707 PMID: https://www.ncbi.nlm.nih.gov/pubmed/31609772
- ↑ 10.0 10.1 Kim JH et al. The impact of palliative care consultation on reducing antibiotic overuse in hospitalized patients with terminal cancer at the end of life: A propensity score-weighting study. J Antimicrob Chemother 2022 Nov 25; dkac405; [e-pub]. PMID: https://www.ncbi.nlm.nih.gov/pubmed/36424671 https://academic.oup.com/jac/advance-article-abstract/doi/10.1093/jac/dkac405/6845777