journal
https://read.qxmd.com/read/38600815/palliative-care-for-patients-with-gastroesophageal-cancer-at-all-stages-a-narrative-review
#1
JOURNAL ARTICLE
Kathryn DeCarli, Dana Guyer, Khaldoun Almhanna
BACKGROUND AND OBJECTIVE: Gastroesophageal junction (GEJ) cancer is a highly morbid disease with a poor prognosis. While uncommon in the United States, globally it is ranked as the sixth or seventh most common cancer depending on survey tool. GEJ cancer presents a unique and challenging symptom profile for patients at all disease stages, regardless of histology. Even patients with early stage disease experience debilitating cancer-related symptoms and treatment side effects. The heavy symptom burden associated with this disease includes dysphagia, nausea and vomiting, pain, anxiety, depression and malnutrition...
April 9, 2024: Annals of Palliative Medicine
https://read.qxmd.com/read/38600816/a-narrative-review-of-oncologic-emergencies-in-patients-with-head-and-neck-cancers-initial-management-and-the-role-of-radiation-therapy
#2
JOURNAL ARTICLE
Badr Id Said, Antoine Eskander, Anish Kapadia, Zain A Husain
BACKGROUND AND OBJECTIVE: Head and neck cancers (HNCs) encompass a complex group of malignancies with high morbidity, often leading to critical emergencies such as pain crises, airway obstruction and hemorrhage. This review aims to outline an evidence-based approach to the multidisciplinary management of HNC oncologic emergencies with a focus on the role of emergent radiotherapy (RT). METHODS: A literature search was performed using Medline, Embase and the Cochrane Central Register of Controlled Trials databases with a focus on three common oncological emergencies using the following keywords: "head and neck cancer", "radiation OR radiotherapy", "pain", "bleeding OR haemorrhage", and "airway obstruction"...
April 8, 2024: Annals of Palliative Medicine
https://read.qxmd.com/read/38600814/management-of-malignant-superior-vena-cava-syndrome
#3
JOURNAL ARTICLE
Ronald Chow, Charles B Simone, Andreas Rimner
Superior vena cava (SVC) syndrome occurs due to obstructed blood flow through the SVC. It can present clinically on a spectrum, between asymptomatic and life-threatening emergency. Patients commonly report a feeling of fullness in the head, facial, neck and upper extremity edema, and dyspnea. On imaging, patients commonly have superior mediastinal widening and pleural effusion. The majority of cases are due to malignant causes, with non-small cell lung cancer, small cell lung cancer, and lymphoma the most commonly associated malignancies...
April 8, 2024: Annals of Palliative Medicine
https://read.qxmd.com/read/38600818/interventions-for-behavioral-health-comorbidities-in-the-hospice-setting-a-scoping-review
#4
JOURNAL ARTICLE
Lilla Brody, Karolina Sadowska, Maureen Ekwebelem, Alexis Hollingsworth, Michael Ong, Tejas Subramanian, Drew Wright, Veerawat Phongtankuel, M Carrington Reid, Milagros D Silva, Daniel Shalev
BACKGROUND: Behavioral health (BH) comorbidities in hospice patients are widespread and impact important outcomes, including symptom burden, quality of life, and caregiver wellbeing. However, evidencebased BH interventions tailored for the hospice setting remain understudied. METHODS: We conducted a scoping review with the objective of mapping studies of interventions for BH comorbidities in the hospice setting. We included empirical studies among hospice patients of interventions with BH outcomes...
April 7, 2024: Annals of Palliative Medicine
https://read.qxmd.com/read/38600817/assisted-suicide-in-persons-with-mental-disorders-a-review-of-clinical-ethical-arguments-and-recommendations
#5
JOURNAL ARTICLE
Georg Marckmann, Thomas Pollmächer
Persons with mental disorders have the same right to self-determination as patients with somatic diseases, also regarding death and dying. However, there are several challenges that render persons with mental disorders especially vulnerable to inappropriate conduct of assisted suicide: their wish to die may be a symptom of their mental disease and not an autonomous choice, decision-making competence may be compromised by their illness and more difficult to assess, the severity of suffering may be more difficult to evaluate from an external perspective, the wish to die may be more variable over time and the prognostic uncertainty in mental illness makes it more difficult to determine whether the severe suffering is, in fact, treatment-resistant...
March 26, 2024: Annals of Palliative Medicine
https://read.qxmd.com/read/38600819/reirradiation-of-metastases-of-the-central-nervous-system-part-2-metastatic-epidural-spinal-cord-compression
#6
JOURNAL ARTICLE
Dirk Rades, Charles B Simone, Henry C Y Wong, Edward Chow, Shing Fung Lee, Peter A S Johnstone
An increasing number of patients irradiated for metastatic epidural spinal cord compression (MESCC) experience an in-field recurrence and require a second course of radiotherapy. Reirradiation can be performed with conventional radiotherapy or highly-conformal techniques such as intensity-modulated radiation therapy (IMRT), volumetric modulated arc therapy (VMAT), and stereotactic body radiation therapy (SBRT). When using conventional radiotherapy, a cumulative biologically effective dose (BED) ≤120 calculated with an α/β value of 2 Gy (Gy2) was not associated with radiation myelopathy in a retrospective study of 124 patients and is considered safe...
March 21, 2024: Annals of Palliative Medicine
https://read.qxmd.com/read/38509654/reirradiation-of-metastases-of-the-central-nervous-system-part-1-brain-metastasis
#7
JOURNAL ARTICLE
Dirk Rades, Charles B Simone, Henry C Y Wong, Edward Chow, Shing Fung Lee, Peter A S Johnstone
Because of improved survival of cancer patients, more patients irradiated for brain metastases develop intracerebral recurrences requiring subsequent courses of radiotherapy. Five studies focused on reirradiation with whole-brain radiation therapy (WBRT) after initial WBRT for brain metastases. Following the second WBRT course, improvement of clinical symptoms was found in 31-68% of patients. Rates of neurotoxicity, such as encephalopathy or cognitive decline, were reported in two studies (1.4% and 32%). In another study, severe or unexpected adverse events were not observed...
March 20, 2024: Annals of Palliative Medicine
https://read.qxmd.com/read/38509645/palliative-psychiatry-for-a-patient-with-treatment-refractory-schizophrenia-and-severe-chronic-malignant-catatonia-case-report
#8
JOURNAL ARTICLE
Junona Elgudin, Clark Johnsen, Anna Lisa Westermair, Manuel Trachsel
BACKGROUND: Palliative psychiatry is an emerging field that suggests a role for palliative interventions in the management of severe and persistent mental illness (SPMI). Current literature describes using a palliative approach for patients with severe anorexia nervosa. To our knowledge, this is the first case report describing end-of-life care in a patient with treatment-refractory catatonic schizophrenia. CASE DESCRIPTION: We describe the case of a 49-year-old man with schizophrenia and severe chronic agitated/malignant catatonia who was hospitalized for ten months...
March 19, 2024: Annals of Palliative Medicine
https://read.qxmd.com/read/38509653/oncology-nursing-specialty-across-latin-america-struggle-and-achievements-past-and-present
#9
JOURNAL ARTICLE
Dorian Rene Navarro Díaz, Carla Gonçalves Dias, Gustavo Rodriguez-Rodriguez, Esteban Sánchez Huaiquimil, Merí Isabel Ordoñez Sigcho, Humberto Elizalde Ordoñez, Melitta Cosme, Maria Constanza Celano, Evelyn Ramos, Julia Challinor, María Fernanda Olarte-Sierra
BACKGROUND: Latin America (LATAM) is a large region from Mexico to southern Patagonia in Chile and includes most islands in the Caribbean where Spanish is an official language. Efforts to address nursing specialization in the care of patients with cancer throughout the cancer continuum are described in narratives of oncology nursing struggles and achievements from eight Latin American countries. METHODS: Contributions by authors from Mexico, Costa Rica, Ecuador, Brazil and Chile are complemented by interview data (in Spanish by a bilingual medical anthropologist) to share the history and present status in the Dominican Republic, Peru and Argentina...
March 18, 2024: Annals of Palliative Medicine
https://read.qxmd.com/read/38509651/psychiatry-and-interdisciplinary-pediatric-palliative-care-a-scoping-review
#10
JOURNAL ARTICLE
Alison E Cress
BACKGROUND: Current literature highlights the need for psychological support of adolescents and young adults (AYAs) with serious illness, for which pediatric palliative care (PPC) teams are often responsible. This scoping review aims to inventory the most current literature based on discipline, geography, population, methodology, and themes among interdisciplinary PPC teams and the management of psychological distress in AYAs. METHODS: Using a scoping review design, a protocol was registered in Open Science Framework (https://osf...
March 15, 2024: Annals of Palliative Medicine
https://read.qxmd.com/read/38509650/the-value-and-economic-benefits-of-palliative-care-in-primary-care-an-international-perspective
#11
JOURNAL ARTICLE
Tania Pastrana, Scott A Murray
No abstract text is available yet for this article.
March 15, 2024: Annals of Palliative Medicine
https://read.qxmd.com/read/38509648/palliative-care-in-the-older-adult-with-cancer-and-the-role-of-the-geriatrician-a-narrative-review
#12
JOURNAL ARTICLE
Bibban Bant Deol, Lisa Binns-Emerick, Mohammad Kang, Pragnesh Patel
BACKGROUND AND OBJECTIVE: Palliative care can offer individuals improved quality of care and life. While many individuals would benefit from palliative care, only a minority will receive it. Integrating palliative care with geriatrics can help relieve this deficit, help with basic symptom management, advanced care planning (ACP) and develop goals of care to assure that the care provided is congruent with the individual's priorities. The purpose of this narrative review is to demonstrate the importance that the geriatrician can have when participating in the administration of palliative care; to present geriatric-specific issues that are imperative to manage when palliatively treating the older adult with cancer...
March 15, 2024: Annals of Palliative Medicine
https://read.qxmd.com/read/38509647/genomic-testing-and-targeted-therapy-of-non-small-cell-lung-cancer-in-china-a-nationwide-survey-of-physicians-and-clinical-pathologists
#13
JOURNAL ARTICLE
Jie Wang, Jianming Ying, Zhijie Wang, Xiao Meng, Meiling Wu, Cui Qian
BACKGROUND: Genomic diagnostic testing is necessary to guide optimal treatment for non-small cell lung cancer (NSCLC) patients. The proportion of NSCLC patients whose treatment was selected based on genomic testing is still unknown in many countries or needs further improvement. This survey aimed to assess perception of genomic testing and targeted therapy for NSCLC in clinical pathologists and physicians across China. METHODS: The web-based survey was conducted with 150 clinical pathologists and 450 physicians from oncology, respiratory and thoracic surgery departments from May to September 2020, across 135 cities in China...
March 15, 2024: Annals of Palliative Medicine
https://read.qxmd.com/read/38509652/palliative-care-for-older-adults-with-cardiovascular-disease
#14
JOURNAL ARTICLE
Smrithi Sukumar, Lillian Flashner, Jessica L Logeman, Lauren K O'Shea, Haider J Warraich
Heart disease is the number one cause of death in the United States. Advanced cardiac conditions, such as heart failure, are characterized by severe symptoms, recurrent hospitalizations, limited/uncertain prognosis, decreased quality of life, and high levels of caregiver burden. The burden of heart failure is highest in older adults, for whom cardiovascular symptoms are layered on existing age-related problems such as geriatric syndromes, polypharmacy, depression, frailty, inadequate social support, decreased representation in clinical trials, and aging caregivers...
March 13, 2024: Annals of Palliative Medicine
https://read.qxmd.com/read/38509644/transitions-between-skilled-home-health-and-hospice-for-persons-living-with-dementia-a-systematic-review-of-literature
#15
JOURNAL ARTICLE
Sharon E Bigger, Robin Ann Foreman, Christiana Keinath, Gail L Towsley
BACKGROUND: In the United States (US), nearly one third of skilled home health (HH) patients and nearly one half of hospice patients have diagnoses of Alzheimer's disease and related dementias (ADRD), conditions often characterized by a slow decline in cognition and function. Many persons living with dementia (PLWDs) are cared for at home yet may transition between care settings such as skilled HH or hospice, potentially leading to fragmented and poorer care. The purpose of this systematic review was to examine literature pertaining to (I) care transitions for PLWD who are enrolled in skilled HH and hospice in the US, and (II) specifically, care transitions between skilled HH and hospice for PLWD...
March 12, 2024: Annals of Palliative Medicine
https://read.qxmd.com/read/38509649/axi-cel-as-a-safe-and-effective-treatment-in-older-patients-with-large-b-cell-lymphoma
#16
JOURNAL ARTICLE
Aikaterini Panopoulou, Maeve O'Reilly, Claire Roddie
No abstract text is available yet for this article.
March 11, 2024: Annals of Palliative Medicine
https://read.qxmd.com/read/38509646/prognostic-impact-of-limited-resection-vs-inadequate-adjuvant-therapy-in-patients-with-pathologic-stage-ii-or-iii-non-small-cell-lung-cancer-results-from-the-korean-association-of-lung-cancer-registry
#17
JOURNAL ARTICLE
Jonggeun Lee, Jeong Su Cho, Yeong Dae Kim, Hyo Yeong Ahn
BACKGROUND: For patients with stage II and III non-small cell lung cancer (NSCLC), various multimodality treatments are required. However, depending on the individual conditions of patients, there will be a significant difference in prognosis. Therefore, this study investigated the clinical impact of inadequate treatment (limited surgery and inadequate adjuvant therapy) in patients with NSCLC stage II or III using data from the Korean Association of Lung Cancer Registry (KALC-R) between 2014 and 2016...
March 11, 2024: Annals of Palliative Medicine
https://read.qxmd.com/read/38462940/narrative-review-what-constitutes-contemporary-high-quality-end-of-life-care-and-can-lessons-be-learned-from-medieval-history
#18
JOURNAL ARTICLE
Carole A Paley, Ash T Paley, Lucy E Ziegler, Eloise C Kane, Iona McCleery, Emma J Chapman
BACKGROUND AND OBJECTIVE: In modern Britain, palliative and end-of-life care is governed by quality standards and guidance, which should consider spiritual and psychological needs. However, there are significant gaps in provision of services which was highlighted during the coronavirus disease 2019 (COVID-19) pandemic where many individuals and families suffered profound spiritual and existential distress. Significant gaps remain in the provision of services to support patients with spiritual and psychological needs which can affect the management of physical symptoms...
March 7, 2024: Annals of Palliative Medicine
https://read.qxmd.com/read/38462939/outcomes-of-care-during-the-last-month-of-life-a-systematic-review-to-inform-the-development-of-a-core-outcome-set
#19
JOURNAL ARTICLE
Valentina González-Jaramillo, Nora Luethi, Martina Egloff, Zayne M Roa-Díaz, Nathalia González-Jaramillo, Catalina Díaz-Ríos, Andri Christen-Cevallos Rosero, Susanna Dodd, Steffen Eychmüller, Sofía C Zambrano
BACKGROUND: To date, there is a lack of standardization and consensus on which outcomes are central to assess the care provided to patients in the last month of life. Therefore, we aimed to conduct a systematic review to identify relevant outcomes to inform the development of a core outcome set for the best care for the dying person. METHODS: We conducted a systematic review of outcomes reported in the scientific literature about the care for the dying person in the last month of life...
March 7, 2024: Annals of Palliative Medicine
https://read.qxmd.com/read/38462934/prevalence-and-characteristics-of-patients-prescribed-opioids-and-central-nervous-system-depression-agents-on-discharge-to-hospice-care
#20
JOURNAL ARTICLE
Cindy T Nguyen, Mary Lynn McPherson, Brie N Noble, Jon P Furuno
BACKGROUND: Hospice patients with end-stage liver disease (ESLD) have an increased risk of adverse drug events due to physiological changes and changes in pharmacokinetic and pharmacodynamic properties of medications; however, the use of opioid and central nervous system (CNS) depressant prescribing among patients with ESLD is prevalent. This study quantified the frequency and distribution of opioid and concomitant respiratory and CNS depressant prescribing among hospice patients with ESLD compared to other common hospice diagnoses of cancer, chronic obstructive pulmonary disorder (COPD), heart failure, and end-stage renal disease...
March 6, 2024: Annals of Palliative Medicine
journal
journal
44080
1
2
Fetch more papers »
Fetching more papers... Fetching...
Remove bar
Read by QxMD icon Read
×

Save your favorite articles in one place with a free QxMD account.

×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"

We want to hear from doctors like you!

Take a second to answer a survey question.