Read by QxMD icon Read

palliative care low middle income

Nicholas Jennings, Kenneth Chambaere, Luc Deliens, Joachim Cohen
OBJECTIVES: Low/middle-income countries, particularly Small Island Developing States, face many challenges including providing good palliative care and choice in place of care and death, but evidence of the circumstances of dying to inform policy is often lacking. This study explores where people die in Trinidad and Tobago and examines and describes the factors associated with place of death. METHODS: A population-level analysis of routinely collected death certificate and supplementary health data where the unit of analysis was the recorded death...
January 18, 2019: BMJ Supportive & Palliative Care
Joseph Clark, Amy Barnes, Mike Campbell, Clare Gardiner
CONTEXT: Palliative Care advocates argue that service implementation is feasible in all settings. Yet, services have developed patchily in low and middle-income settings. Beyond Human Development Index indicators, there has been limited engagement with the broader development challenges facing nations tasked with implementing palliative care. OBJECTIVE: To describe how indicators of national development relate to levels of palliative care services in 207 countries around the world...
December 27, 2018: Journal of Pain and Symptom Management
Wing Loong Cheong, Devi Mohan, Narelle Warren, Daniel D Reidpath
BACKGROUND: The state of palliative care research is closely linked to the development of palliative care services in a country or region. OBJECTIVE: To systematically review the current state of palliative care research in the Asia Pacific region and analyze its relationship with the performance of each country in the region on the Economist Intelligence Unit's 2015 Quality of Death Index. DESIGN: Systematic review and bibliographic analysis in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Protocol 2015 (PRISMA-P)...
December 20, 2018: Journal of Palliative Medicine
Chika R Nwachukwu, Omobola Mudasiru, Lynn Million, Shruti Sheth, Hope Qamoos, Joseph O Onah, Anita Okemini, Mojisola Rhodes, Michele Barry, Adekunbiola A Banjo, Muhameed Habeebu, Tajudeen A Olasinde, Ami S Bhatt
PURPOSE: Despite recognition of both the growing cancer burden in low- and middle-income countries and the disproportionately high mortality rates in these settings, delivery of high-quality cancer care remains a challenge. The disparities in cancer care outcomes for many geographic regions result from barriers that are likely complex and understudied. This study describes the development and use of a streamlined needs assessment questionnaire (NAQ) to understand the barriers to providing quality cancer care, identifies areas for improvement, and formulates recommendations for implementation...
December 2018: Journal of Global Oncology
Anna E Bone, Catherine J Evans, Simon N Etkind, Katherine E Sleeman, Barbara Gomes, Melissa Aldridge, Jeff Keep, Julia Verne, Irene J Higginson
Background: Emergency department (ED) attendance for older people towards the end of life is common and increasing, despite most preferring home-based care. We aimed to review the factors associated with older people's ED attendance towards the end of life. Methods: Systematic review using Medline, Embase, PsychINFO, CINAHL and Web of Science from inception to March 2017. Included studies quantitatively examined factors associated with ED attendance for people aged ≥65 years within the last year of life...
November 26, 2018: European Journal of Public Health
Graham Thornicroft, Shalini Ahuja, Sarah Barber, Daniel Chisholm, Pamela Y Collins, Sumaiyah Docrat, Lara Fairall, Heidi Lempp, Unaiza Niaz, Vicky Ngo, Vikram Patel, Inge Petersen, Martin Prince, Maya Semrau, Jürgen Unützer, Huang Yueqin, Shuo Zhang
Integrated care is defined as health services that are managed and delivered such that people receive a continuum of health promotion, disease prevention, diagnosis, treatment, disease management, rehabilitation, and palliative care services, coordinated across the different levels and sites of care within and beyond the health sector and, according to their needs, throughout the life course. In this Review, we describe the most relevant concepts and models of integrated care for people with chronic (or recurring) mental illness and comorbid physical health conditions, provide a conceptual overview and a narrative review of the strength of the evidence base for these models in high-income countries and in low-income and middle-income countries, and identify opportunities to test the feasibility and effects of such integrated care models...
February 2019: Lancet Psychiatry
Daniel Munday, Vandana Kanth, Shadrach Khristi, Liz Grant
Palliative care is recognised as a fundamental component of Universal Health Coverage (UHC), which individual countries, led by the United Nations and the WHO, are committed to achieving worldwide by 2030-Sustainable Development Goal (SDG) 3.8. As the incidence of non-communicable diseases (NCD) in low-income and middle-income countries (LMICs) increases, their prevention and control are the central aspects of UHC in these areas. While the main focus is on reducing premature mortality from NCDs (SDG 3.4), palliative care is becoming increasingly important in LMICs, in which 80% of the need is found...
November 1, 2018: BMJ Supportive & Palliative Care
Joanna M Cain, Lynette Denny
Women's cancer rates are increasing in low- and middle-income countries, with presentations that are often far advanced requiring intense symptom management, thus advancing the urgent need to address palliative care. Most resource settings have some options available to assist women with advanced gynecologic cancer, and a combination of leveraging these and expanding on emerging models for palliative care could lessen suffering and improve care for women with gynecologic cancers globally. Providing palliative care for women with cancer is constrained by resources (human and physical), lack of equipment, lack of access, and policy absence or barriers...
October 2018: International Journal of Gynaecology and Obstetrics
Eleanor Anderson Reid, Olga Kovalerchik, Karen Jubanyik, Stuart Brown, Denise Hersey, Liz Grant
INTRODUCTION: Of the 40 million people globally in need of palliative care (PC), just 14% receive it, predominantly in high-income countries. Within fragile health systems that lack PC, incurable illness is often marked by pain and suffering, as well as burdensome costs. In high-income settings, PC decreases healthcare utilisation, thus enhancing value. Similar cost-effectiveness models are lacking in low-income and middle-income countries and with them, the impetus and funding to expand PC delivery...
October 1, 2018: BMJ Supportive & Palliative Care
Joseph T S Low, Gudrun Rohde, Katherine Pittordou, Bridget Candy, Sarah Davis, Aileen Marshall, Paddy Stone
BACKGROUND & AIMS: People with cirrhosis have unmet needs, which could benefit from a palliative care approach. Developing effective services needs to be based on evidence from those with personal experience. This review aims to explore; patient and family perspectives of perceived needs including communication; health professionals' perspectives on delivery of care and improving palliative care between specialities. METHODS: A literature search was conducted in Medline, Embase and CINAHL using key words reporting on the perspectives of patients with liver cirrhosis (18 years and over), family members or health professionals on the provision of care in liver cirrhosis...
December 2018: Journal of Hepatology
Anjali Krishnan, M R Rajagopal, Safiya Karim, Richard Sullivan, Christopher M Booth
PURPOSE: Limited data describe the delivery of palliative care services in low- and middle-income countries. We describe delivery of care by the Trivandrum Institute of Palliative Sciences (TIPS) in Trivandrum, India. METHODS: Administrative records were used to describe case volumes, setting of care, and organizational expenditures. An estimate of cost per clinical encounter was derived by dividing 2016 monthly clinical expenditures by the number of patient visits...
September 2018: Journal of Global Oncology
Megan Johnson Shen, Holly G Prigerson, Mpho Ratshikana-Moloko, Keletso Mmoledi, Paul Ruff, Judith S Jacobson, Alfred I Neugut, Jamila Amanfu, Herbert Cubasch, Michelle Wong, Maureen Joffe, Charmaine Blanchard
PURPOSE: The understanding of patients with cancer of their condition and their wishes regarding care as they approach end of life (EoL) have been studied more in high-income countries than in low- and middle-income countries (LMICs). PATIENTS AND METHODS: Data were analyzed from a cohort study (N = 221) of patients with advanced cancer who were recruited from a palliative care center in Soweto, South Africa (LMIC), between May 2016 and June 2017. Patients were asked about their understanding of their illness, estimated life expectancy, EoL care communication, and EoL care preferences...
September 2018: Journal of Global Oncology
Cynthia Ruth Goh, Sze-Yi Lee
No abstract text is available yet for this article.
September 2018: Pain
Ajay Aggarwal, Grant Lewison, Danielle Rodin, Anthony Zietman, Richard Sullivan, Yolande Lievens
Radiation therapy is a core modality of cancer treatment; however, concerns have been expressed regarding its underutilization and its lack of prioritization as a research domain relative to other cancer treatment modalities, despite its rapid technical evolution. It is therefore important to understand, from a public policy perspective, the evolution of global radiation therapy research, to identify strengths, weaknesses, and opportunities. This study used a bibliometric approach to undertake a quantitative analysis of global radiation therapy research published between 2001 and 2015 and available in the Web of Science (Wos) database, with particular focus on the 25 leading research-active countries...
July 15, 2018: International Journal of Radiation Oncology, Biology, Physics
Andrew Donkor, Tim Luckett, Sanchia Aranda, Jane Phillips
OBJECTIVES: To appraise improvement strategies adopted by low- and middle-income countries to increase access to cancer treatments and palliative care; and identify the facilitators and barriers to implementation. METHODS: A systematic review was conducted and reported in accordance with PRISMA statement. MEDLINE, CINAHL, and the Cochrane Library databases were searched. Bias was assessed using the Standards for Quality Improvement Reporting Excellence, and evidence graded using the Australian National Health and Medical Research Council system...
December 2018: International Journal of Public Health
Melissa J Bond, Andrea Knopp
The number of people in need of palliative care is growing worldwide, particularly in the developing world. The World Health Organization recognises palliative care as a basic human right, but there are many challenges for delivering palliative care in low- and middle-income countries. In the African continent, the African Palliative Care Association (APCA) provides guidance for political advocacy for developing palliative care programmes and has developed the APCA Palliative Outcome Score (POS), an evidence-based tool for measuring outcomes of palliative care...
June 2, 2018: International Journal of Palliative Nursing
Liliana De Lima, Natalia Arias Casais, Roberto Wenk, Lukas Radbruch, Tania Pastrana
BACKGROUND: International Association for Hospice and Palliative Care implemented Opioid Price Watch (OPW) to monitor availability, dispensing prices and affordability of opioids. We found that opioids with complex delivery mechanisms [fentanyl transdermal (TD) patches, sustained-release (SR) morphine, and SR oxycodone] had lower dispensing prices than immediate-release (IR) morphine formulations. OBJECTIVE: Identify the extent that SR and TD formulations are dispensed at lower prices than generic IR morphine and the possible reasons to explain this observation...
October 2018: Journal of Palliative Medicine
Megan Swanson, Stefanie Ueda, Lee-May Chen, Megan J Huchko, Carol Nakisige, Jane Namugga
There is significant disparity in the prevalence of cervical cancer globally, with low- and middle-income countries (LMICs) shouldering a disproportionate share of disease incidence and an even greater proportion of morbidity and mortality. Available resources for diagnosis, treatment and palliation of cervical cancer are inversely related to per capita income. While prevention and screening remain public health priorities, given the large number of women affected by cervical cancer, expanding treatment capacity should be included in any evidence-based intervention plan...
May 2018: Gynecologic Oncology Reports
Omondi Michelle Atieno, Sylvia Opanga, Antony Martin, Amanj Kurdi, Brian Godman
BACKGROUND: Currently the majority of cancer deaths occur in low- and middle-income countries, where there are appreciable funding concerns. In Kenya, most patients currently pay out of pocket for treatment, and those who are insured are generally not covered for the full costs of treatment. This places a considerable burden on households if family members develop cancer. However, the actual cost of cancer treatment in Kenya is unknown. Such an analysis is essential to better allocate resources as Kenya strives towards universal healthcare...
September 2018: Journal of Medical Economics
Richard R Love, G M Tanimul Ahsan, Tahmina Ferdousy, Shamsun Nahar, Sheikh Iqbal Ahamed
Aims: The poor state of palliative care in low- and middle-income countries has been termed a global crisis by the Lancet Commission on Palliative Care. The investigators previously reported on a cross-sectional study of symptoms in 640 Bangladeshi adults with incurable cancers. Usual levels of pain were high. The not-reported details of pain and other symptoms offered an opportunity to consider explanations and implications for interventions to lessen these symptoms. Methods: At one visit, 640 Bangladeshi patients completed a symptom questionnaire...
April 2018: Indian Journal of Palliative Care
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read

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"