Systematic versus on-demand early palliative care: A randomised clinical trial assessing quality of care and treatment aggressiveness near the end of life

Marco Maltoni, Emanuela Scarpi,Monia Dall’Agata,Stefania Schiavon,Claudia Biasini,Carla Codecà, Chiara Maria Broglia, Elisabetta Sansoni,Roberto Bortolussi,Ferdinando Garetto,Luisa Fioretto, Maria Teresa Cattaneo, Alice Giacobino,Massimo Luzzani, Giovanna Luchena,Sara Alquati,Silvia Quadrini,Vittorina Zagonel,Luigi Cavanna,Daris Ferrari,Paolo Pedrazzoli,Giovanni Luca Frassineti,Antonella Galiano, Andrea Casadei Gardini,Manlio Monti,Oriana Nanni,Alberto Farolfi,Silvia Ruscelli,Martina Valgiusti,Sara Pini,Marina Faedi,Angela Ragazzini,Cristina Pittureri,Elena Amaducci, Irene Guglieri, Francesca Bergamo,Sara Lonardi,Camilla Di Nunzio, Monica Bosco,Barbara Bocci,Alfina Bramanti, Chiara Gandini,Angela Buonadonna,Alessandro Comandone,Sonia Zoccali,Maria Simona Pino,Davide Dalu,Pietro Sozzi,Alberto Gozza,Monica Giordano, Carla Longhi,Cristina Autelitano,Teresa Gamucci,Cataldo Mastromauro,Rodolfo Scognamiglio,Daniela Degiovanni,Federica Negri,Augusto Caraceni,Luigi Montanari

European Journal of Cancer（2016）

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摘要

•We assessed the impact of systematic versus on-demand early palliative care (EPC) on quality of care outcomes.•Use and timeliness of hospice care were more appropriate in the systematic EPC arm.•Fewer systematic EPC patients underwent chemotherapy in the last 30 days of life.•Percentage of home/hospice deaths was non-significantly higher for systematic EPC.•Systematic EPC is advantageous for quality of care and quality of life.

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关键词

Early palliative care,Use of health care services,Care aggressiveness near the end of life

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