首页 / 院系成果 / 成果详情页

Integration of Oncology and Palliative Care: A Systematic Review 期刊论文

编号：

f3136e74-4afb-4563-8844-7b0f41e12d75
作者：

Hui, David#*^[1]Kim, Yu Jung^[1,2];Park, Ji Chan^[1,3];Zhang, Yi(张怡)^[1,4]Strasser, Florian^[5];Cherny, Nathan^[6];Kaasa, Stein^[7,8];Davis, Mellar P.^[9];Bruera, Eduardo^[1];
语种：

英文
期刊：

ONCOLOGIST ISSN：1083-7159 2015 年 20 卷 1 期 (77 - 83) ; JAN
收录：
关键词：

Access Health systems Indicators Integration Neoplasms Palliative care Referral
摘要：

Background. Both the American Society of Clinical Oncology and the European Society for Medical Oncology strongly endorse integrating oncology and palliative care (PC); however, a global consensus on what constitutes integration is currently lacking. To better understand what integration entails, we conducted a systematic review to identify articles addressing the clinical, educational, research, and administrative indicators of integration.
Materials and Methods. We searched Ovid MEDLINE and Ovid EMBase between 1948 and 2013. Two researchers independently reviewed each citation for inclusion and extracted the indicators related to integration. The inter-rater agreement was high (kappa = 0.96, p < .001).
Results. Of the 431 publications in our initial search, 101 were included. A majority were review articles (58%) published in oncology journals (59%) and in or after 2010 (64%, p < . 001). A total of 55 articles (54%), 33 articles (32%), 24 articles (24%), and 14 articles (14%) discussed the role of outpatient clinics, community-based care, PC units, and inpatient consultation teams in integration, respectively. Process indicators of integration include interdisciplinary PC teams (n = 72), simultaneous care approach (n = 71), routine symptom screening (n = 25), PC guidelines (n = 33), care pathways (n = 11), and combined tumor boards (n = 10). A total of 66 articles (65%) mentioned early involvement of PC, 18 (18%) provided a specific timing, and 28 (28%) discussed referral criteria. A total of 45 articles (45%), 20 articles (20%), and 66 articles (65%) discussed 8, 4, and 9 indicators related to the educational, research, and administrative aspects of integration, respectively.
Conclusion. Integration was a heterogeneously defined concept. Our systematic review highlighted 38 clinical, educational, research, and administrative indicators. With further refinement, these indicators may facilitate assessment of the level of integration of oncology and PC.
推荐引用方式
GB/T 7714：

Hui David,Kim Yu Jung,Park Ji Chan, et al. Integration of Oncology and Palliative Care: A Systematic Review [J].ONCOLOGIST,2015,20(1):77-83.
APA：

Hui David,Kim Yu Jung,Park Ji Chan,Zhang Yi,&Bruera Eduardo.(2015).Integration of Oncology and Palliative Care: A Systematic Review .ONCOLOGIST,20(1):77-83.
MLA：

Hui David, et al. "Integration of Oncology and Palliative Care: A Systematic Review" .ONCOLOGIST 20,1(2015):77-83.
条目包含文件：

文件类型：PDF,文件大小：

正在加载全文

未找到全文

浏览次数：11  下载次数：0

分享到：

浏览次数：11

下载次数：0

打印次数：0