Early Palliative Care Can Lessen Hospital Stays, Improve Well-Being

It is never too early for a patient diagnosed with mesothelioma — or most any cancer — to start consulting with a palliative care specialist, according to a recent study. The message from researchers at the University of Texas MD Anderson Cancer Center in Houston: The sooner, the better. Results from the study show early palliative care referrals and outpatient referrals were associated with fewer hospitalizations, emergency room visits, intensive-care admissions and hospital deaths compared to those on an inpatient basis. Palliative care focuses on pain relief, symptom reduction and quality of life improvement, and it’s usually recommended for patients with a poor diagnosis or a late-stage cancer. David Hui, M.D., oncologist at MD Anderson Cancer Center and one of the study’s authors, told Asbestos.com that palliative care is often neglected or delayed, unnecessarily depriving cancer patients of valuable and available resources, researchers said. "Earlier palliative care is generally a good thing," said Hui, who is also one of the nation's leaders in palliative care research. "There is more and more evidence to support the need for it, and the benefits that come from it." Study Revealed Significant Differences Researchers published the study titled, “Early outpatient referral to palliative care services improves end-of-life care,” in the July/August edition of CA: A Cancer Journal for Clinicians. The study included 36...
Source: Asbestos and Mesothelioma News - Category: Environmental Health Authors: Tags: Research & Clinical Trials Source Type: news

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AbstractBackgroundChronic pain is a substantial burden on the Australian healthcare system with an estimated 19.2% of Australians experiencing chronic pain. Knowledge of the neurophysiology and multidimensional aspects of pain is imperative to ensure health professionals apply a biopsychosocial approach to pain. Questionnaires may be used to assess learner changes in neurophysiology knowledge and beliefs and attitudes towards pain after education interventions.The aim of this study was to evaluate changes in pain neurophysiology knowledge, beliefs and attitudes following a 12  week clinically-focused pain module in ye...
Source: Chiropractic and Manual Therapies - Category: Complementary Medicine Source Type: research
Dr. Luis Diaz spoke withCancer Network about monitoring for residual disease in colon cancer ahead of his presentation at ESMO 2018.
Source: CancerNetwork - Category: Cancer & Oncology Authors: Source Type: news
Treatment for prostate cancer with external beam radiotherapy was found to be associated with an increased risk for development of bladder cancer when compared with radical prostatectomy.
Source: CancerNetwork - Category: Cancer & Oncology Authors: Source Type: news
In his latest blog, Craig Hildreth explores the terror of the black box warning and how the fear of toxicities affects his patients —and his staff.
Source: CancerNetwork - Category: Cancer & Oncology Authors: Source Type: news
Authors: Arockiaraj J, Robert M, Rose W, Amritanand R, David KS, Krishnan V Abstract Study Design: Retrospective case series. Purpose: The aim of the study is to report the clinical characteristics, early diagnosis, management, and outcome of children with multidrug-resistant (MDR) tubercular spondylodiscitis and to assess the early detection of rifampicin resistance using the Xpert MTB/ RIF assay. Overview of Literature: MDR tuberculosis is on the rise, especially in developing countries. The incidence rate of MDR has been reported as 8.9% in children. Methods: A retrospective study of children aged
Source: Asian Spine Journal - Category: Orthopaedics Tags: Asian Spine J Source Type: research
Conclusions: ABL is common (57.1%). It occurs at an early stage (within 3 months) and typically follows a non-progressive natural history with stable radiographic features after the first year. Most ABL cases are mild, but severe ABL occurs in approximately 3% of CDAs. ABL does not affect the patients' clinical outcome or the requirement for revision surgery. Surgeons should thus treat patients undergoing CDA considering ABL. PMID: 30326692 [PubMed - as supplied by publisher]
Source: Asian Spine Journal - Category: Orthopaedics Tags: Asian Spine J Source Type: research
Authors: Bezalel T, Carmeli E, Kalichman L Abstract Study Design: Cross-sectional analytical study. Purpose: To evaluate the spinal radiological features in patients with Scheuermann's disease and the association between the thoracic kyphosis angle and clinical presentation. Overview of the Literature: Scheuermann's disease is the most common cause of hyperkyphosis of the thoracic and thoracolumbar spine in adolescents; however, literature is limited in this area. Methods: Data regarding 150 successive X-ray images of 95 males and 55 females diagnosed with Scheuermann's disease were retrieved from the digit...
Source: Asian Spine Journal - Category: Orthopaedics Tags: Asian Spine J Source Type: research
Authors: Ansari NN, Komesh S, Naghdi S, Fakhari Z, Alaei P Abstract Study Design: A prospective, within-group cohort study of 46 patients with chronic low-back pain (CLBP). Purpose: To assess the responsiveness of the Persian Functional Rating Index (PFRI) and to determine the minimal clinically important change (MCIC) of the PFRI in a cohort of patients with CLBP. Overview of Literature: The FRI is an instrument for assessing pain and disability in patients with low-back pain. No study so far has examined the responsiveness of the PFRI. Methods: Forty-six patients with CLBP with a mean age of 50.33&plu...
Source: Asian Spine Journal - Category: Orthopaedics Tags: Asian Spine J Source Type: research
Conclusions: Inclusion of the fracture level in short-segment fixation for thoracolumbar fracture dislocation (McCormack load-sharing score ≤6) gives good kyphosis correction and correction maintenance. It can also obviate the need for traditional long-segment fixation. PMID: 30326687 [PubMed - as supplied by publisher]
Source: Asian Spine Journal - Category: Orthopaedics Tags: Asian Spine J Source Type: research
Authors: Gadia A, Shah K, Nene A Abstract Cervical kyphosis is a rare condition that can cause significant functional disability and myelopathy. Deciding the appropriate treatment for such deformities is challenging for the surgeon. Patients often present with axial neck pain, and it is not uncommon to find coexisting radiculopathy or myelopathy. The optimal approach for addressing this complex issue remains controversial. A comprehensive surgical plan based on knowledge of the pathology and biomechanics is important for kyphosis correction. Here we reviewed diagnoses of the cervical spine along with the literature...
Source: Asian Spine Journal - Category: Orthopaedics Tags: Asian Spine J Source Type: research
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