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Therapy: Palliative

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Total 19553 results found since Jan 2013.

The relationship between ethnicity and the pain experience of cancer patients: A systematic review
Conclusion: There is an evidence to suggest that the cancer pain experience is different between ethnicities. Minority patients face potential barriers for effective pain management due to problems with communication and poor pain assessment. Cultural perceptions of cancer may influence individual conceptualization of pain and affect health-seeking behavior.
Source: Indian Journal of Palliative Care - August 8, 2014 Category: Palliative Care Authors: Wingfai KwokThakshyanee Bhuvanakrishna Source Type: research

Palliative radiotherapy regimens for patients with thoracic symptoms from non-small cell lung cancer.
CONCLUSIONS: Radiotherapy for patients with incurable non-small cell lung cancer can improve thoracic symptoms. Care should be taken with the dose to the spinal cord to reduce the risk of radiation myelopathy. The higher dose, more fractionated palliative radiotherapy regimens do not provide better or more durable palliation and their use to prolong survival is not supported by strong evidence. More research is needed into reducing the acute toxicity of large fraction regimens and into the role of radical compared to high dose palliative radiotherapy. In the future, large trials comparing different RT regimens may be diffi...
Source: Cochrane Database of Systematic Reviews - January 1, 2015 Category: Journals (General) Authors: Stevens R, Macbeth F, Toy E, Coles B, Lester JF Tags: Cochrane Database Syst Rev Source Type: research

State of the Science: Update in Hospice and Palliative Care (103)
The objective of this session is to review journal articles published during the last year with the highest potential for impact on the field of hospice and palliative medicine. A hand search of leading journals highly relevant to the practice of hospice and palliative care was supplemented with a search of evidence-based reviews, a targeted keyword search, and conversations with experts in the disciplines of medicine, nursing, and social work. Journal articles were reviewed for both study quality and potential for immediate impact on the field of hospice and palliative care.
Source: Journal of Pain and Symptom Management - January 25, 2015 Category: Palliative Care Authors: Jay R. Horton, Kimberly S. Johnson, Nick Dionne-Odom, Cardinale Smith Tags: Plenary Session Source Type: research

A systematic review of ovarian cancer and fear of recurrence.
Abstract Objective: To assess demographic, medical, and psychological factors that are associated with fear of recurrence (FCR) in ovarian cancer patients. Method: We searched PubMed, EMBASE, Cochrane, CINAHL, and PsycINFO. For PubMed, a search using Medical Subject Headings (MeSH) was run, as well as a text-word search from 1990 to July of 2014. The search terms used consisted of ovarian terms, fear terms, and recurrence/progression themes. Title and abstract reviews were conducted by two independent reviewers to determine eligibility, and discrepancies were decided by a third reviewer. Full-text reviews of poten...
Source: Palliative and Supportive Care - March 2, 2015 Category: Palliative Care Authors: Ozga M, Aghajanian C, Myers-Virtue S, McDonnell G, Jhanwar S, Hichenberg S, Sulimanoff I Tags: Palliat Support Care Source Type: research

Pharmacological treatments for fatigue associated with palliative care.
CONCLUSIONS: Based on limited evidence, we cannot recommend a specific drug for the treatment of fatigue in palliative care patients. Fatigue research in palliative care seems to focus on modafinil and methylphenidate, which may be beneficial for the treatment of fatigue associated with palliative care although further research about their efficacy is needed. Dexamethasone, methylprednisolone, acetylsalicylic acid, armodafinil, amantadine and L-carnitine should be further examined. Consensus is needed regarding fatigue outcome parameters for clinical trials. PMID: 26026155 [PubMed - as supplied by publisher]
Source: Cochrane Database of Systematic Reviews - May 30, 2015 Category: Journals (General) Authors: Mücke M, Mochamat, Cuhls H, Peuckmann-Post V, Minton O, Stone P, Radbruch L Tags: Cochrane Database Syst Rev Source Type: research

Training and supportive programs for palliative care volunteers in community settings.
CONCLUSIONS: The use of palliative care volunteers is likely to continue, but there is an absence of evidence to show how best to train or support them whilst maintaining standards of care for palliative care patients and their families. PMID: 26189823 [PubMed - as supplied by publisher]
Source: Cochrane Database of Systematic Reviews - July 20, 2015 Category: Journals (General) Authors: Horey D, Street AF, O'Connor M, Peters L, Lee SF Tags: Cochrane Database Syst Rev Source Type: research

Levomepromazine for nausea and vomiting in palliative care.
CONCLUSIONS: As in the initial review, we identified no published randomised controlled trials examining the use of levomepromazine for the management of nausea and vomiting in adults receiving palliative care, and our conclusion (that further studies of levomepromazine and other antiemetic agents are needed to provide better evidence for their use in this setting) remains unchanged. We did, however, identify one ongoing study that we hope will contribute to the evidence base for this intervention in future updates of this review. PMID: 26524693 [PubMed - as supplied by publisher]
Source: Cochrane Database of Systematic Reviews - November 2, 2015 Category: Journals (General) Authors: Cox L, Darvill E, Dorman S Tags: Cochrane Database Syst Rev Source Type: research

State of the Science: Update in Hospice and Palliative Care (104)
The objective of this session is to review the journal articles published during the last year with the highest potential for impact on the field of hospice and palliative medicine. A hand search of leading journals highly relevant to the practice of hospice and palliative care was supplemented with a search of evidence-based reviews, a targeted keyword search, and conversations with experts in the disciplines of medicine, nursing, and social work. Journal articles were reviewed for both study quality and potential for immediate impact on the field of hospice and palliative care.
Source: Journal of Pain and Symptom Management - January 29, 2016 Category: Palliative Care Authors: J. Nicholas Dionne-Odom, Cardinale B. Smith Tags: Plenary Session Source Type: research

Making decisions at the end of life when caring for a person with dementia: a literature review to explore the potential use of heuristics in difficult decision-making
Conclusions The use of heuristics in palliative or end of life dementia care is not described in the research literature. However, this review identified important decision-making principles, which are largely a reflection of expert opinion. These principles may have the potential to be developed into simple heuristics that could be used in practice.
Source: BMJ Open - July 18, 2016 Category: Journals (General) Authors: Mathew, R., Davies, N., Manthorpe, J., Iliffe, S. Tags: Open access, General practice / Family practice, Geriatric medicine, Mental health, Palliative care Research Source Type: research

The Diagnosis, Treatment, and Follow-up of Renal Cell Carcinoma.
CONCLUSION: Minimally invasive surgery and new systemic drugs have expanded the therapeutic options for patients with renal cell carcinoma. The search for new predictive and prognostic markers is now in progress. PMID: 27658472 [PubMed - in process]
Source: Deutsches Arzteblatt International - September 24, 2016 Category: Journals (General) Tags: Dtsch Arztebl Int Source Type: research

Sleep disturbances in caregivers of patients with advanced cancer: A systematic review.
Abstract OBJECTIVE: Sleep disturbances are a common issue for those who provide informal care to someone with a life-limiting condition. The negative consequences of poor sleep are well documented. The purpose of the present study was to determine the sleep patterns of caregivers of patients with advanced cancer. METHOD: An extensive systematic review of studies reporting empirical sleep data was undertaken in 2015 in accordance with the PRISMA Statement. A total of eight electronic databases were searched, with no date restrictions imposed. Additionally, a search of the bibliographies of the studies identifi...
Source: Palliative and Supportive Care - January 17, 2017 Category: Palliative Care Authors: Maltby KF, Sanderson CR, Lobb EA, Phillips JL Tags: Palliat Support Care Source Type: research

The State of the Science: Update in Hospice and Palliative Care (104)
The objective of this session is to review the journal articles published during the last year with the highest potential for impact on the field of hospice and palliative medicine. A hand search of leading journals highly relevant to the practice of hospice and palliative care was supplemented with a search of evidence based reviews, a targeted keyword search, and conversations with experts in the disciplines of medicine, nursing, and social work. Journal articles were reviewed for both study quality and potential for immediate impact on the field of hospice and palliative care.
Source: Journal of Pain and Symptom Management - January 19, 2017 Category: Palliative Care Authors: Nick Dionne-Odom, Cardinale Smith Tags: Plenary Sessions Source Type: research

Quality of clinical practice guidelines in delirium: a systematic appraisal
Conclusions Delirium guidelines are best sourced by a systematic grey literature search. Delirium guideline quality varied across all six AGREE II domains, demonstrating the importance of using a formal appraisal tool prior to guideline adaptation and implementation into clinical settings. Adding more knowledge translation resources to guidelines may improve their practical application and effective monitoring. More delirium guideline evaluation studies are needed to determine their effect on clinical practice.
Source: BMJ Open - March 9, 2017 Category: Journals (General) Authors: Bush, S. H., Marchington, K. L., Agar, M., Davis, D. H. J., Sikora, L., Tsang, T. W. Y. Tags: Open access, Evidence based practice, Geriatric medicine, Intensive care, Palliative care Research Source Type: research

Laser and light-based therapy for cutaneous and soft-tissue metastases of malignant melanoma: a systematic review
AbstractInvasive cutaneous melanoma is a growing health concern. Although surgical excision can effectively treat in situ tumors, use for metastatic melanoma is limited. Laser and light-based therapies may be a valuable palliative treatment option for patients with stage III and stage IV cutaneous metastatic melanoma. Our goal is to review the published literature and provide evidence-based recommendations on laser and light-based palliative therapies for metastatic melanoma. A search of the databases Pubmed, EMBASE, Web of Science, and CINAHL was performed on March 10, 2016. Key search terms were related to melanoma, lase...
Source: Archives of Dermatological Research - March 16, 2017 Category: Dermatology Source Type: research