Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/26083
Title: Referral criteria to palliative care for patients with respiratory disease: a systematic review.
Austin Authors: Philip, Jennifer;Collins, Anna;Smallwood, Natasha;Chang, Yuchieh Kathryn;Mo, Li;Yang, Ian A;Corte, Tamera;McDonald, Christine F ;Hui, David
Affiliation: Department of Medicine, University of Melbourne, Parkville, Australia. Palliative Care Service, St Vincent's Hospital, Fitzroy, Australia
Department of Medicine, University of Sydney, Sydney, Australia
Centre of Research Excellence for Pulmonary Fibrosis, National Health and Medical Research Council, New South Wales, Australia
Thoracic Program, The Prince Charles Hospital, Metro North Hospital and Health Service, Brisbane, Australia
UQ Thoracic Research Centre, Faculty of Medicine, The University of Queensland, Brisbane, Australia
Department of Respiratory and Sleep Medicine, Royal Melbourne Hospital, Parkville, Australia
Department of Medicine, University of Melbourne, Parkville, Australia
Department of Palliative Care, Rehabilitation and Integrative Medicine, MD Anderson Cancer Center, Houston, TX, USA
The Center of Gerontology and Geriatrics, National Clinical Research Center of Geriatrics, West China Hospital, Sichuan University, Chengdu, Sichuan, China
Respiratory and Sleep Medicine
Institute for Breathing and Sleep
Respiratory Medicine, Royal Prince Alfred Hospital, Camperdown, New South Wales, Australia
Department of Palliative Care, Rehabilitation and Integrative Medicine, MD Anderson Cancer Center, Houston, TX, USA
Issue Date: 18-Mar-2021
metadata.dc.date: 2021
Publication information: The European Respiratory Journal 2021; online first: 18 March
Abstract: Advanced non-malignant respiratory diseases are associated with significant patient morbidity, yet access to palliative care occurs late, if at all. To examine referral criteria for palliative care among patients with advanced non-malignant respiratory disease, with a view to developing a standardised set of referral criteria. Systematic review of all studies reporting on referral criteria to palliative care in advanced non-malignant respiratory disease, with a focus on chronic obstructive pulmonary disease and interstitial lung disease. A systematic review conducted and reported according to the Preferred Reporting Items for Systematic Reviews and Meta Analyses guideline was undertaken using electronic databases (Ovid, MEDLINE, Ovid Embase, and PubMed). Searches yielded 2052 unique titles, which were screened for eligibility resulting in 62 studies addressing referral criteria to palliative care in advanced non-malignant respiratory disease. Of 18 categories put forward for referral to palliative care, the most commonly discussed factors were hospital use (69% of papers), indicators of poor respiratory status (47%), physical and emotional symptoms (37%), functional decline (29%), need for advanced respiratory therapies (27%), and disease progression (26%). Clinicians consider referral to specialist palliative care for a wide range of disease- and needs-based criteria. Our findings highlight the need to standardise palliative care access by developing consensus referral criteria for patients with advanced non-malignant respiratory illnesses.
URI: https://ahro.austin.org.au/austinjspui/handle/1/26083
DOI: 10.1183/13993003.04307-2020
ORCID: 0000-0002-3312-0645
0000-0002-3403-3586
PubMed URL: 33737407
Type: Journal Article
Subjects: Palliative care
Respiratory disease
Appears in Collections:Journal articles

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