To what degree is palliative care integrated in guidelines and pathways for adult cancer patients in Europe:a systematic literature review

van Beek, Karen and Siouta, Naouma and Preston, Nancy Jean and Hasselaar, Jeroen and Hughes, Sean and Payne, Sheila Alison and Radbruch, Lukas and Centeno, Carlos and Csikos, Agnes and Garralda, Eduardo and van der Eerden, Marlieke and Hodiamont, Farina and Radvanyi, Ildiko and Menten, Johan (2016) To what degree is palliative care integrated in guidelines and pathways for adult cancer patients in Europe:a systematic literature review. BMC Palliative Care, 15 (26). ISSN 1472-684X

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Abstract

Background Palliative Care (PC) aims to improve the quality of life for patients with cancer and their families and its benefits have been demonstrated by several studies. The objective of this systematic review is to assess the integration of PC in the content of guidelines/pathways of adult cancer patients in Europe. Methods We included studies of adult patients with cancer published from 01/01/1995 and 31/12/2013 in Europe in six languages. We searched nine electronic databases, hand-searched six journals and also performed citation tracking. Studies were ranked using Emanuel’s Integrated Palliative Care (IPC) criteria, a tool containing 11 domains to assess PC content in guidelines. Two reviewers screened the results and narrative synthesis has been employed. Results We identified a total of 28,277 potentially relevant articles from which 637 were eligible for full-text screening. The final review included 60 guidelines and 14 pathways. Eighty percent (80 %) of the guidelines/pathways emphasize a holistic approach and 66 % focus on PC interventions aimed at reducing suffering. Fifty seven percent (57 %) did not discuss referral criteria for PC. Of all studies, five fulfilled at least 10/11 IPC criteria. Differences existed with regard to the referral criteria for bereavement care and the continuous adjustment of goals of care. Conclusion Overall, most of the identified guidelines/pathways highlighted the importance of the holistic approach of IPC. The studies that were found to fulfil at least 10/11 Emanuel’s IPC criteria could serve as benchmarks of IPC.

Item Type:
Journal Article
Journal or Publication Title:
BMC Palliative Care
Additional Information:
© 2016 Van Beek et al. Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
Uncontrolled Keywords:
/dk/atira/pure/subjectarea/asjc/2700
Subjects:
ID Code:
78547
Deposited By:
Deposited On:
07 Mar 2016 10:58
Refereed?:
Yes
Published?:
Published
Last Modified:
11 Aug 2020 01:23