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Impact of a half-day multidisciplinary symptom control and palliative care outpatient clinic in a comprehensive cancer center on recommendations, symptom intensity, and patient satisfaction: a retrospective descriptive study.
J Pain Symptom Manage. 2004 Jun; 27(6):481-91.JP

Abstract

To characterize a new, one-stop multidisciplinary palliative care (MD) clinic which offers standardized multidisciplinary assessment, specific care recommendations, patient and family education, and on-site counseling, we retrospectively compared the assessments of 138 consecutive patients with advanced cancer referred to the MD clinic and 77 patients referred to a traditional pain and symptom management (PSM) clinic. The two groups were similar in tumor type, demographics, and symptom distress. The MD clinic team (physicians; nurses; pharmacists; physical, speech, and occupational therapists; social workers; chaplains; nutritionists; psychiatric nurse practitioner) delivered 1,066 non-physician recommendations (median 4 per patient, range 0-37). The PSM clinic team made no non-physician recommendations, but referred 14 patients to other medical specialists. In 80 (58%) MD-clinic patients with follow-up 9 days (median) after assessment, significant improvement was observed in pain, nausea, depression, anxiety, sleep, dyspnea, and well-being, but not in fatigue, anorexia, or drowsiness. In 83 patients interviewed after the MD clinic, satisfaction was rated as excellent (5 out of 5) in 86-97% of seven areas. Assessment at an MD clinic results in a high number of patient care recommendations, improved symptoms, and high levels of patient satisfaction.

Authors+Show Affiliations

Section Oncology and Palliative Medicine, Department of Internal Medicine, Kantonsspital, St.Gallen, Switzerland.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Controlled Clinical Trial
Journal Article
Research Support, Non-U.S. Gov't
Validation Study

Language

eng

PubMed ID

15165646

Citation

Strasser, Florian, et al. "Impact of a Half-day Multidisciplinary Symptom Control and Palliative Care Outpatient Clinic in a Comprehensive Cancer Center On Recommendations, Symptom Intensity, and Patient Satisfaction: a Retrospective Descriptive Study." Journal of Pain and Symptom Management, vol. 27, no. 6, 2004, pp. 481-91.
Strasser F, Sweeney C, Willey J, et al. Impact of a half-day multidisciplinary symptom control and palliative care outpatient clinic in a comprehensive cancer center on recommendations, symptom intensity, and patient satisfaction: a retrospective descriptive study. J Pain Symptom Manage. 2004;27(6):481-91.
Strasser, F., Sweeney, C., Willey, J., Benisch-Tolley, S., Palmer, J. L., & Bruera, E. (2004). Impact of a half-day multidisciplinary symptom control and palliative care outpatient clinic in a comprehensive cancer center on recommendations, symptom intensity, and patient satisfaction: a retrospective descriptive study. Journal of Pain and Symptom Management, 27(6), 481-91.
Strasser F, et al. Impact of a Half-day Multidisciplinary Symptom Control and Palliative Care Outpatient Clinic in a Comprehensive Cancer Center On Recommendations, Symptom Intensity, and Patient Satisfaction: a Retrospective Descriptive Study. J Pain Symptom Manage. 2004;27(6):481-91. PubMed PMID: 15165646.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Impact of a half-day multidisciplinary symptom control and palliative care outpatient clinic in a comprehensive cancer center on recommendations, symptom intensity, and patient satisfaction: a retrospective descriptive study. AU - Strasser,Florian, AU - Sweeney,Catherine, AU - Willey,Jie, AU - Benisch-Tolley,Susanne, AU - Palmer,J Lynn, AU - Bruera,Eduardo, PY - 2003/10/25/accepted PY - 2004/5/29/pubmed PY - 2004/7/15/medline PY - 2004/5/29/entrez SP - 481 EP - 91 JF - Journal of pain and symptom management JO - J Pain Symptom Manage VL - 27 IS - 6 N2 - To characterize a new, one-stop multidisciplinary palliative care (MD) clinic which offers standardized multidisciplinary assessment, specific care recommendations, patient and family education, and on-site counseling, we retrospectively compared the assessments of 138 consecutive patients with advanced cancer referred to the MD clinic and 77 patients referred to a traditional pain and symptom management (PSM) clinic. The two groups were similar in tumor type, demographics, and symptom distress. The MD clinic team (physicians; nurses; pharmacists; physical, speech, and occupational therapists; social workers; chaplains; nutritionists; psychiatric nurse practitioner) delivered 1,066 non-physician recommendations (median 4 per patient, range 0-37). The PSM clinic team made no non-physician recommendations, but referred 14 patients to other medical specialists. In 80 (58%) MD-clinic patients with follow-up 9 days (median) after assessment, significant improvement was observed in pain, nausea, depression, anxiety, sleep, dyspnea, and well-being, but not in fatigue, anorexia, or drowsiness. In 83 patients interviewed after the MD clinic, satisfaction was rated as excellent (5 out of 5) in 86-97% of seven areas. Assessment at an MD clinic results in a high number of patient care recommendations, improved symptoms, and high levels of patient satisfaction. SN - 0885-3924 UR - https://www.unboundmedicine.com/medline/citation/15165646/Impact_of_a_half_day_multidisciplinary_symptom_control_and_palliative_care_outpatient_clinic_in_a_comprehensive_cancer_center_on_recommendations_symptom_intensity_and_patient_satisfaction:_a_retrospective_descriptive_study_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0885392404001113 DB - PRIME DP - Unbound Medicine ER -