Integration and activity of hospital-based palliative care consultation teams: the INSIGHT multicentric cohort study

Hospital-based Palliative Care Consultation Teams (PCCTs) have a consulting role to specialist services at their request. Referral of patients is often late. Early palliative care in oncology has shown its effectiveness in improving quality of life, thereby questioning the "on request" mod...

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Bibliographic Details
Published in:BMC palliative care 2017-05, Vol.16 (1), p.36-36, Article 36
Main Authors: Vinant, Pascale, Joffin, Ingrid, Serresse, Laure, Grabar, Sophie, Jaulmes, Hélène, Daoud, Malika, Abitbol, Gabriel, Fouassier, Pascale, Triol, Isabelle, Rostaing, Sylvie, Brette, Marie-Dominique, Colombet, Isabelle
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Cancer
Cohort analysis
Cohort Studies
Cohort study
Female
Geriatrics
Health services evaluation
Hospice care
Hospitals
Humans
Intervention
Life Sciences
Lung cancer
Male
Medical personnel
Medical prognosis
Medical referrals
Middle Aged
Multicenter study
Oncology
Palliative care
Palliative Care - methods
Paris
Patient Care Team - statistics & numerical data
Patients
Physicians
Population
Prospective Studies
Quality of life
Referral and Consultation - statistics & numerical data
Teams
Workforce
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Summary:Hospital-based Palliative Care Consultation Teams (PCCTs) have a consulting role to specialist services at their request. Referral of patients is often late. Early palliative care in oncology has shown its effectiveness in improving quality of life, thereby questioning the "on request" model of PCCTs. Whether this evidence changed practice is unknown. This multicentre prospective cohort study aims to describe the activity and integration of PCCTs at the patient level. For consecutive patients newly referred to participating PCCTs, the team collected the following data: circumstances of first referral, problems identified, number of interventions, patient's survival after first evaluation and place of death. Seventeen PCCTs based in university hospitals in Paris area, recruited 744 newly referred adult patients, aged 72 ± 15 years, 52% males, and 504(68%) with cancer as primary diagnosis. After 6 months, 548(74%) had died. At first evaluation, 12% patients were outpatients, 88% were inpatients. Symptoms represented the main reasons for referral and problems identified; 79% of patients had altered performance status; 24% encountered the PCCT only once. Median survival (1st-3rd quartile) after first evaluation by the PCCT was 22 (5-82) days for overall patients, and respectively 31 (8-107) days and 9 (3-34) days for cancer versus noncancer patients (p 
ISSN:1472-684X
1472-684X
DOI:10.1186/s12904-017-0209-9