| Author, year, intervention type . | Outcomes . | |||||
|---|---|---|---|---|---|---|
| Symptoms . | Quality of life . | Mood . | Satisfaction . | Resource use . | Survival . | |
No difference | Not measured | Depression not reported, anxiety no difference | Not measured | Not measured | Not measured | |
Rabow et al., 2004 Consultant MD model | Less dyspnoea, P = 0.01, no change in pain | No difference | Less anxiety (P = 0.05), no change in depression (P = 0.28) | No difference | No difference | Not measured |
Brumley et al., 2007 Interdisciplinary palliative care team (IPCT) | Not measured | Not measured | Not measured | Improved, P <0.05 | Cost $12,670 vs $20,222, P = 0.03 Hospital days reduced by 4.36 (P <0.001) | No difference |
Gade et al., 2008 IPCT | No difference | No difference | No difference | IPCS patients reported greater satisfaction with their care experience (P = 0.04) and providers’ communication (P = 0.0004) | Total mean health costs $6766 lower (IPCS: $14,486; UC: $21,252, P <0.001). Net cost savings of $4855 (staffing costs) per patient (P <0.001). | No difference |
Bakitas et al., 2009 Nursing education intervention | Improved P = 0.06 | Improved P = 0.02 | Improved P = 0.02 | Not measured | No difference | No difference |
Temel et al., 2010 IPCT | Improved P = 0.04 | Improved P = 0.03 | Less depression P = 0.01 | Not measured | Less aggressive care P = 0.05 Costs about $2200 less per patient with PC | 11.6 vs 8.9 months P = 0.02 |
Meyers et al., 2011 Three education sessions in the first month to learn problem-solving skills | Not measured | Patients: no difference. Caregivers: declined at less than half the rate of control, P = 0.02 | No difference | Not measured | Not measured | Not measured |
Zimmerman et al., 2012 Cluster randomized trial of palliative care alongside usual oncology care | Improved | Improved | Improved | Not reported | Not yet reported | Equal |
| Author, year, intervention type . | Outcomes . | |||||
|---|---|---|---|---|---|---|
| Symptoms . | Quality of life . | Mood . | Satisfaction . | Resource use . | Survival . | |
No difference | Not measured | Depression not reported, anxiety no difference | Not measured | Not measured | Not measured | |
Rabow et al., 2004 Consultant MD model | Less dyspnoea, P = 0.01, no change in pain | No difference | Less anxiety (P = 0.05), no change in depression (P = 0.28) | No difference | No difference | Not measured |
Brumley et al., 2007 Interdisciplinary palliative care team (IPCT) | Not measured | Not measured | Not measured | Improved, P <0.05 | Cost $12,670 vs $20,222, P = 0.03 Hospital days reduced by 4.36 (P <0.001) | No difference |
Gade et al., 2008 IPCT | No difference | No difference | No difference | IPCS patients reported greater satisfaction with their care experience (P = 0.04) and providers’ communication (P = 0.0004) | Total mean health costs $6766 lower (IPCS: $14,486; UC: $21,252, P <0.001). Net cost savings of $4855 (staffing costs) per patient (P <0.001). | No difference |
Bakitas et al., 2009 Nursing education intervention | Improved P = 0.06 | Improved P = 0.02 | Improved P = 0.02 | Not measured | No difference | No difference |
Temel et al., 2010 IPCT | Improved P = 0.04 | Improved P = 0.03 | Less depression P = 0.01 | Not measured | Less aggressive care P = 0.05 Costs about $2200 less per patient with PC | 11.6 vs 8.9 months P = 0.02 |
Meyers et al., 2011 Three education sessions in the first month to learn problem-solving skills | Not measured | Patients: no difference. Caregivers: declined at less than half the rate of control, P = 0.02 | No difference | Not measured | Not measured | Not measured |
Zimmerman et al., 2012 Cluster randomized trial of palliative care alongside usual oncology care | Improved | Improved | Improved | Not reported | Not yet reported | Equal |
The model was a consultant physician who was not a member of the team and made recommendations which were not followed the majority of the time. The primary care provider followed recommendations for opioid prescription in 8% of cases, and antidepressant prescription only 17% of cases. This may partly explain the lack of effect
AD, advance directive; ED, emergency department; IPCS, interdisciplinary palliative care service; IPCT, Interdisciplinary palliative care team; OR, odds ratio; PC, palliative care; UC, usual care.
Source: data from personal communication, Steve Pantilat MD, May 2, 2011.
This PDF is available to Subscribers Only
View Article Abstract & Purchase OptionsFor full access to this pdf, sign in to an existing account, or purchase an annual subscription.
