Integrating palliative care in lung cancer: an early feasibility study

Bridget Margaret Johnston, Deans Buchanan, Constantina Papadopoulou, Hannah Lord

Research output: Contribution to journalArticle

Abstract

AIM
The aim of this preliminary study was to evaluate the feasibility of conducting an effectiveness trial of early access to palliative care services for people with lung cancer through use of an integrated outpatient model.

METHODS
Newly diagnosed patients with lung cancer receiving palliative-intent treatment or best supportive care treatment were recruited over a 5-month period from one out-patient clinic in Scotland. Patients were offered a clinical review appointment with a palliative medicine consultant at two time points: baseline and 12 weeks later. Prior to each appointment patients completed three outcome measures addressing symptom severity, wellbeing, and health-care needs. One-to-one interviews were also conducted to explore patients' experiences of being involved in the study.

RESULTS
Three patients participated in the study. The main reasons for low recruitment were patients' deteriorating condition and unwillingness to undertake extra hospital visits. However, qualitative data indicated that the participants found this extra layer of supportive care useful in identifying and managing their needs, as well as enabling future planning.

CONCLUSION
Further testing is needed to ascertain the feasibility of conducting a trial of integrating early access to palliative care services into routine practice for people with lung cancer.
Original languageEnglish
Pages (from-to)433-437
Number of pages5
JournalInternational Journal of Palliative Nursing
Volume19
Issue number9
DOIs
Publication statusPublished - Sep 2013
Externally publishedYes

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Feasibility Studies
Palliative Care
Lung Neoplasms
Appointments and Schedules
Outpatients
Scotland
Consultants
Patient Selection
Outcome Assessment (Health Care)
Interviews
Delivery of Health Care
Therapeutics

Cite this

Johnston, Bridget Margaret ; Buchanan, Deans ; Papadopoulou, Constantina ; Lord, Hannah. / Integrating palliative care in lung cancer : an early feasibility study. In: International Journal of Palliative Nursing. 2013 ; Vol. 19, No. 9. pp. 433-437.
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abstract = "AIMThe aim of this preliminary study was to evaluate the feasibility of conducting an effectiveness trial of early access to palliative care services for people with lung cancer through use of an integrated outpatient model.METHODSNewly diagnosed patients with lung cancer receiving palliative-intent treatment or best supportive care treatment were recruited over a 5-month period from one out-patient clinic in Scotland. Patients were offered a clinical review appointment with a palliative medicine consultant at two time points: baseline and 12 weeks later. Prior to each appointment patients completed three outcome measures addressing symptom severity, wellbeing, and health-care needs. One-to-one interviews were also conducted to explore patients' experiences of being involved in the study.RESULTSThree patients participated in the study. The main reasons for low recruitment were patients' deteriorating condition and unwillingness to undertake extra hospital visits. However, qualitative data indicated that the participants found this extra layer of supportive care useful in identifying and managing their needs, as well as enabling future planning.CONCLUSIONFurther testing is needed to ascertain the feasibility of conducting a trial of integrating early access to palliative care services into routine practice for people with lung cancer.",
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Integrating palliative care in lung cancer : an early feasibility study. / Johnston, Bridget Margaret; Buchanan, Deans; Papadopoulou, Constantina; Lord, Hannah.

In: International Journal of Palliative Nursing, Vol. 19, No. 9, 09.2013, p. 433-437.

Research output: Contribution to journalArticle

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AB - AIMThe aim of this preliminary study was to evaluate the feasibility of conducting an effectiveness trial of early access to palliative care services for people with lung cancer through use of an integrated outpatient model.METHODSNewly diagnosed patients with lung cancer receiving palliative-intent treatment or best supportive care treatment were recruited over a 5-month period from one out-patient clinic in Scotland. Patients were offered a clinical review appointment with a palliative medicine consultant at two time points: baseline and 12 weeks later. Prior to each appointment patients completed three outcome measures addressing symptom severity, wellbeing, and health-care needs. One-to-one interviews were also conducted to explore patients' experiences of being involved in the study.RESULTSThree patients participated in the study. The main reasons for low recruitment were patients' deteriorating condition and unwillingness to undertake extra hospital visits. However, qualitative data indicated that the participants found this extra layer of supportive care useful in identifying and managing their needs, as well as enabling future planning.CONCLUSIONFurther testing is needed to ascertain the feasibility of conducting a trial of integrating early access to palliative care services into routine practice for people with lung cancer.

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