Matches in SemOpenAlex for { <https://semopenalex.org/work/W2738008461> ?p ?o ?g. }
- W2738008461 endingPage "1371" @default.
- W2738008461 startingPage "1366" @default.
- W2738008461 abstract "Background: Practice guidelines recommend palliative care for patients with advanced cancer, but gaps in access and quality of care persist. Objective: To increase goals-of-care (GOC) communication for hospitalized patients with Stage IV cancer. Methods: An interdisciplinary team designed a quality improvement intervention to enhance oncology palliative care, including training in communication skills and triggers for palliative care consults. Setting/Subjects: All adult inpatients with Stage IV cancer and unplanned admission at an 804-bed hospital affiliated with a National Cancer Institute (NCI) Comprehensive Cancer Center. Measurements: The primary quality measure was the percentage of patients with Stage IV cancer who had a GOC discussion during hospitalization; secondary measures included screening for pain, dyspnea, spiritual needs, and outcomes of intensive care, hospice, and 30-day readmission. Results: In the 11-month study period, n = 330, Stage IV cancer patients were hospitalized. Comparing the first three months with the final three months, rates of GOC discussion increased from 29% to 48% (p = 0.013), and specialty palliative care consultation increased from 18% to 33%, (p = 0.026). Rates of symptom screening, intensive care unit transfer, hospice, and 30-day re-admission did not change overall. However, patients with specialty palliative care more frequently had pain screening (91% vs. 81%, p = 0.020), spiritual assessment (48% vs. 10%, p < 0.001), and hospice referral (39% vs. 9%, p < 0.001), and they were less likely to be re-admitted within 30 days (12% vs. 21%, p = 0.059). Discussion: Interdisciplinary quality improvement was effective to increase GOC discussions and palliative care consults for patients with Stage IV cancer." @default.
- W2738008461 created "2017-07-31" @default.
- W2738008461 creator A5001015275 @default.
- W2738008461 creator A5001211507 @default.
- W2738008461 creator A5004968749 @default.
- W2738008461 creator A5016014484 @default.
- W2738008461 creator A5024033074 @default.
- W2738008461 creator A5030584119 @default.
- W2738008461 creator A5036816456 @default.
- W2738008461 creator A5046448602 @default.
- W2738008461 creator A5074849633 @default.
- W2738008461 creator A5078252204 @default.
- W2738008461 creator A5081212033 @default.
- W2738008461 creator A5090298551 @default.
- W2738008461 date "2017-12-01" @default.
- W2738008461 modified "2023-10-02" @default.
- W2738008461 title "Integrating Palliative and Oncology Care for Patients with Advanced Cancer: A Quality Improvement Intervention" @default.
- W2738008461 cites W1747213393 @default.
- W2738008461 cites W1836730951 @default.
- W2738008461 cites W1974466659 @default.
- W2738008461 cites W1984595860 @default.
- W2738008461 cites W1987578786 @default.
- W2738008461 cites W2000445173 @default.
- W2738008461 cites W2003235868 @default.
- W2738008461 cites W2004099959 @default.
- W2738008461 cites W2005510524 @default.
- W2738008461 cites W2011510408 @default.
- W2738008461 cites W2028440176 @default.
- W2738008461 cites W2032406930 @default.
- W2738008461 cites W2050264738 @default.
- W2738008461 cites W2054688894 @default.
- W2738008461 cites W2076909381 @default.
- W2738008461 cites W2091343120 @default.
- W2738008461 cites W2100563534 @default.
- W2738008461 cites W2103903454 @default.
- W2738008461 cites W2113845307 @default.
- W2738008461 cites W2116728785 @default.
- W2738008461 cites W2128969353 @default.
- W2738008461 cites W2147016542 @default.
- W2738008461 cites W2147878219 @default.
- W2738008461 cites W2160831015 @default.
- W2738008461 cites W2341143633 @default.
- W2738008461 cites W2527912795 @default.
- W2738008461 cites W2549006299 @default.
- W2738008461 doi "https://doi.org/10.1089/jpm.2017.0100" @default.
- W2738008461 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/5749575" @default.
- W2738008461 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/28737996" @default.
- W2738008461 hasPublicationYear "2017" @default.
- W2738008461 type Work @default.
- W2738008461 sameAs 2738008461 @default.
- W2738008461 citedByCount "27" @default.
- W2738008461 countsByYear W27380084612018 @default.
- W2738008461 countsByYear W27380084612019 @default.
- W2738008461 countsByYear W27380084612020 @default.
- W2738008461 countsByYear W27380084612021 @default.
- W2738008461 countsByYear W27380084612022 @default.
- W2738008461 countsByYear W27380084612023 @default.
- W2738008461 crossrefType "journal-article" @default.
- W2738008461 hasAuthorship W2738008461A5001015275 @default.
- W2738008461 hasAuthorship W2738008461A5001211507 @default.
- W2738008461 hasAuthorship W2738008461A5004968749 @default.
- W2738008461 hasAuthorship W2738008461A5016014484 @default.
- W2738008461 hasAuthorship W2738008461A5024033074 @default.
- W2738008461 hasAuthorship W2738008461A5030584119 @default.
- W2738008461 hasAuthorship W2738008461A5036816456 @default.
- W2738008461 hasAuthorship W2738008461A5046448602 @default.
- W2738008461 hasAuthorship W2738008461A5074849633 @default.
- W2738008461 hasAuthorship W2738008461A5078252204 @default.
- W2738008461 hasAuthorship W2738008461A5081212033 @default.
- W2738008461 hasAuthorship W2738008461A5090298551 @default.
- W2738008461 hasBestOaLocation W27380084612 @default.
- W2738008461 hasConcept C121608353 @default.
- W2738008461 hasConcept C126322002 @default.
- W2738008461 hasConcept C159110408 @default.
- W2738008461 hasConcept C194828623 @default.
- W2738008461 hasConcept C20387591 @default.
- W2738008461 hasConcept C2776135927 @default.
- W2738008461 hasConcept C2776376669 @default.
- W2738008461 hasConcept C2780665704 @default.
- W2738008461 hasConcept C2994186709 @default.
- W2738008461 hasConcept C512399662 @default.
- W2738008461 hasConcept C71924100 @default.
- W2738008461 hasConceptScore W2738008461C121608353 @default.
- W2738008461 hasConceptScore W2738008461C126322002 @default.
- W2738008461 hasConceptScore W2738008461C159110408 @default.
- W2738008461 hasConceptScore W2738008461C194828623 @default.
- W2738008461 hasConceptScore W2738008461C20387591 @default.
- W2738008461 hasConceptScore W2738008461C2776135927 @default.
- W2738008461 hasConceptScore W2738008461C2776376669 @default.
- W2738008461 hasConceptScore W2738008461C2780665704 @default.
- W2738008461 hasConceptScore W2738008461C2994186709 @default.
- W2738008461 hasConceptScore W2738008461C512399662 @default.
- W2738008461 hasConceptScore W2738008461C71924100 @default.
- W2738008461 hasIssue "12" @default.
- W2738008461 hasLocation W27380084611 @default.
- W2738008461 hasLocation W27380084612 @default.
- W2738008461 hasLocation W27380084613 @default.
- W2738008461 hasLocation W27380084614 @default.