Palliative care in pulmonary arterial hypertension.

Abstract:

PURPOSE OF REVIEW:Developments in the management of pulmonary arterial hypertension have significantly improved prognosis changing this from an acute to a chronic disease. Despite optimal treatment many patients still have a high-symptom burden both because of the disease and the side-effects of therapy, consequently there is an increasing need for a palliative care approach to improve the quality of life for this patient group. This review article will outline the need for palliative care support for patients with pulmonary arterial hypertension, discuss the barriers that currently exist and suggest how this may be improved. RECENT FINDINGS:Studies have been conducted which explore the role of palliative care in pulmonary arterial hypertension including physicians attitudes and the current barriers that exist to prevent its implementation. SUMMARY:Specialist palliative support is utilized in the minority of patients with pulmonary arterial hypertension despite a need for symptom control. Patients may benefit from the introduction of a palliative care approach as part of their standard care, but to achieve this there needs to be a greater understanding of the role of palliative care by both clinicians and patients and more research into the benefits for patients with pulmonary arterial hypertension.

authors

Gin-Sing W

doi

10.1097/SPC.0000000000000252

subject

Has Abstract

pub_date

2017-03-01 00:00:00

pages

7-11

issue

1

eissn

1751-4258

issn

1751-4266

journal_volume

11

pub_type

杂志文章,评审
  • The nature of heart failure as a challenge to the integration of palliative care services.

    abstract:PURPOSE OF REVIEW:Despite its increasing prevalence and high mortality risk, heart failure is widely regarded as 'treatable'. Aggressive measures are employed even in its end stages. This review explores the clinical characteristics of heart failure, patterns of clinician response, and new data that may help to surmoun...

    journal_title:Current opinion in supportive and palliative care

    pub_type: 杂志文章,评审

    doi:10.1097/SPC.0b013e3282f283b6

    authors: Stuart B

    更新日期:2007-12-01 00:00:00

  • The role of splanchnic congestion and the intestinal microenvironment in the pathogenesis of advanced heart failure.

    abstract:PURPOSE OF REVIEW:Right-sided heart failure, which is often present in the setting of advanced heart failure, is associated with cardiac cachexia, the cardiorenal syndrome, and adverse outcomes. Improved understanding of venous congestion of the splanchnic circulation, which may play a key role in the pathogenesis of r...

    journal_title:Current opinion in supportive and palliative care

    pub_type: 杂志文章,评审

    doi:10.1097/SPC.0000000000000414

    authors: Polsinelli VB,Marteau L,Shah SJ

    更新日期:2019-03-01 00:00:00

  • Structural heart disease: one valve does not fit all.

    abstract:PURPOSE OF REVIEW:Highlight the difficulties patients, physicians, and the global economy face in relation to treatment of structural heart diseases. It is easy to be carried away by the excitement of medical advancement; however, it is difficult to demonstrate restraint. Transcatheter aortic valve replacement (TAVR) i...

    journal_title:Current opinion in supportive and palliative care

    pub_type: 杂志文章,评审

    doi:10.1097/SPC.0000000000000407

    authors: German KS,Kalra A

    更新日期:2019-03-01 00:00:00

  • The dyspnea target: can we zero in on opioid responsiveness in advanced chronic obstructive pulmonary disease?

    abstract:PURPOSE OF REVIEW:Despite recognition that opioids alleviate dyspnea in chronic obstructive pulmonary disease, many clinicians remain reluctant to use them outside of the final days of life. This article defines the term 'opioid responsiveness' as it pertains to dyspnea, and poses that it may be possible to predict mor...

    journal_title:Current opinion in supportive and palliative care

    pub_type: 社论,评审

    doi:10.1097/spc.0b013e3283392788

    authors: Horton R,Rocker G,Currow D

    更新日期:2010-06-01 00:00:00

  • The advantages and limitations of cross-sectional body composition analysis.

    abstract:PURPOSE OF REVIEW:Cross-sectional (C-S) imaging is now commonly used to measure body composition in clinical studies. This review highlights the advantages, limitations and suggested future directions for this technique. RECENT FINDINGS:Current understanding of C-S imaging reproducibility, tissue identification and se...

    journal_title:Current opinion in supportive and palliative care

    pub_type: 杂志文章,评审

    doi:10.1097/SPC.0b013e32834c49eb

    authors: MacDonald AJ,Greig CA,Baracos V

    更新日期:2011-12-01 00:00:00

  • End-of-life care in adults with congenital heart disease: now is the time to act.

    abstract:PURPOSE OF REVIEW:There are increasing numbers of adults with congenital heart disease (CHD) and these patients remain at long-term risk of complications and premature death. This review focuses on the changing picture of adult CHD with more complex patients surviving, the challenges of balancing life-prolonging interv...

    journal_title:Current opinion in supportive and palliative care

    pub_type: 杂志文章,评审

    doi:10.1097/SPC.0b013e32835c0707

    authors: Bowater SE,Speakman JK,Thorne SA

    更新日期:2013-03-01 00:00:00

  • Targeting the host immune system: PD-1 and PD-L1 antibodies and breast cancer.

    abstract:PURPOSE OF REVIEW:This article describes the role of the PD-1 axis and reviews current data and future directions inhibiting PD-1 and PD-L1 in breast cancer. RECENT FINDINGS:Four phase I monotherapy expansion trials in patients with metastatic breast cancer have demonstrated low but durable single agent responses to P...

    journal_title:Current opinion in supportive and palliative care

    pub_type: 杂志文章,评审

    doi:10.1097/SPC.0000000000000243

    authors: Dawood S,Rugo HS

    更新日期:2016-12-01 00:00:00

  • Digital interventions for adolescent and young adult cancer survivors.

    abstract:PURPOSE OF REVIEW:AYA patients with cancer have a unique set of psychosocial and support needs to compared with their younger and older counterparts. Digital health interventions overcome many of the barriers to AYA participation in behavioral health interventions. Due to the rapid shifts in digital health, it is impor...

    journal_title:Current opinion in supportive and palliative care

    pub_type: 杂志文章

    doi:10.1097/SPC.0000000000000480

    authors: Viola A,Panigrahi G,Devine KA

    更新日期:2020-03-01 00:00:00

  • Brain metastases: what's new with an old problem?

    abstract:PURPOSE OF REVIEW:To summarize developments in the management of brain metastases over the past decade. RECENT FINDINGS:A few randomized trials have been published during the past decade examining the use of whole brain radiotherapy (WBRT) and radiosurgery (SRS) boost versus WBRT alone. Other recent trials have been p...

    journal_title:Current opinion in supportive and palliative care

    pub_type: 杂志文章,评审

    doi:10.1097/SPC.0b013e32834de714

    authors: Tsao MN,Khuntia D,Mehta MP

    更新日期:2012-03-01 00:00:00

  • Radiation damage to the gastrointestinal tract: mechanisms, diagnosis, and management.

    abstract:PURPOSE OF REVIEW:To summarize current knowledge about gastrointestinal radiation toxicity, with emphasis on mechanisms and clinical diagnosis and management. RECENT FINDINGS:While there has been only modest change in cancer incidence and cancer mortality rates during the past 30 years, the number of cancer survivors ...

    journal_title:Current opinion in supportive and palliative care

    pub_type: 杂志文章,评审

    doi:10.1097/SPC.0b013e3281108014

    authors: Hauer-Jensen M,Wang J,Boerma M,Fu Q,Denham JW

    更新日期:2007-04-01 00:00:00

  • Best practices on team communication: interprofessional practice in oncology.

    abstract:PURPOSE OF REVIEW:Good communication is the cornerstone of interprofessional care teams providing optimized quality patient care. Over the last decade, advances in technology have provided tools to improve communication; however, opportunities still exist for innovation and implementation. RECENT FINDINGS:The literatu...

    journal_title:Current opinion in supportive and palliative care

    pub_type: 杂志文章,评审

    doi:10.1097/SPC.0000000000000412

    authors: D'Alimonte L,McLaney E,Di Prospero L

    更新日期:2019-03-01 00:00:00

  • Surgical approaches to metastatic spine disease.

    abstract:PURPOSE OF REVIEW:Recent advances in the diagnosis and treatment of many types of cancers have prolonged and improved the quality of life for cancer patients. With increased survival, metastatic spinal lesions are becoming much more of a functional and clinical problem. RECENT FINDINGS:Percutaneous vertebral augmentat...

    journal_title:Current opinion in supportive and palliative care

    pub_type: 杂志文章,评审

    doi:10.1097/SPC.0b013e32830c9060

    authors: Siemionow K,Lieberman IH

    更新日期:2008-09-01 00:00:00

  • Update on complex nonpharmacological interventions for breathlessness.

    abstract:PURPOSE OF REVIEW:The study provides a review of current evidence about the role of complex nonpharmacological strategies in managing the multidimensional components of the breathlessness experience for individuals with life-limiting conditions. RECENT FINDINGS:Evidence continues to demonstrate the significant impact ...

    journal_title:Current opinion in supportive and palliative care

    pub_type: 杂志文章,评审

    doi:10.1097/SPC.0b013e3283536413

    authors: Yates P,Zhao I

    更新日期:2012-06-01 00:00:00

  • Palliative care and interstitial lung disease.

    abstract:PURPOSE OF REVIEW:The palliative care needs of people with interstitial lung disease (ILD) have recently been highlighted by the National Institute for Health and Care Excellence. All people with progressive ILD should receive best supportive care to improve symptom control and quality of life and where possible this s...

    journal_title:Current opinion in supportive and palliative care

    pub_type: 杂志文章,评审

    doi:10.1097/SPC.0000000000000285

    authors: Bajwah S,Yorke J

    更新日期:2017-09-01 00:00:00

  • The evolving role of chemotherapy in advanced urothelial cancer.

    abstract:PURPOSE OF REVIEW:This review focuses on chemotherapy in the management of patients with advanced urothelial cancer, with a look towards the future and the next generation of clinical trials. RECENT FINDINGS:The recognition that the maximum benefit from conventional combination chemotherapy has been achieved has led t...

    journal_title:Current opinion in supportive and palliative care

    pub_type: 杂志文章,评审

    doi:10.1097/SPC.0b013e3282f1aad1

    authors: Calabrò F,Sternberg CN

    更新日期:2007-10-01 00:00:00

  • Wound management in patients with advanced illness.

    abstract:PURPOSE OF REVIEW:To emphasize that the management of wounds represents a significant component within the overall supportive and palliative care of patients with advanced illness. It is also intended to clarify the linguistics that are commonly used around patients with wounds. RECENT FINDINGS:New paradigms for wound...

    journal_title:Current opinion in supportive and palliative care

    pub_type: 杂志文章,评审

    doi:10.1097/SPC.0b013e32835c48e5

    authors: Maida V

    更新日期:2013-03-01 00:00:00

  • Management of dyspnea in interstitial lung disease.

    abstract:PURPOSE OF REVIEW:Dyspnea is the most common symptom in interstitial lung disease, yet little is known about its management. This review summarizes the available evidence for the treatment of dyspnea in interstitial lung disease. RECENT FINDINGS:The management of dyspnea in interstitial lung disease remains a challeng...

    journal_title:Current opinion in supportive and palliative care

    pub_type: 杂志文章,评审

    doi:10.1097/SPC.0b013e3283392b51

    authors: Ryerson CJ,Collard HR,Pantilat SZ

    更新日期:2010-06-01 00:00:00

  • Research priorities in cancer cachexia: The University of Rochester Cancer Center NCI Community Oncology Research Program Research Base Symposium on Cancer Cachexia and Sarcopenia.

    abstract:PURPOSE OF REVIEW:Cancer cachexia remains understudied and there are no standard treatments available despite the publication of an international consensus definition and the completion of several large phase III intervention trials in the past 6 years. In September 2015, The University of Rochester Cancer Center NCORP...

    journal_title:Current opinion in supportive and palliative care

    pub_type: 杂志文章,评审

    doi:10.1097/SPC.0000000000000301

    authors: Dunne RF,Mustian KM,Garcia JM,Dale W,Hayward R,Roussel B,Buschmann MM,Caan BJ,Cole CL,Fleming FJ,Chakkalakal JV,Linehan DC,Hezel AF,Mohile SG

    更新日期:2017-12-01 00:00:00

  • Use of radionuclides in metastatic prostate cancer: pain relief and beyond.

    abstract:PURPOSE OF REVIEW:Bone metastases in prostate cancer are often the cause of significant morbidity in patients with castrate-resistant disease, and several studies have shown significant pain palliation with systemic radionuclide treatment. The purpose of this review is to discuss the place of radionuclides in the dynam...

    journal_title:Current opinion in supportive and palliative care

    pub_type: 杂志文章,评审

    doi:10.1097/SPC.0b013e328355e082

    authors: Vengalil S,O'Sullivan JM,Parker CC

    更新日期:2012-09-01 00:00:00

  • New developments in the imaging of metastatic prostate cancer.

    abstract:PURPOSE OF REVIEW:In the last 10 years, metastatic castration-resistant prostate cancer (mCRPC) treatment has completely changed. Several new agents have been shown to increase mCRPC patients' overall survival. The importance to define castration-resistant prostate cancer as metastatic and to enable earlier detection o...

    journal_title:Current opinion in supportive and palliative care

    pub_type: 杂志文章,评审

    doi:10.1097/SPC.0000000000000076

    authors: Beauregard JM,Pouliot F

    更新日期:2014-09-01 00:00:00

  • Serotonin, 5HT1 agonists, and migraine: new data, but old questions still not answered.

    abstract:PURPOSE OF REVIEW:The serotonergic system has long been linked to migraine but recent studies highlight how much is still unclear about this link. And recent data add to the uncertainty of where/how triptans act and why they are headache specific. RECENT FINDINGS:Markers of 5HT levels in the brains of migraine patient...

    journal_title:Current opinion in supportive and palliative care

    pub_type: 杂志文章,评审

    doi:10.1097/SPC.0000000000000044

    authors: Dussor G

    更新日期:2014-06-01 00:00:00

  • Targeting the myostatin signaling pathway to treat muscle wasting diseases.

    abstract:PURPOSE OF REVIEW:To understand the mechanisms of muscle wasting and how inhibiting myostatin signaling affects them. RECENT FINDINGS:Myostatin signaling is critical for the understanding of the pathogenesis of muscle wasting as blocking signaling mitigates muscle losses in rodent models of catabolic diseases includin...

    journal_title:Current opinion in supportive and palliative care

    pub_type: 杂志文章,评审

    doi:10.1097/SPC.0b013e32834bddf9

    authors: Han HQ,Mitch WE

    更新日期:2011-12-01 00:00:00

  • Applicability and generalizability of palliative interventions for dyspnoea: one size fits all, some or none?

    abstract:PURPOSE OF REVIEW:Determining which palliative interventions are appropriate within and between groups remains difficult because of the lack of prospective studies and heterogeneity in dyspnoea context, assessment and reporting. This review presents an evolution of dyspnoea theories, summarizes literature published dur...

    journal_title:Current opinion in supportive and palliative care

    pub_type: 杂志文章,评审

    doi:10.1097/SPC.0b013e328345d4a1

    authors: Williams M

    更新日期:2011-06-01 00:00:00

  • A physiological approach to modernize the management of cancer chemotherapy-induced gastrointestinal toxicity.

    abstract:PURPOSE OF REVIEW:Gastrointestinal toxicity during chemotherapy is frequent. Symptomatic therapies for gastrointestinal toxicity, which do not address the underlying cause, may result in inadequate symptom control. With advances in curative treatment regimens, it becomes more important to minimize treatment toxicity wh...

    journal_title:Current opinion in supportive and palliative care

    pub_type: 杂志文章,评审

    doi:10.1097/SPC.0b013e32833575cc

    authors: Andreyev HJ

    更新日期:2010-03-01 00:00:00

  • The use of psychostimulants in cancer patients.

    abstract:PURPOSE OF REVIEW:This article reviews the most recent studies that examine the efficacy of psychostimulants for the relief of symptoms such as asthenia and depression in cancer patients. RECENT FINDINGS:Although most research to date has focused on the use of methylphenidate for the relief of symptoms such as astheni...

    journal_title:Current opinion in supportive and palliative care

    pub_type: 杂志文章,评审

    doi:10.1097/SPC.0b013e3283462ff3

    authors: Portela MA,Rubiales AS,Centeno C

    更新日期:2011-06-01 00:00:00

  • Denosumab: benefits of RANK ligand inhibition in cancer patients.

    abstract:PURPOSE OF REVIEW:RANK ligand (RANKL) plays a central role in the cancer-induced bone destruction that results from bone metastasis. The RANKL inhibitor denosumab was recently approved for the prevention of skeletal-related events (SREs) in patients with bone metastases from solid tumors. This review summarizes recent ...

    journal_title:Current opinion in supportive and palliative care

    pub_type: 杂志文章,评审

    doi:10.1097/SPC.0b013e328349731c

    authors: Lipton A,Jacobs I

    更新日期:2011-09-01 00:00:00

  • Management of constipation in palliative care patients.

    abstract:PURPOSE OF REVIEW:Constipation is a common symptom in palliative care patients that can generate considerable suffering due to both unpleasant physical symptoms and psychological preoccupations that may arise. There is uncertainty about the choice from varying recommendations for management of constipation and a varyin...

    journal_title:Current opinion in supportive and palliative care

    pub_type: 杂志文章,评审

    doi:10.1097/SPC.0b013e3282f53146

    authors: Clemens KE,Klaschik E

    更新日期:2008-03-01 00:00:00

  • Opioid addiction, diversion, and abuse in chronic and cancer pain.

    abstract:PURPOSE OF REVIEW:The primary cause of overdose death in the United States is related to pharmaceutical opioids. A few particular populations that struggle with adverse outcomes related to opioid abuse are those in palliative care, those with chronic pain, and those receiving pain treatments secondary to cancer or chem...

    journal_title:Current opinion in supportive and palliative care

    pub_type: 杂志文章,评审

    doi:10.1097/SPC.0000000000000333

    authors: Kata V,Novitch MB,Jones MR,Anyama BO,Helander EM,Kaye AD

    更新日期:2018-06-01 00:00:00

  • Communication skills training for healthcare professionals in oncology over the past decade: a systematic review of reviews.

    abstract:PURPOSE OF REVIEW:Effective communication in cancer care requires complex communication skills of healthcare professionals (HCPs), which can be advanced by communication skills training (CST). The number of empirical studies on CST has grown steadily over the last decade. However, controversies on CST abound. The aim o...

    journal_title:Current opinion in supportive and palliative care

    pub_type: 杂志文章

    doi:10.1097/SPC.0000000000000409

    authors: Bos-van den Hoek DW,Visser LNC,Brown RF,Smets EMA,Henselmans I

    更新日期:2019-03-01 00:00:00

  • Management of nonmetastatic castration-resistant prostate cancer.

    abstract:PURPOSE OF REVIEW:The widespread use of prostate-specific antigen (PSA) resulted in stage migration of prostate cancer where androgen deprivation therapy (ADT) is administered for biochemical recurrence in patients following primary treatment. A proportion of these patients progress to a disease state termed nonmetasta...

    journal_title:Current opinion in supportive and palliative care

    pub_type: 杂志文章,评审

    doi:10.1097/SPC.0000000000000356

    authors: Traboulsi SL,Saad F

    更新日期:2018-09-01 00:00:00