Abstract:
BACKGROUND:Advanced cancer patients experience considerable symptoms, problems, and needs. Early referral of these patients to specialised palliative care (SPC) could improve their symptoms and problems.The Danish Palliative Care Trial (DanPaCT) investigates whether patients with metastatic cancer, who report palliative needs in a screening, will benefit from being referred to 'early SPC'. METHODS/DESIGN:DanPaCT is a clinical, multicentre, parallel-group superiority trial with balanced randomisation (1:1). The planned sample size is 300 patients. Patients are randomised to specialised palliative care (SPC) plus standard treatment versus standard treatment. Consecutive patients from oncology departments are screened for palliative needs with a questionnaire if they: a) have metastatic cancer; b) are 18 years or above; and c) have no prior contact with SPC. Patients with palliative needs (i.e. symptoms/problems exceeding a certain threshold) according to the questionnaire are eligible. The primary outcome is the change in the patients' primary need (the most severe symptom/problem measured with the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30)). Secondary outcomes are other symptoms/problems (EORTC QLQ-C30), satisfaction with health care (FAMCARE P-16), anxiety and depression (the Hospital Anxiety and Depression scale), survival, and health care costs. DISCUSSION:Only few trials have investigated the effects of SPC. To our knowledge DanPaCT is the first trial to investigate screening based 'early SPC' for patients with a broad spectrum of cancer diagnosis. TRIAL REGISTRATION:Current controlled Trials NCT01348048.
journal_name
BMC Palliat Carejournal_title
BMC palliative careauthors
Johnsen AT,Damkier A,Vejlgaard TB,Lindschou J,Sjøgren P,Gluud C,Neergaard MA,Petersen MA,Lundorff LE,Pedersen L,Fayers P,Strömgren AS,Higginson IJ,Groenvold Mdoi
10.1186/1472-684X-12-37subject
Has Abstractpub_date
2013-10-24 00:00:00pages
37issue
1issn
1472-684Xpii
1472-684X-12-37journal_volume
12pub_type
杂志文章abstract:BACKGROUND:Models of palliative care delivery develop within a social, cultural, and political context. This paper describes the 30-year history of the National Tumor Association (ANT), a palliative care organization founded in the Italian province of Bologna, focusing on this model of home care for palliative cancer p...
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更新日期:2010-06-08 00:00:00
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更新日期:2017-09-06 00:00:00
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pub_type: 杂志文章
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更新日期:2016-11-08 00:00:00
abstract:BACKGROUND:Palliative and end-of-life care development is hindered by a lack of information about the circumstances surrounding dying in developing and resource-poor countries. Our aims were to develop and obtain face and content validity for a self-administered questionnaire on end-of-life care provision and medical d...
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journal_title:BMC palliative care
pub_type: 杂志文章
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journal_title:BMC palliative care
pub_type: 杂志文章
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更新日期:2014-09-09 00:00:00
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journal_title:BMC palliative care
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doi:10.1186/s12904-017-0203-2
更新日期:2017-05-06 00:00:00
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pub_type: 杂志文章
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更新日期:2019-04-18 00:00:00
abstract:: Parkinson's disease (PD) is one of the most common neurodegenerative disorders of the elderly population. Few therapeutic options are available for patients with PD requiring palliative care. Treatment of the early stages of PD is entirely different from later stages. During the later stages, the palliative care mode...
journal_title:BMC palliative care
pub_type: 杂志文章
doi:10.1186/1472-684X-11-20
更新日期:2012-10-25 00:00:00
abstract:BACKGROUND:The benefit of palliative chemotherapy (PC) in patients with advanced solid tumors and poor performance status (ECOG-PS) has not been prospectively validated, which makes treatment decision challenging. We aimed to evaluate the overall survival, factors associated with early mortality, and adoption of additi...
journal_title:BMC palliative care
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doi:10.1186/s12904-019-0427-4
更新日期:2019-05-20 00:00:00
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journal_title:BMC palliative care
pub_type: 杂志文章
doi:10.1186/1472-684X-13-27
更新日期:2014-06-02 00:00:00
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更新日期:2019-10-24 00:00:00
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pub_type: 杂志文章
doi:10.1186/s12904-019-0489-3
更新日期:2019-11-26 00:00:00
abstract:BACKGROUND:Over the past decades there has been a significant increase in the number of published clinical trials in palliative care. However, empirical evidence suggests that there are methodological problems in the design and conduct of studies, which raises questions about the validity and generalisability of the re...
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pub_type: 杂志文章,评审
doi:10.1186/s12904-016-0181-9
更新日期:2017-01-25 00:00:00
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pub_type: 杂志文章
doi:10.1186/1472-684X-11-18
更新日期:2012-09-20 00:00:00
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更新日期:2014-12-11 00:00:00
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更新日期:2005-02-22 00:00:00
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journal_title:BMC palliative care
pub_type: 杂志文章,多中心研究,随机对照试验
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更新日期:2017-07-10 00:00:00
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journal_title:BMC palliative care
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更新日期:2016-03-24 00:00:00
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journal_title:BMC palliative care
pub_type: 杂志文章
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更新日期:2018-12-22 00:00:00
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journal_title:BMC palliative care
pub_type: 杂志文章
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更新日期:2015-04-18 00:00:00
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journal_title:BMC palliative care
pub_type: 杂志文章
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更新日期:2018-09-27 00:00:00
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pub_type: 杂志文章
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更新日期:2011-09-21 00:00:00
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journal_title:BMC palliative care
pub_type: 杂志文章
doi:10.1186/1472-684X-13-62
更新日期:2014-12-23 00:00:00