Identification of palliative care needs and prognostic factors of survival in tailoring appropriate interventions in advanced oncological, renal and pulmonary diseases: a prospective observational protocol
Introduction It is estimated that of those who die in high-income countries, 69%–82% would benefit from palliative care with a high prevalence of advanced chronic conditions and limited life prognosis. A positive response to these challenges would consist of integrating the palliative approach into...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2023-05-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/13/5/e065971.full |
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| author | Stefano Nava Romina Rossi Marco Maltoni Augusto Caraceni Oriana Nanni Maria Caterina Pallotti Loretta Zambianchi Giovanni Mosconi Emanuela Scarpi Vanessa Valenti Monia Dall'Agata Ilaria Bassi Paola Cravero Gaetano La Manna Giacomo Magnoni Martina Marchello Ilario Giovanni Rapposelli Marianna Ricci Anna Scrivo Alessandra Spazzoli Danila Valenti |
| author_facet | Stefano Nava Romina Rossi Marco Maltoni Augusto Caraceni Oriana Nanni Maria Caterina Pallotti Loretta Zambianchi Giovanni Mosconi Emanuela Scarpi Vanessa Valenti Monia Dall'Agata Ilaria Bassi Paola Cravero Gaetano La Manna Giacomo Magnoni Martina Marchello Ilario Giovanni Rapposelli Marianna Ricci Anna Scrivo Alessandra Spazzoli Danila Valenti |
| author_sort | Stefano Nava |
| collection | DOAJ |
| description | Introduction It is estimated that of those who die in high-income countries, 69%–82% would benefit from palliative care with a high prevalence of advanced chronic conditions and limited life prognosis. A positive response to these challenges would consist of integrating the palliative approach into all healthcare settings, for patients with all types of advanced medical conditions, although poor clinician awareness and the difficulty of applying criteria to identify patients in need still pose significant barriers. The aim of this project is to investigate whether the combined use of the NECPAL CCOMS-ICO and Palliative Prognostic (PaP) Score tools offers valuable screening methods to identify patients suffering from advanced chronic disease with limited life prognosis and likely to need palliative care, such as cancer, chronic renal or chronic respiratory failure.Methods and analysis This multicentre prospective observational study includes three patient populations: 100 patients with cancer, 50 patients with chronic renal failure and 50 patients with chronic pulmonary failure. All patients will be treated and monitored according to local clinical practice, with no additional procedures/patient visits compared with routine clinical practice. The following data will be collected for each patient: demographic variables, NECPAL CCOMS-ICO questionnaire, PaP Score evaluation, Palliative Performance Scale, Edmonton Symptom Assessment System, Eastern Cooperative Oncology Group Performance Status and data concerning the underlying disease, in order to verify the correlation of the two tools (PaP and NECPAL CCOMS-ICO) with patient status and statistical analysis.Ethics and dissemination The study was approved by local ethics committees and written informed consent was obtained from the patient. Findings will be disseminated through typical academic routes including poster/paper presentations at national and international conferences and academic institutes, and through publication in peer-reviewed journals. |
| first_indexed | 2024-03-13T08:36:18Z |
| format | Article |
| id | doaj.art-ab19f84e8288490cbd95a2209203152d |
| institution | Directory Open Access Journal |
| issn | 2044-6055 |
| language | English |
| last_indexed | 2024-03-13T08:36:18Z |
| publishDate | 2023-05-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj.art-ab19f84e8288490cbd95a2209203152d2023-05-30T23:30:06ZengBMJ Publishing GroupBMJ Open2044-60552023-05-0113510.1136/bmjopen-2022-065971Identification of palliative care needs and prognostic factors of survival in tailoring appropriate interventions in advanced oncological, renal and pulmonary diseases: a prospective observational protocolStefano Nava0Romina Rossi1Marco Maltoni2Augusto Caraceni3Oriana Nanni4Maria Caterina Pallotti5Loretta Zambianchi6Giovanni Mosconi7Emanuela Scarpi8Vanessa Valenti9Monia Dall'Agata10Ilaria Bassi11Paola Cravero12Gaetano La Manna13Giacomo Magnoni14Martina Marchello15Ilario Giovanni Rapposelli16Marianna Ricci17Anna Scrivo18Alessandra Spazzoli19Danila Valenti201 Department of Clinical, Integrated and Experimental Medicine (DIMES), Respiratory and Critical Care Unit, S. Orsola-Malpighi Hospital, Alma Mater Studiorum University of Bologna, Bologna, Emilia-Romagna, Italy2 O.U. Palliative Care Team, Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (IRST) IRCCS, Forlì, Italy2 O.U. Palliative Care Team, Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (IRST) IRCCS, Forlì, Italy1Fondazione IRCCS Istituto Nazionale dei Tumori di Milano Palliative Care Department, Italy3 Unit of Biostatistics and Clinical Trials, IRCCS Istituto Romagnolo per lo Studio dei Tumori (IRST) Dino Amadori, Meldola, Emilia Romagna, ItalyPalliative Care Unit, IRCCS Istituto Romagnolo per lo Studio dei Tumori (IRST) “Dino Amadori”, Meldola, ItalyNephrology and Dialysis Unit, Morgagni-Pierantoni Hospital, Forli, Italy5Unit of Occupational Medicine, Azienda Ospedaliera Papa Giovanni XXIII, Bergamo, ItalyUnit of Biostatistics and Clinical Trials, IRST-IRCCS, Meldola, ItalyPalliative Care Unit, IRCCS Istituto Romagnolo per lo Studio dei Tumori (IRST) “Dino Amadori”, Meldola, ItalyUnit of Biostatistics and Clinical Trials, IRCCS Istituto Romagnolo per lo Studio dei Tumori (IRST) “Dino Amadori”, Meldola, ItalyDepartment of Clinical Integrated and Experimental Medicine (DIMES), University of Bologna, Bologna, ItalyDepartment of Medical Oncology, IRCCS Istituto Romagnolo per lo Studio dei Tumori (IRST) “Dino Amadori”, Meldola, ItalyNephrology, Dialysis and Transplantation Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, ItalyNephrology, Dialysis and Transplantation Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, ItalyRespiratory and Critical Care Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, ItalyDepartment of Medical Oncology, IRCCS Istituto Romagnolo per lo Studio dei Tumori (IRST) “Dino Amadori”, Meldola, ItalyPalliative Care Unit, IRCCS Istituto Romagnolo per lo Studio dei Tumori (IRST) “Dino Amadori”, Meldola, ItalyNephrology, Dialysis and Transplantation Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, ItalyNephrology and Dialysis Unit, Morgagni-Pierantoni Hospital, Forli, ItalyUnità Operativa Complessa Rete delle Cure Palliative, AUSL di Bologna, Bologna, ItalyIntroduction It is estimated that of those who die in high-income countries, 69%–82% would benefit from palliative care with a high prevalence of advanced chronic conditions and limited life prognosis. A positive response to these challenges would consist of integrating the palliative approach into all healthcare settings, for patients with all types of advanced medical conditions, although poor clinician awareness and the difficulty of applying criteria to identify patients in need still pose significant barriers. The aim of this project is to investigate whether the combined use of the NECPAL CCOMS-ICO and Palliative Prognostic (PaP) Score tools offers valuable screening methods to identify patients suffering from advanced chronic disease with limited life prognosis and likely to need palliative care, such as cancer, chronic renal or chronic respiratory failure.Methods and analysis This multicentre prospective observational study includes three patient populations: 100 patients with cancer, 50 patients with chronic renal failure and 50 patients with chronic pulmonary failure. All patients will be treated and monitored according to local clinical practice, with no additional procedures/patient visits compared with routine clinical practice. The following data will be collected for each patient: demographic variables, NECPAL CCOMS-ICO questionnaire, PaP Score evaluation, Palliative Performance Scale, Edmonton Symptom Assessment System, Eastern Cooperative Oncology Group Performance Status and data concerning the underlying disease, in order to verify the correlation of the two tools (PaP and NECPAL CCOMS-ICO) with patient status and statistical analysis.Ethics and dissemination The study was approved by local ethics committees and written informed consent was obtained from the patient. Findings will be disseminated through typical academic routes including poster/paper presentations at national and international conferences and academic institutes, and through publication in peer-reviewed journals.https://bmjopen.bmj.com/content/13/5/e065971.full |
| spellingShingle | Stefano Nava Romina Rossi Marco Maltoni Augusto Caraceni Oriana Nanni Maria Caterina Pallotti Loretta Zambianchi Giovanni Mosconi Emanuela Scarpi Vanessa Valenti Monia Dall'Agata Ilaria Bassi Paola Cravero Gaetano La Manna Giacomo Magnoni Martina Marchello Ilario Giovanni Rapposelli Marianna Ricci Anna Scrivo Alessandra Spazzoli Danila Valenti Identification of palliative care needs and prognostic factors of survival in tailoring appropriate interventions in advanced oncological, renal and pulmonary diseases: a prospective observational protocol BMJ Open |
| title | Identification of palliative care needs and prognostic factors of survival in tailoring appropriate interventions in advanced oncological, renal and pulmonary diseases: a prospective observational protocol |
| title_full | Identification of palliative care needs and prognostic factors of survival in tailoring appropriate interventions in advanced oncological, renal and pulmonary diseases: a prospective observational protocol |
| title_fullStr | Identification of palliative care needs and prognostic factors of survival in tailoring appropriate interventions in advanced oncological, renal and pulmonary diseases: a prospective observational protocol |
| title_full_unstemmed | Identification of palliative care needs and prognostic factors of survival in tailoring appropriate interventions in advanced oncological, renal and pulmonary diseases: a prospective observational protocol |
| title_short | Identification of palliative care needs and prognostic factors of survival in tailoring appropriate interventions in advanced oncological, renal and pulmonary diseases: a prospective observational protocol |
| title_sort | identification of palliative care needs and prognostic factors of survival in tailoring appropriate interventions in advanced oncological renal and pulmonary diseases a prospective observational protocol |
| url | https://bmjopen.bmj.com/content/13/5/e065971.full |
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