Impact of interprofessional collaborative practice in palliative care on outcomes for advanced cancer inpatients in a resource-limited setting
Abstract Background Palliative care for patients with advanced cancer improves suffering symptoms, and quality of life (QoL). However, routine implementation of palliative care by specialty palliative care consultation is still an unmet need among in-patients with advanced cancer. Our study aim is t...
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| Format: | Article |
| Language: | English |
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BMC
2022-12-01
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| Series: | BMC Palliative Care |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12904-022-01121-0 |
| _version_ | 1828083101730865152 |
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| author | Pitchayapa Pornrattanakavee Tassaya Srichan Kasan Seetalarom Siriwimon Saichaemchan Nittha Oer-areemitr Naiyarat Prasongsook |
| author_facet | Pitchayapa Pornrattanakavee Tassaya Srichan Kasan Seetalarom Siriwimon Saichaemchan Nittha Oer-areemitr Naiyarat Prasongsook |
| author_sort | Pitchayapa Pornrattanakavee |
| collection | DOAJ |
| description | Abstract Background Palliative care for patients with advanced cancer improves suffering symptoms, and quality of life (QoL). However, routine implementation of palliative care by specialty palliative care consultation is still an unmet need among in-patients with advanced cancer. Our study aim is to evaluate the effectiveness of a team-based approach on QoLs and readmission rate when compared to routine practice by among medical oncologists. Methods This study was a prospective, Quasi-Experimental design. In-patients with advanced cancer were non-randomly assigned to receive palliative care service by team-based approach or medical oncologists only. The primary endpoint was QoL. The secondary endpoint was the readmission rate at 7 and 30 days of hospital discharge. Results One hundred twenty-two in-patients were enrolled. In-patients who were assessed by a team-based approach had significantly improved change scores of subjective well-being (SWB) when compared to another group (∆ SWB: -1 [-19 – 11] vs 0 [-9 – 15], p-value = 0.043). Furthermore, patients who were assessed under a team-based approach had significantly decreased in terms of readmission rate at 7 days of hospital discharge (4.92% in the team-based approach group vs. 19.67% in the medical oncologist group, p-value = 0.013). Conclusions Interdisciplinary collaboration is the key to success in establishing goals of care, which are supporting the best possible QoL and relieving suffering symptoms for those in-patients with advanced cancer. Furthermore, the readmission rate at 7 days of hospital discharge was significantly reduced by a team-based approach. Therefore, comprehensive palliative care assessment by interprofessional collaborative practice is required. Trial Registration Thai Clinical Trials Registry (TCTR): number 20200312001. Date of first registration on 09/03/2020. |
| first_indexed | 2024-04-11T04:04:26Z |
| format | Article |
| id | doaj.art-c0e8108b1ae04f0bb72925d26677b7ef |
| institution | Directory Open Access Journal |
| issn | 1472-684X |
| language | English |
| last_indexed | 2024-04-11T04:04:26Z |
| publishDate | 2022-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Palliative Care |
| spelling | doaj.art-c0e8108b1ae04f0bb72925d26677b7ef2023-01-01T12:30:15ZengBMCBMC Palliative Care1472-684X2022-12-012111910.1186/s12904-022-01121-0Impact of interprofessional collaborative practice in palliative care on outcomes for advanced cancer inpatients in a resource-limited settingPitchayapa Pornrattanakavee0Tassaya Srichan1Kasan Seetalarom2Siriwimon Saichaemchan3Nittha Oer-areemitr4Naiyarat Prasongsook5Division of Medical Oncology, Department of Medicine, Phramongkutklao Hospital and College of MedicineDivision of Nursing, Department of Medicine, Phramongkutklao HospitalDivision of Medical Oncology, Department of Medicine, Phramongkutklao Hospital and College of MedicineDivision of Medical Oncology, Department of Medicine, Phramongkutklao Hospital and College of MedicineDivision of Pulmonary and Critical Care Medicine, Department of Medicine, Phramongkutklao Hospital and College of MedicineDivision of Medical Oncology, Department of Medicine, Phramongkutklao Hospital and College of MedicineAbstract Background Palliative care for patients with advanced cancer improves suffering symptoms, and quality of life (QoL). However, routine implementation of palliative care by specialty palliative care consultation is still an unmet need among in-patients with advanced cancer. Our study aim is to evaluate the effectiveness of a team-based approach on QoLs and readmission rate when compared to routine practice by among medical oncologists. Methods This study was a prospective, Quasi-Experimental design. In-patients with advanced cancer were non-randomly assigned to receive palliative care service by team-based approach or medical oncologists only. The primary endpoint was QoL. The secondary endpoint was the readmission rate at 7 and 30 days of hospital discharge. Results One hundred twenty-two in-patients were enrolled. In-patients who were assessed by a team-based approach had significantly improved change scores of subjective well-being (SWB) when compared to another group (∆ SWB: -1 [-19 – 11] vs 0 [-9 – 15], p-value = 0.043). Furthermore, patients who were assessed under a team-based approach had significantly decreased in terms of readmission rate at 7 days of hospital discharge (4.92% in the team-based approach group vs. 19.67% in the medical oncologist group, p-value = 0.013). Conclusions Interdisciplinary collaboration is the key to success in establishing goals of care, which are supporting the best possible QoL and relieving suffering symptoms for those in-patients with advanced cancer. Furthermore, the readmission rate at 7 days of hospital discharge was significantly reduced by a team-based approach. Therefore, comprehensive palliative care assessment by interprofessional collaborative practice is required. Trial Registration Thai Clinical Trials Registry (TCTR): number 20200312001. Date of first registration on 09/03/2020.https://doi.org/10.1186/s12904-022-01121-0Advanced cancer inpatientsInterprofessional collaborative practiceTeam-based approachPalliative careSpecialty palliative carePalliative care team |
| spellingShingle | Pitchayapa Pornrattanakavee Tassaya Srichan Kasan Seetalarom Siriwimon Saichaemchan Nittha Oer-areemitr Naiyarat Prasongsook Impact of interprofessional collaborative practice in palliative care on outcomes for advanced cancer inpatients in a resource-limited setting BMC Palliative Care Advanced cancer inpatients Interprofessional collaborative practice Team-based approach Palliative care Specialty palliative care Palliative care team |
| title | Impact of interprofessional collaborative practice in palliative care on outcomes for advanced cancer inpatients in a resource-limited setting |
| title_full | Impact of interprofessional collaborative practice in palliative care on outcomes for advanced cancer inpatients in a resource-limited setting |
| title_fullStr | Impact of interprofessional collaborative practice in palliative care on outcomes for advanced cancer inpatients in a resource-limited setting |
| title_full_unstemmed | Impact of interprofessional collaborative practice in palliative care on outcomes for advanced cancer inpatients in a resource-limited setting |
| title_short | Impact of interprofessional collaborative practice in palliative care on outcomes for advanced cancer inpatients in a resource-limited setting |
| title_sort | impact of interprofessional collaborative practice in palliative care on outcomes for advanced cancer inpatients in a resource limited setting |
| topic | Advanced cancer inpatients Interprofessional collaborative practice Team-based approach Palliative care Specialty palliative care Palliative care team |
| url | https://doi.org/10.1186/s12904-022-01121-0 |
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