Screening for Distress and Its Impact on Palliative Care Referral at a General Medical Center: Retrospective Cohort Study
Palliative Care Research
;
: 93-98, 2021.
Article
in Japanese
| WPRIM
| ID: wpr-874035
ABSTRACT
Purpose:
Distress screening is mandated by Ministry of Health, Labor and Welfare of Japan, however there is few data available on its effect in actual practice. We examined the impact of distress screening on palliative care referral at Hyogo Prefectural Amagasaki General Medical Center in Japan. Materials andMethods:
We implemented distress screening on cancer patients who were given chemotherapy from February 2018. Patients were referred to the palliative care team when the physicians judged the need on the basis of the screening results or when the patients themselves wanted to receive the palliative care service. We examined the number of the patients referred to the palliative care team, then we researched the changes of the number after implementation of the screening, using the regression discontinuity analysis.Results:
The distress screening didn’t increase the number of the patients who were referred to the palliative care team the estimated difference of the number was 3.32 (95% confidence interval −3.19〜9.82).Conclusion:
We implemented distress screening at our hospital but it didn’t increase palliative care referral. Only a few studies have examined how routine screening impacts clinical outcomes. We expect our study helps to research the effectiveness of screening in each healthcare facility.
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Index:
WPRIM (Western Pacific)
Type of study:
Diagnostic study
/
Etiology study
/
Observational study
/
Screening study
Language:
Japanese
Journal:
Palliative Care Research
Year:
2021
Type:
Article
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