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Br J Cancer ; 87(7): 733-9, 2002 Sep 23.
Article in English | MEDLINE | ID: mdl-12232756

ABSTRACT

A randomised controlled trial was undertaken to assess the effectiveness of a hospital Palliative Care Team (PCT) on physical symptoms and health-related quality of life (HRQoL); patient, family carer and primary care professional reported satisfaction with care; and health service resource use. The full package of advice and support provided by a multidisciplinary specialist PCT ('full-PCT') was compared with limited telephone advice ('telephone-PCT', the control group) in the setting of a teaching hospital trust in the SW of England. The trial recruited 261 out of 684 new inpatient referrals; 175 were allocated to 'full-PCT', 86 to 'telephone-PCT' (2 : 1 randomisation); with 191 (73%) being assessed at 1 week. There were highly significant improvements in symptoms, HRQoL, mood and 'emotional bother' in 'full-PCT' at 1 week, maintained over the 4-week follow-up. A smaller effect was seen in 'telephone-PCT'; there were no significant differences between the groups. Satisfaction with care in both groups was high and there was no significant difference between them. These data reflect a high standard of care of patients dying of cancer and other chronic diseases in an acute hospital environment, but do not demonstrate a difference between the two models of service delivery of specialist palliative care.


Subject(s)
Palliative Care/methods , Patient Care Team/standards , Terminal Care/methods , Activities of Daily Living , Adult , Aged , Aged, 80 and over , England , Female , Home Care Services, Hospital-Based/standards , Hospice Care/methods , Hospice Care/standards , Hospitalization , Humans , Length of Stay , Male , Middle Aged , Palliative Care/standards , Quality of Life , Terminal Care/psychology , Terminal Care/standards , Time Factors
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