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Emergency department-initiated palliative care in advanced cancer: a randomised clinical trial
▸ Grudzen CR, Richardson LD, Johnson PN, et al. JAMA Oncol 2016. Published online first.
In a single emergency department in the USA, adults presenting with advanced cancer were randomised to either a holistic emergency department palliative care consultation or usual care. These groups were compared for quality of life at 12 weeks (the primary outcome), depression, healthcare utilisation (at 180 days) and survival at 1 year (secondary outcomes). A total of 136 participants (from 298 eligible) were randomised, 69 to palliative care and 67 to usual care. The palliative care consultation improved quality of life but had no effect on median estimates of survival (non-significant trend for improvement), depression, admission to intensive care and discharge to hospice.
Breathlessness in elderly adults during the last year of life sufficient to restrict activity: prevalence, pattern and associated factors
▸ Johnson MJ, Bland JM, Gahbauer EA, et al. J Am Geriatr Soc 2016;64:73–80.
To investigate the relationship between age, clinical characteristics and breathlessness during the last year of life, a secondary data analysis of a US based longitudinal cohort study on people aged 70 years and older who had died in the community was performed. The primary outcome was the proportion of months of restricting breathlessness (defined as at least half a day a month in bed or reduction in usual activities) reported …
Competing interests None declared.
Provenance and peer review Not commissioned; internally peer reviewed.