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[Interconsultation on palliative care for patients with cancer in a general hospital. Features and opportunity]. | LitMetric

[Interconsultation on palliative care for patients with cancer in a general hospital. Features and opportunity].

Medicina (B Aires)

Departamento Bioética, Facultad Latinoamericana de Ciencias Sociales FLACSO- CONICET, Buenos Aires, Argentina. E-mail:

Published: December 2019

AI Article Synopsis

  • Early integration of palliative care (PC) in cancer treatment is emphasized through simultaneous care and training of primary teams, as seen in the Hospital General de Agudos E. Tornú.
  • The study analyzed 168 interconsultations for hospitalized cancer patients over 2 years, focusing on problem identification, response timeliness, and prognosis by the PC team.
  • Findings revealed most patients had advanced disease with limited treatment options, and around 25% showed evidence of early PC intervention, highlighting areas for improvement in recognizing non-physical symptoms and prognosis in future care.

Article Abstract

The international recommendations point to the early integration of palliative care (PC) in cancer through simultaneous care and training of primary teams. The PC Unit of the Hospital General de Agudos E. Tornú conducts interconsultations for hospitalized patients in the hospital and provides training to the treatment teams. The profile of the interconsultations carried out could provide important information about the characteristics of the PC intervention within the institution. The objective of this study was to retrospectively analyze the first-time interconsultations of cancer patients carried out over 2 years, focusing on temporality, identification of problems by the treating team and the PC interconsultation team, the promptness of response and the prognostic capacity of the latter. In the period, 168 interconsultations were carried out. Most patients had advanced disease, poor performance status, no possibility of oncological treatment and recent diagnosis. In approximately 25% of the cases, evidence of early intervention and participation of the pc team in decision making was found. The opportunity of PC intervention is discussed and areas needing improvement are indicated, such as the identification of non-physical symptoms and prognosis, to be considered in future care and educational activities.

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