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Improving Outcomes for People With Progressive Cancer: Interrupted Time Series Trial of a Needs Assessment Intervention.
MedLine Citation:
PMID:  22209224     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
CONTEXT: Improving the effectiveness of cancer care delivery has become a major focus of research. OBJECTIVES: This study assessed the uptake and impact of the Palliative Care Needs Assessment Guidelines and Needs Assessment Tool: Progressive Disease-Cancer (NAT: PD-C) on the outcomes of people with advanced cancer. METHODS: Given widely varying survival in people with advanced cancer, an interrupted time series design was used, with data on unmet needs, depression, anxiety, and quality of life collected from 195 patients using telephone interviews every two months, for up to 18 months. Patients completed at least two baseline interviews before health professionals were academically detailed in the use of the Palliative Care Needs Assessment Guidelines and NAT: PD-C. Health professionals completed the NAT: PD-C with patients approximately monthly for the remainder of the study. Changes in patients' outcomes were compared prior to and following the introduction of the NAT: PD-C using General Estimating Equations. RESULTS: Moderate to high needs across all domains were frequently seen in the preintervention phase. The use of the NAT: PD-C was associated with a significant reduction in health system and information and patient care and support needs. CONCLUSION: These resources have the potential as an efficient and acceptable strategy for supporting needs-based cancer care. Further work is required to determine their unique contribution to improvements in patient outcomes.
Authors:
Amy Waller; Afaf Girgis; Claire Johnson; Christophe Lecathelinais; David Sibbritt; Dion Forstner; Winston Liauw; David C Currow
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-12-30
Journal Detail:
Title:  Journal of pain and symptom management     Volume:  -     ISSN:  1873-6513     ISO Abbreviation:  -     Publication Date:  2011 Dec 
Date Detail:
Created Date:  2012-1-2     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8605836     Medline TA:  J Pain Symptom Manage     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2011 U.S. Cancer Pain Relief Committee. Published by Elsevier Inc. All rights reserved.
Affiliation:
Centre for Health Research & Psycho-oncology, The Cancer Council NSWUniversity of Newcastle, Callaghan, New South Wales; Hunter Medical Research Institute & Priority Research Centre for Health Behaviour, New Lambton Heights, New South Wales.
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