研究动态
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癌症中心和三级护理医院是否应该强制设立急性姑息治疗病房?

Should an acute palliative care unit be mandatory for cancer centers and tertiary care hospitals?

发表日期:2024 Oct 17
作者: Sebastiano Mercadante, Camilla Zimmermann, Jenny Lau, Declan Walsh
来源: JOURNAL OF PAIN AND SYMPTOM MANAGEMENT

摘要:

尽管不同国家之间存在很大差异,但急性姑息治疗单位在过去几年中一直在发展,其临床活动和特征已得到描述。一个有争议的话题是,这些单位是否应该作为综合癌症中心甚至三级医院的强制标准。在这篇《姑息治疗的争议》文章中,三位临床专家独立回答了这个问题。具体来说,每个小组都提供了关键研究的概要,以告知他们的思维过程,分享有关临床方法的实用建议,并强调未来研究的机会。有趣的是,三位专家都得出了相似的结论。他们强调了急性姑息治疗病房的重要性,与典型的住院临终关怀医院相比,它提供了不同的活动模式,通常照顾预期生存率有限的患者。版权所有 © 2024。由 Elsevier Inc. 出版。
Acute palliative care units have been developing in the last years and their clinical activity and characteristics have been described, despite large differences in different countries. One controversial topic is whether such units should be mandatory as standard in comprehensive cancer centers or even in tertiary hospitals. In this "Controversies in Palliative Care" article, three expert clinicians independently answer this question. Specifically, each group provides a synopsis of the key studies that inform their thought processes, share practical advice on their clinical approach, and highlight the opportunities for future research. Interestingly, all three experts arrived at similar conclusions. They underscored the importance of an acute palliative care unit, which provides a different pattern of activities in comparison with typical inpatient hospices, generally caring for patients who have a limited expected survival.Copyright © 2024. Published by Elsevier Inc.