演題抄録

International Session

開催概要
開催回
第54回・2016年・横浜
 

Palliative care year in review from Europe: A growing global community of integrated oncology and palliative care

演題番号 : IS14-3

[筆頭演者]
Strasser Florian:1 

1:Head Oncological Palliative Medicine, Clinic Oncology / Hematology, Cantonal Hospital St. Gallen, Switzerland

 

Integration of palliative care interventions into cancer care is moving forward in the variable and multicultural European landscape. Both the mapping of palliative care development in Europe and the ESMO designated centers (DC) of integrated oncology and palliative care document an increasing integration. A recent survey of the ESMO DC describe characteristics of these centers, levels of integration according to previously published citeria, and also a new initiative (InSupC) investigating integrated palliative care practices. Palliative care at home, in nursing homes, and specific needs of family caregivers and also the effect of volunteers are tackled. Emphasis is given mainly in UK to integrate patient’s outcomes in routine care, placing emphasis also patient’s different illness trajectories and associated challenges on prognostication, on identifying complexity, on comorbidities as well as characteristics of the elderly cancer patient. Studies involving dozend of european countries shed light on national variablity, also manifest in variable prevalence of advanced directives. Interest is placed on patients with palliative care needs or death in the Emergency Room (ER), and characteristics of patients with frequent ER visits. Interest is increasing to understand better palliative care in hemato-oncology and palliative care, including symptom epidemiology (multiple Myeloma) and palliative care needs as well as appropriate interventions. Increasing awareness is directed to omptimizing decicions on anticancer treatment in patients close to end of life, and those being frail,due to comorbidities, cancer-complications or geriatric syndromes. Multinational symptom symptom data compared symptoms, functional status and age and investigated influence of depression on symptoms. Several pharmacological and educational interventions for pain, delirium or ascites were conducted. Prospective studies explored patients’ values close to death and determinants of meaning in life. Spiritual care in middle east was investigated,
In summary, a broad spectrum of activities highly relevant for cancer care.

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