Medline ® Abstract for Reference 47
of 'Overview of comprehensive patient assessment in palliative care'
Are there differences in the prevalence of palliative care-related problems in people living with advanced cancer and eight non-cancer conditions? A systematic review.
Moens K, Higginson IJ, Harding R, EURO IMPACT
J Pain Symptom Manage. 2014 Oct;48(4):660-77. Epub 2014 May 5.
CONTEXT: If access to effective palliative care is to extend beyond cancer patients, an understanding of the comparative prevalence of palliative care problems among cancer and non-cancer patients is necessary.
OBJECTIVES: This systematic review aimed to describe and compare the prevalence of seventeen palliative care-related problems across the four palliative care domains among adults with advanced cancer, acquired immune deficiency syndrome, chronic heart failure, end-stage renal disease (ESRD), chronic obstructive pulmonary disease, multiple sclerosis, motor neuron disease, Parkinson's disease, and dementia.
METHODS: Three databases were searched using three groups of keywords. The results of the extraction of the prevalence figures were summarized.
RESULTS: The electronic searches yielded 4697 hits afterthe removal of 1784 duplicates. Of these hits, 143 met the review criteria. The greatest number of studies were found for advanced cancer (n=57) and ESRD patients (n=47), and 75 of the 143 studies used validated scales. Few data were available for people living with multiple sclerosis (n=2) and motor neuron disease (n=3). The problems with a prevalence of 50% or more found across most of the nine studied diagnostic groups were: pain, fatigue, anorexia, dyspnea, and worry.
CONCLUSION: There are commonalities in the prevalence of problems across cancer and non-cancer patients, highlighting the need for palliative care to be provided irrespective of diagnosis. The methodological heterogeneity across the studies and the lack of non-cancer studies need to be addressed in future research.
Department of Palliative Care, Policy&Rehabilitation, Cicely Saunders Institute, King's College London, London, United Kingdom. Electronic address: Katrien.Moens@kcl.ac.uk.