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Published in: BMC Palliative Care 1/2016

Open Access 01-12-2016 | Research article

To what degree is palliative care integrated in guidelines and pathways for adult cancer patients in Europe: a systematic literature review

Authors: Karen Van Beek, Naouma Siouta, Nancy Preston, Jeroen Hasselaar, Sean Hughes, Sheila Payne, Lukas Radbruch, Carlos Centeno, Agnes Csikos, Eduardo Garralda, Marlieke van der Eerden, Farina Hodiamont, Ildiko Radvanyi, Johan Menten

Published in: BMC Palliative Care | Issue 1/2016

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Abstract

Background

Palliative Care (PC) aims to improve the quality of life for patients with cancer and their families and its benefits have been demonstrated by several studies. The objective of this systematic review is to assess the integration of PC in the content of guidelines/pathways of adult cancer patients in Europe.

Methods

We included studies of adult patients with cancer published from 01/01/1995 and 31/12/2013 in Europe in six languages. We searched nine electronic databases, hand-searched six journals and also performed citation tracking. Studies were ranked using Emanuel’s Integrated Palliative Care (IPC) criteria, a tool containing 11 domains to assess PC content in guidelines. Two reviewers screened the results and narrative synthesis has been employed.

Results

We identified a total of 28,277 potentially relevant articles from which 637 were eligible for full-text screening. The final review included 60 guidelines and 14 pathways. Eighty percent (80 %) of the guidelines/pathways emphasize a holistic approach and 66 % focus on PC interventions aimed at reducing suffering. Fifty seven percent (57 %) did not discuss referral criteria for PC. Of all studies, five fulfilled at least 10/11 IPC criteria. Differences existed with regard to the referral criteria for bereavement care and the continuous adjustment of goals of care.

Conclusion

Overall, most of the identified guidelines/pathways highlighted the importance of the holistic approach of IPC. The studies that were found to fulfil at least 10/11 Emanuel’s IPC criteria could serve as benchmarks of IPC.
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Metadata
Title
To what degree is palliative care integrated in guidelines and pathways for adult cancer patients in Europe: a systematic literature review
Authors
Karen Van Beek
Naouma Siouta
Nancy Preston
Jeroen Hasselaar
Sean Hughes
Sheila Payne
Lukas Radbruch
Carlos Centeno
Agnes Csikos
Eduardo Garralda
Marlieke van der Eerden
Farina Hodiamont
Ildiko Radvanyi
Johan Menten
Publication date
01-12-2016
Publisher
BioMed Central
Published in
BMC Palliative Care / Issue 1/2016
Electronic ISSN: 1472-684X
DOI
https://doi.org/10.1186/s12904-016-0100-0

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