Improving access and timeliness of early palliative care specialist assessment for patients with advanced lung cancer in a rapid assessment clinic

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Improving access and timeliness of early palliative care specialist assessment for patients with advanced lung cancer in a rapid assessment clinic

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Background: Integrating palliative care in the management of patients with lung cancer improves quality of life, patient satisfaction, and overall survival. However, few patients receive timely palliative care consultation. The Lung Diagnostic Assessment Program (LDAP) in Southeastern Ontario is a multidisciplinary rapid assessment clinic that expedites the diagnosis and management of patients with suspected lung cancer. Objectives: We sought to increase the percentage of LDAP patients with stage IV lung cancer receiving palliative care consultation within three months of diagnosis. Design: We integrated a palliative care specialist in LDAP to facilitate in-person, same-visit consultation for patients with a new lung cancer diagnosis. Setting/Subjects: Five hundred fifty patients in a Canadian academic center (154 initial baseline, 104 COVID baseline, 292 post-palliative care integration). Measurements: Baseline data were established using retrospective chart review (February–June 2020 and December 2020–March 2021 due to COVID-19 pandemic). Data were collected prospectively to assess improvement (March–August 2021). Statistical Process Control charts assessed for special cause variation; chi-square tests assessed for differences between groups. Results: The percentage of patients with stage IV lung cancer seen by palliative care within three months increased from 21.8% (12/55) during early-COVID baseline to 49.2% (32/65) after palliative care integration (p < 0.006). Palliative care integration in LDAP reduced mean time from referral to consultation from 24.8 to 12.3 days, including same-day consultation for 15/32 (46.8%) patients with stage IV disease. Conclusions: Integrating palliative care specialists into LDAP improved the timeliness of palliative care assessment for patients with stage IV lung cancer.

http://dx.doi.org/10.1089/jpm.2022.0544

Voir la revue «JOURNAL OF PALLIATIVE MEDICINE, 26»

Autres numéros de la revue «JOURNAL OF PALLIATIVE MEDICINE»

Note

Correctif : Correction to: Improving Access and Timeliness of Early Palliative Care Specialist Assessment for Patients With Advanced Lung Cancer in a Rapid Assessment Clinic by O'Neill et al. Journal of Palliative Medicine 2023;26(10):1365–1373; doi: 10.1089/jpm.2022.0544. Journal of Palliative Medicine.Dec 2023.1761-1761. In the October 2023 issue of the Journal of Palliative Medicine (vol. 26, no. 10; 1365–1373), a correction has been made to Figure 2. On page 1368, in Figure 2, the columns had been inadvertently flipped so that the “seen within 30-days” bar represented the data for patients seen within 3 months and vice versa. This figure has been corrected so that Figure 2 now reflects the correct positioning and labeling of the columns. The authors apologize for this error. The online version of the article has been corrected.

Langue: anglais
Description physique: p. 1365-1373
Illustration: OUI
Bibliographie: 21 réf.

Revue: JOURNAL OF PALLIATIVE MEDICINE, n°10, vol.26

Public visé: PERSONNEL SOIGNANT

ISSN: 1557-7740

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