Multiple evaluation of a hospital-based palliative care consultation team in a university hospital: activities, patient outcome, and referring staff's view.

Abstract

OBJECTIVE:

Although the number of hospital-based palliative care consultation teams (PCCTs) is rapidly increasing in Japan, there is limited information available concerning the activities and usefulness of PCCT in the country. The aim of this study is to clarify the activities, patient outcome, and referring staff's view of an established PCCT in Japan.

METHOD:

This was a prospective study to follow patients referred to a PCCT for 28 days over a 1-year period. Patients were assessed by the Support Team Assessment Schedule-Japanese version (STAS-J) and EORTC QLQ C-30 at the time of referral and on days 7, 14, and 28. A staff survey was implemented using a questionnaire after each observation period.

RESULTS:

Of 180 patients referred, 53 patients were eligible for the study. Although the median of the number of the reasons for referral was 1, the PCCT provided several kinds of support: pain management, 94%; emotional support for the patient, 49%; and emotional support for the family, 36%. On day 7 after referral, of the items of STAS-J and the EORTC QLQ C-30 subscales, only insomnia improved significant whereas "other physical symptoms" and constipation were significantly exacerbated. In the staff survey, of the 98 respondents, more than 90% considered the effect of the PCCT as "excellent" or "good" and were satisfied with the support provided.

SIGNIFICANCE OF RESULTS:

This study showed that the PCCT performed comprehensive assessments on referred patients and provided extra support. No patient's QOL 1 week after referral was improved with the exception of insomnia. Referring staff highly evaluated the activities of the PCCT. In the evaluation of PCCTs, further research about the variation of clinical activities of PCCTs, their applicability, and benefit is needed.

• Authors: Tomoyo Sasahara, Mitsunori Miyashita, Megumi Umeda, Hitomi Higuchi, Junko Shinoda, Masako Kawa, Keiko Kazuma
• Journal: Palliative & supportive care (Palliat Support Care) Vol. 8 Issue 1 Pg. 49-57 (Mar 2010) ISSN: 1478-9523 [Electronic] England
• PMID: 20163760 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)

Topics

• Adult
• Aged
• Attitude of Health Personnel
• Female
• Hospitals, University
• Humans
• Japan
• Male
• Middle Aged
• Palliative Care (organization & administration)
• Patient Care Team
• Prospective Studies
• Referral and Consultation
• Social Support
• Treatment Outcome
• Young Adult