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| Name | Class |
|---|---|
| IRCCS Azienda Ospedaliero-Universitaria di Bologna | OTHER |
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This retrospective observational pre-post study aims to test the effects of introducing a remote telephonic consultation availability from the Palliative Care Service for a cohort of non-oncologic patients followed by the same service, their relatives, and the Emergency Medical Services (EMS) and family care physicians taking care of them.
The main question[s] it aims to answer are:
Due to the emergence of COVID-19 pandemic during the study period, a parallel cohort of oncologic patients under 24/7 palliative care by the same service during both the observation periods will be used as reference.
Participants will be followed up from the date of taking-over request to the Palliative Care Service to their death or the end of the period of observation if followup began during their last 90 days of life.
Otherwise, for those being already under home palliative care at the 90th day before their death, follow up will begin at that day.
Researchers will compare two time periods to see if the introduction of a remote telephonic consultation availability has an effect on the supra-mentioned aims.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 2018-19 - Oncologic patients under home palliative care | Oncologic patients took over from the Metropolitan Palliative Care Service and receiving home palliative care within their last 90 days of life between 1/1/2018 and 31/12/2019 |
| |
| 2018-19 - Non-oncologic patients under home palliative care | Non-oncologic patients took over from the Metropolitan Palliative Care Service and receiving home palliative care within their last 90 days of life between 1/1/2018 and 31/12/2019 | ||
| 2021-2022 - Oncologic patients under home palliative care | Oncologic patients took over from the Metropolitan Palliative Care Service and receiving home palliative care within their last 90 days of life between 1/1/2021 and 31/12/2022 |
| |
| 2021-2022 - Non-Oncologic patients under home palliative care | Non-oncologic patients took over from the Metropolitan Palliative Care Service and receiving home palliative care within their last 90 days of life between 1/1/2021 and 31/12/2022 |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| 24/7 Telephonic Palliative Care Service availability | Other | Metropolitan Palliative Care Service-implemented 24/7 telephonic availability service for the patients, their relatives, the EMS and Primary Care physicians taking care of them. After consultation, if the information and medical suggestions are not sufficient, an urgent ambulatory or home visit could be planned. |
| Measure | Description | Time Frame |
|---|---|---|
| Emergency Department Admission rate of patients followed by the Palliative Care Service | 48 months |
| Measure | Description | Time Frame |
|---|---|---|
| EMS calls rate from patients followed by the Palliative Care Service | 48 months | |
| Main topics of the calls received from the Palliative Care Service after the full implementation of a 24/7 service | Classification of the topics of the calls into 5 main classes: "Clinical questions", "Caregiver Support", "Definition of care pathway", "Palliative sedation", "Other communications". The relative frequency of each main topic will be reported |
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Inclusion Criteria:
Exclusion Criteria:
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The population in the study is composed of the whole population of patients followed by the palliative care metropolitan service of Bologna respecting the Eligibility criteria shown
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Azienda Unità Sanitaria Locale | Bologna | 40100 | Italy | |||
| IRCCS - Policlinico Universitario S.Orsola - Malpighi |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 12886178 | Background | Burge F, Lawson B, Johnston G. Family physician continuity of care and emergency department use in end-of-life cancer care. Med Care. 2003 Aug;41(8):992-1001. doi: 10.1097/00005650-200308000-00012. | |
| 16689410 | Background | Barbera L, Paszat L, Chartier C. Indicators of poor quality end-of-life cancer care in Ontario. J Palliat Care. 2006 Spring;22(1):12-7. |
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IPD will be shared if requested under appropriate motivation
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|
| 24 months |
| Bologna |
| Italy |
| 33499835 | Background | Gamblin V, Prod'homme C, Lecoeuvre A, Bimbai A-, Luu J, Hazard PA, Da Silva A, Villet S, Le Deley MC, Penel N. Home hospitalization for palliative cancer care: factors associated with unplanned hospital admissions and death in hospital. BMC Palliat Care. 2021 Jan 26;20(1):24. doi: 10.1186/s12904-021-00720-7. |
| 16595540 | Background | Thomsen JL, Parner ET. Methods for analysing recurrent events in health care data. Examples from admissions in Ebeltoft Health Promotion Project. Fam Pract. 2006 Aug;23(4):407-13. doi: 10.1093/fampra/cml012. Epub 2006 Apr 4. |
| 37973206 | Derived | Valenti D, Gamberini L, Allegri D, Tartaglione M, Moggia F, Del Giudice D, Baroni R, Di Mirto CVF, Tamanti J, Rosa S, Paoletti S, Bruno L, Peterle C, Cuomo AMR, Bertini A, Giostra F, Mengoli F; Collaborators. Effects of 24/7 palliative care consultation availability on the use of emergency department and emergency medical services resources from non-oncological patients: a before-and-after observational cohort study. BMJ Support Palliat Care. 2024 Dec 19;14(e3):e2788-e2797. doi: 10.1136/spcare-2023-004412. |