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Palliative Care Evidence Update

1st March 2017

Topic: Amyotrophic lateral sclerosis (ALS)
Early diaphragm pacing may reduce ventilator-free and overall survival in patients with ALS and moderate respiratory involvement (Lancet Neurol 2016 Nov)

Topic: Sedation in palliative care
Review of last days of life (National Cancer Institute 2016 Apr)

Topic: Heart failure with reduced ejection fraction
Systematic review evaluating palliative care in patients with advanced heart failure (J Palliat Med 2017 Jan)

Topic: Anxiety in palliative care patients, Depression in palliative care patients
Active music therapy for 4 weeks does not appear to reduce anxiety or depression symptoms in patients with amyotrophic or primary lateral sclerosis with nonsevere disability (Int J Rehabil Res 2016 Dec)
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Leicester Publications

Development, validity and reliability testing of the East Midlands Evaluation Tool (EMET) for measuring impacts on trainees' confidence and competence following end of life care training.
Whittaker B, Parry R, Bird L, Watson S, Faull C; EMET project team.

Treatment Access and Survival Amongst British Asians with Pancreatic Cancer.
Isherwood J, Bilku D, Metcalfe MS, Dennison AR, Garcea G.
To access full text you may have to log in to your NHS Athens account (click here to register for free). If full text is not available then please email us to request a copy.
Other Systematic Reviews
 
Role of Physical Therapy Intervention in Patients With Life-Threatening Illnesses.

Use of imaging studies for determination of brain death in South Australian intensive care units.

What is the evidence for conducting palliative care family meetings? A systematic review.

Home palliative care works: but how? A meta-ethnography of the experiences of patients and family caregivers.

Psychosocial needs and interventions for heart failure patients and families receiving palliative care support: a systematic review.

Experience-based design, co-design and experience-based co-design in palliative and end-of-life care.

Effects of hospital palliative care on health, length of stay, and in-hospital mortality across intensive and non-intensive-care units: A systematic review and metaanalysis.

Systematic review of the effectiveness, barriers and facilitators to general practitioner engagement with specialist secondary services in integrated palliative care.

Use of preventive medication in patients with limited life expectancy: a systematic review.

Off-label drug use in oncology: a systematic review of literature.

Family caregiving for persons with heart failure at the intersection of heart failure and palliative care: a state-of-the-science review.

A systematic review on the role of vitamins, minerals, proteins, and other supplements for the treatment of cachexia in cancer: a European Palliative Care Research Centre cachexia project.

Estimating the Global Need for Palliative Care for Children: A Cross-sectional Analysis.

Patient reported outcome measures of quality of end-of-life care: A systematic review.
Journal Clubs
Do journal clubs improve patient care and decision making?   
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The Joanna Briggs Institute Systematic reviews

Of possible interest:

Cancer: Yoga Therapy for Insomnia (Evidence Summary)
PICO Question: What is the best evidence regarding the management of cancer-related insomnia with yoga? 

There is also a related Recommended Practice.

Cancer: Cognitive Behavioral Therapy for Insomnia (Evidence Summary)
PICO Question: What is the best evidence regarding the management of cancer-related insomnia with cognitive behavioral therapy (CBT)? 

There is also a related Recommended Practice. 
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