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Open AccessJournal ArticleDOI

Referral to palliative care in COPD and other chronic diseases: a population-based study.

TLDR
Patients with COPD are underserved in terms of palliative care compared to those with other chronic life-limiting diseases.
About
This article is published in Respiratory Medicine.The article was published on 2013-11-01 and is currently open access. It has received 168 citations till now. The article focuses on the topics: Palliative care & Referral.

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Advanced (stage D) heart failure: A statement from the heart failure society of america guidelines committee

TL;DR: It is proposed that stage D advanced heart failure be defined as the presence of progressive and/or persistent severe signs and symptoms of heart failure despite optimized medical, surgical, and device therapy.
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Effects of person-centred and integrated chronic heart failure and palliative home care. PREFER: a randomized controlled study.

TL;DR: The outcome of person‐centred and integrated Palliative advanced home caRE and heart FailurE caRe (PREFER) with regard to patient symptoms, health‐related quality of life (HQRL), and hospitalizations compared with usual care is evaluated.
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Palliative care and management of troublesome symptoms for people with chronic obstructive pulmonary disease

TL;DR: Early integration of palliative care with respiratory, primary care, and rehabilitation services, with referral on the basis of the complexity of symptoms and concerns, rather than prognosis, can improve patient and caregiver outcomes.
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Palliative Care and Location of Death in Decedents With Idiopathic Pulmonary Fibrosis

TL;DR: The majority of patients with IPF died in a hospital setting and only a minority received a formal palliative care referral, indicating the need to study adequacy of end-of-life management in IPF and promote earlier discussion and referral to palliatives care.
References
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Early Palliative Care for Patients with Metastatic Non–Small-Cell Lung Cancer

TL;DR: Among patients with metastatic non-small-cell lung cancer, early palliative care led to significant improvements in both quality of life and mood and, as compared with patients receiving standard care, patients received less aggressive care at the end of life but longer survival.
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Global burden of COPD: risk factors, prevalence, and future trends.

TL;DR: Advances in understanding of COPD are increased recognition of the importance of comorbid disease, identification of different COPD phenotypes, and understanding how factors other than lung function affect outcome in patients.
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Illness trajectories and palliative care

TL;DR: Primary data relating to illness trajectories from previous studies investigating the palliative care needs of people with advanced lung cancer and heart failure are re-examined and key clinical implications are drawn.
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Patterns of functional decline at the end of life.

TL;DR: To determine if functional decline differs among 4 types of illness trajectories: sudden death, cancer death, death from organ failure, and frailty, Cohort analysis of data from 4 US regions in theEPESE study found Trajectories of functional decline at the end of life are quite variable.
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Generalist plus Specialist Palliative Care — Creating a More Sustainable Model

TL;DR: The U.S. palliative care model adds another layer of specialized care to a complex, expensive health care environment, and there are too few palliatives care specialists to meet demand.
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