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A literature review of randomized controlled trials of the organization of care at the end of life
Author(s)Roger E Thomas, Donna Wilson, Sam Sheps
Journal titleCanadian Journal on Aging, vol 25, no 3, Fall 2006
Pagespp 271-294
Sourcehttp://www.utpjournals.com
KeywordsTerminal care ; Medical care ; Management [care] ; Clinical surveys ; Literature reviews.
AnnotationNine electronic databases were searched for randomised controlled trials (RCTs) about care at the end of life. 23 RCTs were found, and their quality was assessed using criteria of the Cochrane Collaboration. The RCTs researched three themes. First, the effect of providing palliative care through dedicated community teams on quality of life (QoL), on the management of symptoms, on satisfaction with care, on the duration of the palliative period, and on place of death. Second, the effects of specific palliative care interventions: advanced planning of care for the end of life, patient-held records, providing quality of life data to patients and doctors, grief education for relatives, palliative care education for nurses, and palliative care for patients with dementia. Third, the costs of palliative compared to conventional care. The authors identify difficulties in conducting research on palliative care and solutions, and discuss future possible research themes. (RH).
Accession NumberCPA-070110215 A
ClassmarkLV: LK: QA: 3G: 64A

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