PMID- 20163760
OWN - NLM
STAT- MEDLINE
DCOM- 20100623
LR  - 20100317
IS  - 1478-9523 (Electronic)
IS  - 1478-9515 (Linking)
VI  - 8
IP  - 1
DP  - 2010 Mar
TI  - Multiple evaluation of a hospital-based palliative care consultation team in a 
      university hospital: activities, patient outcome, and referring staff's view.
PG  - 49-57
LID - 10.1017/S1478951509990708 [doi]
AB  - 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.
FAU - Sasahara, Tomoyo
AU  - Sasahara T
AD  - Graduate School of Comprehensive Human Sciences, University of Tsukuba, 
      Ten-nodai, Tsukuba, Japan. tsasahara@md.tsukuba.ac.jp
FAU - Miyashita, Mitsunori
AU  - Miyashita M
FAU - Umeda, Megumi
AU  - Umeda M
FAU - Higuchi, Hitomi
AU  - Higuchi H
FAU - Shinoda, Junko
AU  - Shinoda J
FAU - Kawa, Masako
AU  - Kawa M
FAU - Kazuma, Keiko
AU  - Kazuma K
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20100218
PL  - England
TA  - Palliat Support Care
JT  - Palliative & supportive care
JID - 101232529
SB  - IM
MH  - Adult
MH  - Aged
MH  - *Attitude of Health Personnel
MH  - Female
MH  - *Hospitals, University
MH  - Humans
MH  - Japan
MH  - Male
MH  - Middle Aged
MH  - Palliative Care/*organization & administration
MH  - *Patient Care Team
MH  - Prospective Studies
MH  - *Referral and Consultation
MH  - Social Support
MH  - Treatment Outcome
MH  - Young Adult
EDAT- 2010/02/19 06:00
MHDA- 2010/06/24 06:00
CRDT- 2010/02/19 06:00
PHST- 2010/02/19 06:00 [entrez]
PHST- 2010/02/19 06:00 [pubmed]
PHST- 2010/06/24 06:00 [medline]
AID - S1478951509990708 [pii]
AID - 10.1017/S1478951509990708 [doi]
PST - ppublish
SO  - Palliat Support Care. 2010 Mar;8(1):49-57. doi: 10.1017/S1478951509990708. Epub 
      2010 Feb 18.