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Updated: Dec 25, 2025

Percutaneous Hepatic Perfusion PHP with Melphalan as a Treatment for Unresectable Metastases Confined to the Liver
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Early specialised palliative care: interventions, symptoms, problems.

Nete Skjoedt1, Anna Thit Johnsen2,3, Per Sjøgren4

  • 1Department of Palliative Medicine, Bispebjerg Hospital, Copenhagen, Denmark.

BMJ Supportive & Palliative Care
|March 30, 2020
PubMed
Summary
This summary is machine-generated.

Early specialized palliative care (SPC) interventions were diverse, focusing on pain and physical function. However, documentation was low, potentially impacting trial outcomes and highlighting the need for better record-keeping.

Keywords:
cancerdrug administrationpainpharmacologyservice evaluationsymptoms and symptom management

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Area of Science:

  • Palliative Care Medicine
  • Health Services Research
  • Clinical Documentation

Background:

  • Limited research exists on the specific interventions provided within early specialized palliative care (SPC).
  • Understanding intervention content is crucial for optimizing patient care and evaluating trial effectiveness.

Purpose of the Study:

  • To characterize the interventions delivered in early SPC within the Danish Palliative Care Trial (DanPaCT).
  • To analyze the types of symptoms addressed and interventions provided by SPC teams.

Main Methods:

  • Retrospective qualitative and quantitative study of interventions documented in medical records during an 8-week period.
  • Interventions were coded by symptom/problem, intervention type, and healthcare professional.
  • Data collected from 145 patients across six participating sites in the DanPaCT trial.

Main Results:

  • Patients received a median of 3.5 new interventions over 8 weeks; 18% had no documented interventions.
  • Pain (20%) and impaired physical function (13%) were the most frequent symptoms addressed.
  • Pharmacological interventions were the most common type (42%).

Conclusions:

  • This study provides detailed insights into early SPC intervention content based on medical records.
  • A significant proportion of patients had few or no documented interventions, raising concerns about documentation quality.
  • Inadequate documentation may explain trial outcomes and necessitates improved record-keeping practices in SPC.