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Customised pediatric palliative care: Integrating oncological and palliative care priorities

Marta Podda1, Elisabetta Schiavello1, Giovanna Visconti2

  • 1Pediatric Oncology, Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, Milano, Italy.

Acta Paediatrica (Oslo, Norway : 1992)
|June 17, 2020
PubMed

Insights

Early palliative care (PC) improved outcomes for pediatric oncology patients in Milan. More patients died at home or hospice, and PC duration increased, with no deaths in intensive care units.

Area of Science:

  • Pediatric Oncology
  • Palliative Care
  • Oncology

Background:

  • The Istituto Nazionale Tumori of Milan introduced early palliative care (PC) for pediatric oncology patients.
  • A comparison was made between patients receiving early PC and those treated before its introduction.

Purpose of the Study:

  • To describe the experience of early PC introduction in pediatric oncology.
  • To compare outcomes of patients receiving early PC with a historical cohort.

Main Methods:

  • A virtual team for PC was established in 2015, with providers operating outside the hospital.
  • Patient data from January 2015 to April 2019 were compared with records of patients who died between 2009 and 2014.

Main Results:

  • 41 patients with CNS tumors or sarcomas received early PC.
  • Patients receiving early PC showed an increased number of deaths at home/hospice and longer PC duration.
  • No patients receiving early PC died in the intensive care unit.

Conclusions:

  • Early palliative care enabled pediatric oncology patients to continue cancer treatments and participate in trials.
  • Early PC integration is recommended for all patients with a poor prognosis.
Abstract

Keywords:
childrenend-of-lifepaediatric oncologypaediatric palliative care

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