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Related Concept Videos

Pulmonary Function Tests01:25

Pulmonary Function Tests

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Pulmonary Function Tests (PFTs)
Pulmonary Function Tests are crucial diagnostic tools for assessing respiratory function, particularly in patients with chronic respiratory disorders. They comprehensively evaluate lung volumes, ventilatory function, breathing mechanics, diffusion, and gas exchange. These tests help diagnose pulmonary diseases and play a significant role in monitoring disease progression, evaluating disability, and assessing response to therapy.
PFTs involve using a spirometer, a...
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Endoscopic Studies I: Bronchoscopy and Thoracoscopy01:30

Endoscopic Studies I: Bronchoscopy and Thoracoscopy

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Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
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Related Experiment Video

Updated: Jun 7, 2025

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Nurse-Led Screening-Triggered Early Specialized Palliative Care Program for Patients With Advanced Lung Cancer:

Yoshihisa Matsumoto1,2, Shigeki Umemura3, Ayumi Okizaki1,4,5

  • 1Department of Palliative Medicine, National Cancer Center Hospital East, Kashiwa, Japan.

Cancer Medicine
|November 18, 2024
PubMed
Summary

A nurse-led palliative care program for advanced lung cancer patients showed no immediate benefits but may improve quality of life later. This early intervention model is feasible for clinical practice.

Keywords:
advanced lung cancernurse‐led programpalliative carequality of liferandomized controlled trialscreening

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Area of Science:

  • Oncology
  • Palliative Care
  • Nursing

Background:

  • Evaluating nurse-led, screening-triggered early specialized palliative care for advanced lung cancer.
  • Assessing intervention effectiveness in improving patient outcomes.

Purpose of the Study:

  • To determine the efficacy of a nurse-led palliative care intervention in advanced lung cancer patients.
  • To compare outcomes between intervention and usual care groups.

Main Methods:

  • Randomized controlled trial of 204 advanced lung cancer patients (intervention vs. usual care).
  • Intervention: nurse-led needs assessment, counseling, and coordination.
  • Primary endpoint: Trial Outcome Index (TOI) change at 12 weeks; secondary: TOI at 20 weeks, depression, anxiety, survival.

Main Results:

  • No significant TOI improvement at 12 weeks (p=0.107), but significant improvement at 20 weeks (p=0.043).
  • No significant differences in depression, anxiety, or survival between groups.
  • Intervention group showed delayed benefits in quality of life indicators.

Conclusions:

  • Nurse-led early palliative care did not show superiority at 12 weeks but suggested delayed benefits.
  • The intervention model is feasible and potentially acceptable in clinical practice.
  • Further research may explore long-term impacts on quality of life.