Palliative Care Offers Substantial Benefits, But Improved Survival Not One of Them

LISA SCHULMEISTER, RN, MN, APRN-BC, FAAN
Monday, November 28, 2016
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A meta-analysis of randomized clinical trials of palliative care interventions in adults with life-limiting illnesses was conducted to determine the association of palliative care with quality of life (QOL), symptom burden, survival, mood, advance care planning, site of death, healthcare satisfaction, resource utilization, and healthcare expenditures.

Forty-three trials provided data on 12,731 patients and 2479 caregivers. Thirty-five trials used usual care as the control, and 14 took place in the ambulatory setting. Palliative care was associated with significant improvements in patient QOL and symptom burden at the 1- to 3-month follow-ups.

There was no association between palliative care and survival, however. Palliative care was associated with improvements in advance care planning, patient and caregiver satisfaction, and lower healthcare utilization.

Although the researchers concluded that palliative care was associated with improvements in QOL and symptom burden but not with improved survival, isn’t that the point of palliative care? To imply that palliative care should improve survival is misleading. A more accurate conclusion is that as expected, palliative care did not extend patients’ survival; however, it improved the patients QOL and reduced their symptom burden. The study findings are available here.

Talk about this article with nurses and others in the oncology community in the General Discussions Oncology Nursing News discussion group.
Lisa Schulmeister, MN, RN, ACNS-BC, FAAN
 
Blog Info
Lisa Schulmeister, MN, RN, ACNS-BC, FAAN is an oncology nursing consultant and editor-in-chief of Oncology Nursing News.
Author Bio
Lisa Schulmeister, MN, RN, ACNS-BC, FAAN, is the Editor-in-Chief for OncLive Nursing. She is an oncology nursing consultant and adjunct assistant professor of nursing at Louisiana State Health Sciences Center in New Orleans, LA. She provides continuing nursing education to nurses across the Unites States, is active in several professional nursing organizations, and is intrigued by the many ways nurses use technology to communicate.
 
 
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