Effectiveness and cost-effectiveness of home palliative care services for adults with advanced illness and their caregivers

Barbara Gomes, et al. Cochrane Pain, Palliative and Supportive Care Group

The results provide clear and reliable evidence that home palliative care increases the chance of dying at home and reduces symptom burden in particular for patients with cancer, without impacting on caregiver grief. This justifies providing home palliative care for patients who wish to die at home. More work is needed to study cost-effectiveness especially for people with non-malignant conditions, assessing place of death and appropriate outcomes that are sensitive to change and valid in these populations, and to compare different models of home palliative care, in powered studies.

Preferences, predictions and patient enablement: a preliminary study

Carl J Brusse, Laurann E YenBMC Family Practice 2013, 14:116 (14 August 2013)

The relationship between expectation fulfilment and enablement remains uncertain, whether expectation is measured as stated preferences for specific outcomes, or the predictions made regarding receiving such outcomes. However the lack of agreement between these two senses of ‘patient expectation’ suggests that explicitly demarcating these concepts during study design is strongly advisable.

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A cross sectional assessment of allergic rhinitis and asthma control at an immunoallergology outpatient hospital setting using CARAT10 questionnaire

Revista Portuguesa de Pneumologia (English Edition), Volume 19, Issue 4, Pages 163-167 P. Ricardo Pereira, C. Lopes

As últimas guidelines para o tratamento da asma e rinite recomendam o controlo otimizado de ambas as doenças como objetivo primário da terapêutica. O questionário CARAT10 foi desenvolvido e validado em Portugal e permite a avaliação simultânea do controlo da rinite e da asma alérgicas (RAA). O objetivo do estudo foi avaliar o controlo da RAA usando o questionário CARAT10 em consulta hospitalar de Imunoalergologia. Apenas 14% dos doentes apresentaram rinite e asma alérgicas controladas.

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English version