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Wyświetlanie 1-10 z 34
Tytuł:
Physical restraining of nursing home residents in the last week of life : an epidemiological study in six European countries
Autorzy:
Kylanen, Marika
Smets, Tinne
Gambassi, Giovanni
Deliens, Luc
Szczerbińska, Katarzyna
Payne, Sheila
Pasman, H. Roeline
Van den Block, Lieve
Pivodic, Lara
Opis:
Background: Conventional meta-analyses can only provide direct comparison evidence, and the best op- tions of nonpharmacological interventions for cancer-related cognitive impairment remain largely un- known. Objectives: To evaluate the comparative effects of all known nonpharmacological interventions for cancer- related cognitive impairment, and to rank the best intervention options for adult non- central nervous system cancer patients with cancer-related cognitive impairment. Design: Systematic review with a new analytic approach of network meta-analysis. Data sources: Six electronic databases were searched for randomized controlled trials from January 2010 to July 2019. Review methods: Literature screening, data extraction and quality appraisal was undertaken systematically by two independent reviewers. Quantitative network meta-analysis performed to analyze key study out- comes. The primary outcome was the effectiveness of interventions on subjective cognitive function, and the secondary outcome was the safety of nonpharmacological interventions for cancer-related cognitive impairment. Results: There were 29 eligible randomized controlled trials searched, and a total of 10 interventions iden- tified. All 29 randomized controlled trials that were included had no reported significant adverse events, therefore, these 10 nonpharmacological interventions are safe for cancer-related cognitive impairment management. In terms of effectiveness, the pooled overall effects were in favor of these 10 nonpharma- cological interventions. The most effective interventions included meditation, cognitive training, cognitive rehabilitation, and exercise interventions, with a mean difference of effective size plus 95% confidence interval 10.26 (1.53, 19.00), 5.02 (1.41, 8.63), 4.88 (0.65, 9.11), and 3.82 (0.52, 7.13), respectively. Other treatment effects did not show statistically significant differences. Conclusions: This network meta-analysis found that meditation interventions, cognitive training, cognitive rehabilitation, and exercise were the most effective interventions for adult non-central nervous system cancer patients to manage cancer-related cognitive impairment. Results of this network meta-analysis contribute evidence-based data to inform medical decision-making.
Dostawca treści:
Repozytorium Uniwersytetu Jagiellońskiego
Artykuł
Tytuł:
Associations between length of stay in long term care facilities and end of life care : analysis of the PACE cross-sectional study
Autorzy:
Keegan, Thomas
Kylanen, Marika
Smets, Tinne
Gambassi, Giovanni
Kijowska, Violetta
Moore, Danni Collingridge
Payne, Sheila
Van den Block, Lieve
Deliens, Luc
Onwuteaka-Philipsen, Bregje
Opis:
Long term care facilities (LTCFs) are increasingly a place of care at end of life in Europe. Longer residence in an LTCF prior to death has been associated with higher indicators of end of life care; however, the relationship has not been fully explored. The purpose of this analysis is to explore associations between length of stay and end of life care. The analysis used data collected in the Palliative Care for Older People in care and nursing homes in Europe (PACE) study, a cross-sectional mortality follow-back survey of LTCF residents who died within a retrospective 3-month period, conducted in Belgium, England, Finland, Italy, the Netherlands and Poland. Primary outcomes were quality of care in the last month of life, comfort in the last week of life, contact with health services in the last month of life, presence of advance directives and consensus in care. Longer lengths of stay were associated with higher scores of quality of care in the last month of life and comfort in the last week of life. Longer stay residents were more likely to have advance directives in place and have a lasting power of attorney for personal welfare. Further research is needed to explore the underlying reasons for this trend, and how good quality end of life care can be provided to all LTCF residents.
Dostawca treści:
Repozytorium Uniwersytetu Jagiellońskiego
Artykuł
Wyświetlanie 1-10 z 34

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