Table 4 Characteristics of included Cancer Pathways
Cancer pathways | |||
|---|---|---|---|
Title/Country/Year | Setting | Emanuel’s criteria (EMC) | Quality of evidence |
Palliative Medicine: Essays - Reports - Discussion Posts - Comments: Liverpool Care Pathway Practical assistance. (Germany, 2008) [91] | inpatient | 7 EMC: Holistic assessments, Timing of PC introduction, Patient’s goals, Continuous goal adjustment, Suffering reduction, ACP, Last hours of living care. | Very low |
Practice and opportunities of the Hungarian hospice care provided at home. (Hungary, 2013) [92] | Inpatient/outpatient | 8 EMC: Discussion of illness limitations and prognosis, Holistic assessments, Timing of holistic assessments, Timing of PC introduction, Patient’s goals, Continuous goal adjustment, Suffering reduction, Last hours of living care. | Low |
Palliative care pathway in General Practice. (Belgium, 2012) [93] | outpatient | 11 EMC: Discussion of illness limitations and prognosis, Holistic assessments, Timing of holistic assessments, Timing of PC introduction, Patient’s goals, Continuous goal adjustment, Suffering reduction, ACP, Involvement of PC team, Last hours of living care, Grief and bereavement care. | High |
Integrated Oncological Pathways: prostate carcinoma. (The Nederlands, 2010) [94] | inpatient/outpatient | 5 EMC: Discussion of illness limitations and prognosis, Holistic assessments, Suffering reduction, Involvement of PC team, Last hours of living care. | Medium |
Integrated Oncological Pathways: colon-rectum carcinoma. (The Nederlands, 2010) [94] | inpatient/outpatient | 4 EMC: Timing of PC introduction, Suffering reduction, Involvement of PC team, Last hours of living care. | High |
Flow chart glioblastoma. (The Nederlands, 2012) [96] | inpatient/outpatient | 4 EMC: Timing of holistic assessments, Timing of PC introduction, Involvement of PC team, Last hours of living care. | Very Low |
Manual for the management of patients in palliative care in outpatient ER. (Spain, 2011) [97] | outpatient | 4 EMC: Discussion of illness limitations and prognosis, Timing of PC introduction, Suffering reduction, Last hours of living care. | Low |
Home care program in primary care. (Spain, 2004) [98] | outpatient | 6 EMC: Holistic assessments, Timing of PC introduction, Suffering reduction, Involvement of PC team, Last hours of living care, Grief and bereavement care. | Very low |
Integrated care process of Palliative Care. (Spain, 2007) [99] | inpatient/outpatient | 7 EMC: Holistic assessments, Timing of PC ntroduction, Suffering reduction, ACP, Involvement of PC team, Last hours of living care, Grief and bereavement care. | High |
Palliative care in the oncologic patient. Documents for integrated care processes related to cancer management. (Spain, 2005) [100] | inpatient/outpatient | 4 EMC: Holistic assessments, Suffering reduction, Involvement of PC team, Grief and bereavement care. | Very low |
Care pathway for the last days of life. (UK-Wales, 2004) [101] | inpatient | 8 EMC: Holistic assessments, Patient’s goals, Continuous goal adjustment, Suffering reduction, ACP, Involvement of PC team, Last hours of living care, Grief and bereavement care. | Very low |
The route to success in end of life care: achieving quality for social work. (UK, 2012) [102] | inpatient/outpatient | 8 EMC: Holistic assessments, Patient’s goals, Continuous goal adjustment, Suffering reduction, ACP, Involvement of PC team, Last hours of living care, Grief and bereavement care. | Low |
Quality in melanoma care: a best practice pathway. (UK, 2012) [103] | inpatient/outpatient | 4 EMC: Holistic assessments, Patient’s goals, ACP, Involvement of PC team. | High |
Derbyshire End of Life Care Guidance: a pathway for supporting people in the last year of life. (UK, 2010) [104] | inpatient/outpatient | 8 EMC: Holistic assessments, Timing of holistic assessments, Patient’s goals, Suffering reduction, ACP, Involvement of PC team, Last hours of living care, Grief and bereavement care. | Low |