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Table 3 Clinical and Service Outcomes

From: Impact of ambulatory palliative care on symptoms and service outcomes in cancer patients: a retrospective cohort study

 

n (%)

Medication changes

 Opioid initiation/titration

77 (30.9)

 Adjuvant analgesic initiation/titration

76 (30.5)

 Opioid conversion/rotation

29 (11.6)

 Anti-emetic initiation/titration/conversion

19 (7.6)

 Changes to bowel regimen

15 (6.0)

 Medication Management of insomnia

14 (5.6)

 Commencement/Changes of anxiolytic/anti-depressant

8 (3.2)

 Other medication changea

37 (14.9)

Referrals to

 Allied health/ancillary support

29 (11.6)

 Interventional radiology and radiological investigations

24 (9.6)

 Psychiatry/psychological services

18 (7.2)

 Oncology/haematology/radiation oncology

9 (3.6)

 Other medical or surgical

16 (6.4)

Symptom education

 Pain management

98 (39.4)

 Gastrointestinal symptom and bowel management

22 (8.8)

 Fatigue management

18 (7.2)

 Dyspnoea management

11 (4.4)

 Diet and nutrition management

10 (4.0)

 Mood and insomnia management

13 (5.2)

 Other symptom management

16 (6.4)

Issues explored/discussed

 Establishing goals of care

77 (30.9)

 Insight

69 (27.7)

 Patient and caregiver psychosocial/existential distress

68 (27.3)

 Future treatment options

65 (26.1)

 Prognosis

53 (21.3)

 Preferred place of death

34 (13.7)

 Otherb

22 (8.8)

Disposition from initial clinic appointment

 Admit to palliative care unit

58 (23.3)

 New referral to community palliative care

34 (13.7)

  1. aincluding diuretics, mouth care, eye drops, pancreatic supplements
  2. bincluding voluntary assisted dying enquiries, health literacy and introduction to palliative care