Home-Based Palliative Care for Children With Incurable Cancer: Long-term Perspectives of and Impact on General Practitioners Ivana M.M. van der Geest,

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Presentation transcript:

Home-Based Palliative Care for Children With Incurable Cancer: Long-term Perspectives of and Impact on General Practitioners Ivana M.M. van der Geest, MD, Patrick J.E. Bindels, MD, PhD, Saskia M.F. Pluijm, PhD, Erna M.C. Michiels, MD, PhD, Agnes van der Heide, MD, PhD, Rob Pieters, MD, PhD, Anne-Sophie E. Darlington, PhD, Marry M. van den Heuvel-Eibrink, MD, PhD Journal of Pain and Symptom Management Volume 53, Issue 3, Pages 578-587 (March 2017) DOI: 10.1016/j.jpainsymman.2016.09.012 Copyright © 2017 American Academy of Hospice and Palliative Medicine Terms and Conditions

Fig. 1 Flowchart of general practitioners (GPs) who participated in the study. “*,” Six GPs provided palliative care for two children. Journal of Pain and Symptom Management 2017 53, 578-587DOI: (10.1016/j.jpainsymman.2016.09.012) Copyright © 2017 American Academy of Hospice and Palliative Medicine Terms and Conditions

Fig. 2 Summary of symptoms in children who received home-based palliative care and the management of these symptoms. Occurrence and difficulty managing the children's physical and psychological symptoms during the palliative phase (as reported by the treating GPs). Data are missing from four GPs. For calculating difficulty managing the child's symptoms, only the GPs who reported that the given symptom occurred were selected. Journal of Pain and Symptom Management 2017 53, 578-587DOI: (10.1016/j.jpainsymman.2016.09.012) Copyright © 2017 American Academy of Hospice and Palliative Medicine Terms and Conditions

Fig. 3 Summary of the palliative treatments administered at home. Data from five GPs are missing regarding the treatments administered at home and data from three GPs are missing regarding the treatments that were available at home before they were needed (anticipated). Journal of Pain and Symptom Management 2017 53, 578-587DOI: (10.1016/j.jpainsymman.2016.09.012) Copyright © 2017 American Academy of Hospice and Palliative Medicine Terms and Conditions

Fig. 4 Practical problems encountered with respect to pain medication. Prevalence of practical problems encountered by GPs with respect to administering pain medication at home, as reported by the GPs. The indicated problems were rated on a five-point Likert score ranging from 1 (no problems encountered) to 5 (severe problems encountered). N.A. = not applicable or not known. Journal of Pain and Symptom Management 2017 53, 578-587DOI: (10.1016/j.jpainsymman.2016.09.012) Copyright © 2017 American Academy of Hospice and Palliative Medicine Terms and Conditions