Do case conferences between general practitioners and specialist palliative care services improve quality of life? A randomised controlled trial (ISRCTN 52269003)

Mitchell, G. K., Del Mar, C. B., O'Rourke, P. K. and Clavarino, A. M. (2008) Do case conferences between general practitioners and specialist palliative care services improve quality of life? A randomised controlled trial (ISRCTN 52269003). Palliative Medicine, 22 8: 904-912. doi:10.1177/0269216308096721


Author Mitchell, G. K.
Del Mar, C. B.
O'Rourke, P. K.
Clavarino, A. M.
Title Do case conferences between general practitioners and specialist palliative care services improve quality of life? A randomised controlled trial (ISRCTN 52269003)
Journal name Palliative Medicine   Check publisher's open access policy
ISSN 0269-2163
Publication date 2008
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1177/0269216308096721
Volume 22
Issue 8
Start page 904
End page 912
Total pages 9
Editor G. Hanks
Place of publication United Kingdom
Publisher Sage Science Press
Collection year 2009
Language eng
Subject C1
920102 Cancer and Related Disorders
920211 Palliative Care
920408 Health Status (e.g. Indicators of Well-Being)
111717 Primary Health Care
Abstract Australian palliative care is delivered by general practitioners (GPs) and specialist palliative care teams. Patient outcomes should improve if they work in formal partnership. We conducted a multi-centred randomised controlled trial of specialist- GP case conferences, with the GP participating by teleconference, or usual care and communication methods. Primary outcome measure was global Quality of Life (QoL) scores at 3 weeks from intervention. Secondary measures included subscale QoL scores and carer burden. Two a priori intention-to-treat analyses were conducted using recruitment, and time of death, as fixed time points. There was no difference between groups in the magnitude of change in global QoLmeasures from baseline to any time point up to 9 weeks post-case conference, or at any time before death. The case conference group showed better maintenance of some physical and mental health measures of QoL in the 35 days before death. Case conferences may improve clinical relationships and care plans at referral, which are not implemented until severe symptoms develop. Case conferences between GPs and specialist palliative care services may be warranted for palliative care patients.
Keyword general practice
integrated care
primary palliative care
randomised controlled trial
teleconferences
Q-Index Code C1
Q-Index Status Confirmed Code

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: 2009 Higher Education Research Data Collection
School of Pharmacy Publications
 
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Created: Thu, 09 Apr 2009, 11:13:26 EST by Elizabeth Pyke on behalf of School of Pharmacy