Consensus palliative care referral criteria for people with chronic obstructive pulmonary disease

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dc.contributor.authorPhilip, Jennifer
dc.contributor.authorChang, Yuchieh Kathryn
dc.contributor.authorCollins, Anna
dc.contributor.authorSmallwood, Natasha
dc.contributor.authorSullivan, Donald Richard
dc.contributor.authorYawn, Barbara P.
dc.contributor.authorMularski, Richard
dc.contributor.authorEkstroem, Magnus
dc.contributor.authorYang, Ian A.
dc.contributor.authorMcdonald, Christine F.
dc.contributor.authorMori, Masanori
dc.contributor.authorPerez-Cruz, Pedro
dc.contributor.authorHalpin, David M. G.
dc.contributor.authorCheng, Shao-Yi
dc.contributor.authorHui, David
dc.date.accessioned2025-01-20T16:10:18Z
dc.date.available2025-01-20T16:10:18Z
dc.date.issued2024
dc.description.abstractObjective People with advanced chronic obstructive pulmonary disease (COPD) have substantial palliative care needs, but uncertainty exists around appropriate identification of patients for palliative care referral. We conducted a Delphi study of international experts to identify consensus referral criteria for specialist outpatient palliative care for people with COPD.Objective People with advanced chronic obstructive pulmonary disease (COPD) have substantial palliative care needs, but uncertainty exists around appropriate identification of patients for palliative care referral. We conducted a Delphi study of international experts to identify consensus referral criteria for specialist outpatient palliative care for people with COPD.Methods Clinicians in the fields of respiratory medicine, palliative and primary care from five continents with expertise in respiratory medicine and palliative care rated 81 criteria over three Delphi rounds. Consensus was defined a priori as >= 70% agreement. A criterion was considered 'major' if experts endorsed meeting that criterion alone justified palliative care referral.Results Response rates from the 57 panellists were 86% (49), 84% (48) and 91% (52) over first, second and third rounds, respectively. Panellists reached consensus on 17 major criteria for specialist outpatient palliative care referral, categorised under: (1) 'Health service use and need for advanced respiratory therapies' (six criteria, eg, need for home non-invasive ventilation); (2) 'Presence of symptoms, psychosocial and decision-making needs' (eight criteria, eg, severe (7-10 on a 10 point scale) chronic breathlessness); and (3) 'Prognostic estimate and performance status' (three criteria, eg, physician-estimated life expectancy of 6 months or less).Conclusions International experts evaluated 81 potential referral criteria, reaching consensus on 17 major criteria for referral to specialist outpatient palliative care for people with COPD. Evaluation of the feasibility of these criteria in practice is required to improve standardised palliative care delivery for people with COPD.
dc.fuente.origenWOS
dc.identifier.doi10.1136/thorax-2024-221721
dc.identifier.eissn1468-3296
dc.identifier.issn0040-6376
dc.identifier.urihttps://doi.org/10.1136/thorax-2024-221721
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/90203
dc.identifier.wosidWOS:001297389100001
dc.language.isoen
dc.revistaThorax
dc.rightsacceso restringido
dc.subjectPalliative Care
dc.subjectReferral and Consultation
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleConsensus palliative care referral criteria for people with chronic obstructive pulmonary disease
dc.typeartículo
sipa.indexWOS
sipa.trazabilidadWOS;2025-01-12
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