Delivery Strategies to Optimize Resource Utilization and Performance Status for Patients With Advanced Life-Limiting Illness: Results From the “Palliative.

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Presentation transcript:

Delivery Strategies to Optimize Resource Utilization and Performance Status for Patients With Advanced Life-Limiting Illness: Results From the “Palliative Care Trial” [ISRCTN 81117481] Amy P. Abernethy, MD, David C. Currow, MPH, FRACP, Tania Shelby-James, B Appl Sc, MPH, Debra Rowett, BPharm, Frank May, BPharm, Gregory P. Samsa, PhD, Roger Hunt, GradDipPH, MD, FAChPM, Helena Williams, MBBS, Adrian Esterman, BSc (Hons), MSc, PhD, AStat, Paddy A. Phillips, MA, DPhil, FRACP, FACP Journal of Pain and Symptom Management Volume 45, Issue 3, Pages 488-505 (March 2013) DOI: 10.1016/j.jpainsymman.2012.02.024 Copyright © 2013 U.S. Cancer Pain Relief Committee Terms and Conditions

Fig. 1 The interventions and standard care. GP=general practitioner. Adapted from Abernethy AP, Currow DC, Hunt R, et al. A pragmatic 2 x 2 x 2 factorial cluster randomized controlled trial of educational outreach visiting and case conferencing in palliative care-methodology of the Palliative Care Trial [ISRCTN 81117481]. Contemp Clin Trials 2006;27:83–100. Journal of Pain and Symptom Management 2013 45, 488-505DOI: (10.1016/j.jpainsymman.2012.02.024) Copyright © 2013 U.S. Cancer Pain Relief Committee Terms and Conditions

Fig. 2 The Australia-modified Karnofsky Performance Status scale. Journal of Pain and Symptom Management 2013 45, 488-505DOI: (10.1016/j.jpainsymman.2012.02.024) Copyright © 2013 U.S. Cancer Pain Relief Committee Terms and Conditions

Fig. 3 Trial design and patient flow. a) Part 1: enrollment and allocation, b) Part 2: follow-up and analysis. N=461. aData from withdrawn patients were still included in analyses if they met all other criteria for analysis. GP=general practitioner; AUC=area under the curve. Journal of Pain and Symptom Management 2013 45, 488-505DOI: (10.1016/j.jpainsymman.2012.02.024) Copyright © 2013 U.S. Cancer Pain Relief Committee Terms and Conditions

Fig. 3 Trial design and patient flow. a) Part 1: enrollment and allocation, b) Part 2: follow-up and analysis. N=461. aData from withdrawn patients were still included in analyses if they met all other criteria for analysis. GP=general practitioner; AUC=area under the curve. Journal of Pain and Symptom Management 2013 45, 488-505DOI: (10.1016/j.jpainsymman.2012.02.024) Copyright © 2013 U.S. Cancer Pain Relief Committee Terms and Conditions