Pick Topic
Review Topic
List Experts
Examine Expert
Save Expert
  Site Guide ··   
Pancreatic Neoplasms: HELP
Articles by Carla Codecà
Based on 1 article published since 2010
(Why 1 article?)
||||

Between 2010 and 2020, Carla Codecà wrote the following article about Pancreatic Neoplasms.
 
+ Citations + Abstracts
1 Article Systematic versus on-demand early palliative care: A randomised clinical trial assessing quality of care and treatment aggressiveness near the end of life. 2016

Maltoni, Marco / Scarpi, Emanuela / Dall'Agata, Monia / Schiavon, Stefania / Biasini, Claudia / Codecà, Carla / Broglia, Chiara Maria / Sansoni, Elisabetta / Bortolussi, Roberto / Garetto, Ferdinando / Fioretto, Luisa / Cattaneo, Maria Teresa / Giacobino, Alice / Luzzani, Massimo / Luchena, Giovanna / Alquati, Sara / Quadrini, Silvia / Zagonel, Vittorina / Cavanna, Luigi / Ferrari, Daris / Pedrazzoli, Paolo / Frassineti, Giovanni Luca / Galiano, Antonella / Casadei Gardini, Andrea / Monti, Manlio / Nanni, Oriana / Anonymous8880886. ·Palliative Care Unit, Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (IRST) IRCCS, Meldola, FC, Italy. · Unit of Biostatistics and Clinical Trials, Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (IRST) IRCCS, Meldola, FC, Italy. Electronic address: emanuela.scarpi@irst.emr.it. · Unit of Biostatistics and Clinical Trials, Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (IRST) IRCCS, Meldola, FC, Italy. · Pain Therapy and Palliative Care Unit, Veneto Institute of Oncology IOV - IRCCS, Padua, Italy. · Medical Oncology Unit, Oncology-Hematology Department, Guglielmo da Saliceto Hospital, Piacenza, Italy. · Medical Oncology Unit, San Paolo Hospital, Milan, Italy. · Oncology Unit, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy. · Palliative Care and Pain Therapy Unit, Aviano National Cancer Institute, Aviano, Italy. · Medical Oncology Unit, Presidio Humanitas Gradenigo, Turin, Italy. · Medical Oncology Unit, Oncology Department, S. Maria Annunziata Hospital, Florence, Italy. · Palliative Care Unit, Oncology Department, L. Sacco Hospital, Milan, Italy. · Oncology Unit, Ospedale degli Infermi, Ponderano, BI, Italy. · Palliative Care, Department of Geriatric, Orthogeriatric and Rehabilitation Frailty Area, E.O. Galliera Hospitals, Genoa, Italy. · Oncology Unit, Sant'Anna Hospital, Como, Italy. · Palliative Care Unit, Arcispedale S. Maria Nuova - IRCCS, Reggio Emilia, Italy. · Oncology Unit, SS Trinità Hospital Sora, ASL Frosinone, Italy. · Department of Clinical and Experimental Oncology, Medical Oncology Unit 1, Veneto Institute of Oncology IOV - IRCCS, Padua, Italy. · Department of Medical Oncology, Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (IRST) IRCCS, Meldola, FC, Italy. ·Eur J Cancer · Pubmed #27821313.

ABSTRACT: AIM: Early palliative care (EPC) in oncology has shown sparse evidence of a positive impact on patient outcomes, quality of care outcomes and costs. PATIENTS AND METHODS: Data for this secondary analysis were taken from a trial of 207 outpatients with metastatic pancreatic cancer randomly assigned to receive standard cancer care plus on-demand EPC (standard arm) or standard cancer care plus systematic EPC (interventional arm). After 20 months' follow-up, 149 (80%) had died. Outcome measures were frequency, type and timing of chemotherapy administration, use of resources, place of death and overall survival. RESULTS: Some indices of end-of-life (EoL) aggressiveness had a favourable impact from systematic EPC. Interventional arm patients showed higher use of hospice services: a significantly longer median and mean period of hospice care (P = 0.025 for both indexes) and a significantly higher median and mean number of hospice admissions (both P < 0.010). In the experimental arm, chemotherapy was performed in the last 30 days of life in a significantly inferior rate with respect to control arm: 18.7% versus 27.8% (adjusted P = 0.036). Other non-significant differences were seen in favour of experimental arm. CONCLUSIONS: Systematic EPC showed a significant impact on some indicators of EoL treatment aggressiveness. These data, reinforced by multiple non-significant differences in most of the other items, suggest that quality of care is improved by this approach. This study is registered on ClinicalTrials.gov (NCT01996540).