title: Assessment of Intervention by a Palliative Care Team Working in a Japanese General Hospital: A Retrospective Study.
abstract: Our objective was to explore the effectiveness of a palliative care team (PCT) by investigating potential differences in opioid prescription between patients who had had PCT involvement before admission to an inpatient hospice and those who had not. A total of 221 patients met the criteria; they were divided into an intervention group (n = 140) and a control group (n = 81). The daily dose of opioid before admission to the hospice was significantly higher in the intervention group (P < .001). The difference between the maximum opioid dose and the initial dose, the rate of increase in opioids until death, and the length of stay in the hospice were not significantly different between the groups. A PCT contributes to more appropriate use of opioids before admission to a hospice.
authors.affiliation: Department of Palliative Medicine, Palliative Care Team, Osaka City General Hospital, Osaka, Japan kojiamano4813@gmail.com.
authors.forename: Koji
authors.initials: K
authors.lastname: Amano
authors.affiliation: Department of Palliative and Supportive Care, Palliative Care Team and Seirei Hospice, Seirei Mikatahara General Hospital, Shizuoka, Japan.
authors.forename: Tatsuya
authors.initials: T
authors.lastname: Morita
authors.affiliation: Department of Palliative Medicine, Palliative Care Team, Osaka City General Hospital, Osaka, Japan.
authors.forename: Ryohei
authors.initials: R
authors.lastname: Tatara
authors.affiliation: Department of Palliative Medicine, Osaka City General Hospital, Osaka, Japan.
authors.forename: Hirofumi
authors.initials: H
authors.lastname: Katayama
authors.affiliation: Department of Palliative Medicine, Osaka City General Hospital, Osaka, Japan.
authors.forename: Sayo
authors.initials: S
authors.lastname: Aiki
authors.affiliation: Palliative Care Team, Osaka City General Hospital, Osaka, Japan.
authors.forename: Namiki
authors.initials: N
authors.lastname: Kitada
authors.affiliation: Palliative Care Team, Osaka City General Hospital, Osaka, Japan.
authors.forename: Hiromi
authors.initials: H
authors.lastname: Fumimoto
authors.affiliation: Palliative Care Team, Osaka City General Hospital, Osaka, Japan.
authors.forename: Emi
authors.initials: E
authors.lastname: Sato
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000701:Analgesics, Opioid / Q000008:administration & dosage*; D017723:Drug Utilization Review; D005260:Female; D006769:Hospitals, General; D006801:Humans; D007297:Inpatients; D007564:Japan; D008297:Male; D008875:Middle Aged; D010166:Palliative Care / Q000379:methods*; D012189:Retrospective Studies
chemical_list: D000701:Analgesics, Opioid
keywords: inpatient hospice; length of stay; opioid prescription; palliative care team; patient with cancer