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

Geoffrey K. Mitchell, C. B. Del Mar, P. K. O'Rourke, A. M. Clavarino

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40 Citations (Scopus)

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 QoL measures 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.

Original languageEnglish
Pages (from-to)904-912
Number of pages9
JournalPalliative Medicine
Volume22
Issue number8
DOIs
Publication statusPublished - 2008

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Palliative Care
General Practitioners
Randomized Controlled Trials
Quality of Life
Telecommunications
Intention to Treat Analysis
Caregivers
Mental Health
Referral and Consultation
Communication
Maintenance
Outcome Assessment (Health Care)

Cite this

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Do case conferences between general practitioners and specialist palliative care services improve quality of life? A randomised controlled trial (ISRCTN 52269003). / Mitchell, Geoffrey K.; Del Mar, C. B.; O'Rourke, P. K.; Clavarino, A. M.

In: Palliative Medicine, Vol. 22, No. 8, 2008, p. 904-912.

Research output: Contribution to journalArticleResearchpeer-review

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