{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T22:01:24Z","timestamp":1747173684170,"version":"3.40.5"},"reference-count":20,"publisher":"Cambridge University Press (CUP)","issue":"1","license":[{"start":{"date-parts":[[2021,3,4]],"date-time":"2021-03-04T00:00:00Z","timestamp":1614816000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Pall Supp Care"],"published-print":{"date-parts":[[2022,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1478951521000183_sec_a1\"><jats:title>Objective<\/jats:title><jats:p>Telephone availability is integrated into our home-based palliative care team (HPCT) with the aim of helping terminally ill patients and their caregivers alleviate their physical and psychosocial suffering, in addition to the team's home visits. We aimed to compare the differences between non-callers (patients with no phone calls during the team's follow-up period) vs. callers (\u22651 phone call during the team's follow-up period) across sociodemographic, clinical, physical, and psychosocial variables.<\/jats:p><\/jats:sec><jats:sec id=\"S1478951521000183_sec_a2\" sec-type=\"methods\"><jats:title>Method<\/jats:title><jats:p>Retrospective analysis of all patients with and without phone call entries registered in our anonymized database, from October 2018 to September 2020.<\/jats:p><\/jats:sec><jats:sec id=\"S1478951521000183_sec_a3\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>We analyzed 389 patients: 58% were male, and the average age was 71 years old; 84% had malignancies, with a mean palliative performance status of 45%. The majority of patients (<jats:italic>n<\/jats:italic> = 281, 72%) made at least one phone call to HPCT. On average, a mean of 2.5 calls (SD = 3.61; range: 0\u201326) per patient was registered. Callers compared with non-callers more frequently lived with someone (<jats:italic>p<\/jats:italic> = 0.030), preferred home as a place to die (<jats:italic>p<\/jats:italic> = 0.039), had more doctor (<jats:italic>p<\/jats:italic> = 0.010) and nurse home visits (<jats:italic>p<\/jats:italic> = 0.006), a prolonged HPCT follow-up time (<jats:italic>p<\/jats:italic> = 0.053), along with more frequent emergency room visits (<jats:italic>p<\/jats:italic> &lt; 0.001) and hospitalizations (<jats:italic>p<\/jats:italic> = 0.043). Moreover, those who made at least one phone call to the HPCT had a higher frequency of conspiracy of silence (<jats:italic>p<\/jats:italic> = 0.046), anxiety (<jats:italic>p<\/jats:italic> = 0.044), and lower palliative performance status (<jats:italic>p<\/jats:italic> = 0.001). No statistically significant associations or differences were found for the other variables.<\/jats:p><\/jats:sec><jats:sec id=\"S1478951521000183_sec_a4\"><jats:title>Significance of results<\/jats:title><jats:p>Several factors seem to correlate with an increased number of phone calls, and physical suffering does not play a relevant role in triggering contacts, in contrast with psychosocial and other clinical factors.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s1478951521000183","type":"journal-article","created":{"date-parts":[[2021,3,4]],"date-time":"2021-03-04T09:58:57Z","timestamp":1614851937000},"page":"107-112","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["\u201cHello. May I speak with someone, please? It's not about my physical pain.\u201d: A retrospective study about the factors associated with phone calls to a Portuguese home-based palliative care team"],"prefix":"10.1017","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9283-5045","authenticated-orcid":false,"given":"Miguel","family":"Juli\u00e3o","sequence":"first","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1655-7391","authenticated-orcid":false,"given":"B\u00e1rbara","family":"Antunes","sequence":"additional","affiliation":[]},{"given":"Catarina","family":"Samorinha","sequence":"additional","affiliation":[]},{"given":"Harvey Max","family":"Chochinov","sequence":"additional","affiliation":[]}],"member":"56","published-online":{"date-parts":[[2021,3,4]]},"reference":[{"key":"S1478951521000183_ref5","doi-asserted-by":"crossref","first-page":"674","DOI":"10.1176\/ajp.154.5.674","article-title":"\u201cAre you depressed?\u201d Screening for depression in the terminally ill","volume":"154","author":"Chochinov","year":"1997","journal-title":"The American Journal of Psychiatry"},{"key":"S1478951521000183_ref18","doi-asserted-by":"publisher","DOI":"10.1136\/bmjspcare-2016-001141"},{"key":"S1478951521000183_ref9","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2016.10.370"},{"key":"S1478951521000183_ref19","doi-asserted-by":"publisher","DOI":"10.1191\/026921699673563105"},{"key":"S1478951521000183_ref13","doi-asserted-by":"publisher","DOI":"10.2174\/1874434601206010001"},{"volume-title":"EAPC Atlas of Palliative Care in Europe 2013","year":"2013","author":"Centeno","key":"S1478951521000183_ref3"},{"key":"S1478951521000183_ref6","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2014.11.291"},{"key":"S1478951521000183_ref8","first-page":"CD007760","article-title":"Effectiveness and cost-effectiveness of home palliative care services for adults with advanced illness and their caregivers","volume":"6","author":"Gomes","year":"2013","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"S1478951521000183_ref10","doi-asserted-by":"publisher","DOI":"10.1017\/S1478951515000474"},{"key":"S1478951521000183_ref11","doi-asserted-by":"publisher","DOI":"10.21037\/apm.2018.04.04"},{"key":"S1478951521000183_ref7","doi-asserted-by":"publisher","DOI":"10.1046\/j.1526-4637.2000.00043.x"},{"key":"S1478951521000183_ref20","doi-asserted-by":"publisher","DOI":"10.2217\/cer.12.63"},{"key":"S1478951521000183_ref16","unstructured":"Palliative Care Needs Assessment Guidance [Internet] (2014) Place of publication: The National Clinical Programme for Palliative Care, HSE Clinical Strategy and Programmes Division [revised January 2016; cited May 2020]; [13 pages]. Available at: www.hse.ie\/palliativecareprogramme."},{"key":"S1478951521000183_ref2","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2012.45.3696"},{"key":"S1478951521000183_ref1","doi-asserted-by":"publisher","DOI":"10.12968\/ijpn.2016.22.6.286"},{"key":"S1478951521000183_ref12","first-page":"1","article-title":"\u201cTruly holistic?\u201d Differences in documenting physical and psychosocial needs and hope in Portuguese palliative patients","author":"Juli\u00e3o","year":"2020","journal-title":"Palliative and Supportive Care"},{"key":"S1478951521000183_ref17","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2014.10.020"},{"key":"S1478951521000183_ref4","doi-asserted-by":"crossref","first-page":"1185","DOI":"10.1176\/ajp.152.8.1185","article-title":"Desire for death in the terminally ill","volume":"152","author":"Chochinov","year":"1995","journal-title":"The American Journal of Psychiatry"},{"key":"S1478951521000183_ref14","first-page":"CD004510","article-title":"Telephone follow-up, initiated by a hospital-based health professional, for postdischarge problems in patients discharged from hospital to home","volume":"2006","author":"Mistiaen","year":"2006","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"S1478951521000183_ref15","doi-asserted-by":"publisher","DOI":"10.1080\/13548500500524088"}],"container-title":["Palliative and Supportive Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1478951521000183","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,3,1]],"date-time":"2022-03-01T01:39:25Z","timestamp":1646098765000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1478951521000183\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,3,4]]},"references-count":20,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2022,2]]}},"alternative-id":["S1478951521000183"],"URL":"https:\/\/doi.org\/10.1017\/s1478951521000183","relation":{},"ISSN":["1478-9515","1478-9523"],"issn-type":[{"type":"print","value":"1478-9515"},{"type":"electronic","value":"1478-9523"}],"subject":[],"published":{"date-parts":[[2021,3,4]]},"assertion":[{"value":"Copyright \u00a9 The Author(s), 2021. Published by Cambridge University Press","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}}]}}