{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T18:04:12Z","timestamp":1777917852560,"version":"3.51.4"},"reference-count":28,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2016,7,11]],"date-time":"2016-07-11T00:00:00Z","timestamp":1468195200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Palliat Med"],"published-print":{"date-parts":[[2017,3]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Gathering clinical evidence data on patients\u2019 palliative care needs is paramount to identify changes in outcomes over time and maintaining on-going quality improvement. Implementation of patient-centred outcome measures has been widely recommended. The routine use of these instruments in daily practice is challenging and not widespread.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>To implement a patient-centred outcome measure in daily practice and fulfil one quality indicator: improve pain during the 72\u2009h after admission, in at least 75% of patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>An observational prospective study. The Palliative care Outcome Scale was used at admission (T0), third day (T1) and weekly.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting\/participants:<\/jats:title>\n                    <jats:p>Hospital palliative care unit with 17 individual rooms. All patients admitted to the unit were included in the study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Preliminary results ( N\u2009=\u200984) revealed inconsistent and missing data (14%). Symptoms were sub-optimally controlled by T1. Processes changed, and only a team member could apply Palliative care Outcome Scale. Doctors were encouraged to grasp the meaning of Palliative care Outcome Scale results for each patient. The post-pilot included 317 patients. No missing data occurred. There was an improvement in most items between T0 and T1: \u2018pain\u2019 and \u2018other symptoms\u2019 presented statistical significant differences ( p\u2009&lt;\u20090.05).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Implementing a patient-centred outcome measure in a hospital palliative care service is feasible and improves quality of care. Controlling high pain at T0 improved (&gt;80%) by T1. Results became more consistent and symptom control was improved overall. Patients are evaluated based on holistic domains by an interdisciplinary team and we have added a much needed measure to help guide improvement of the quality of care provided.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0269216316655349","type":"journal-article","created":{"date-parts":[[2016,7,6]],"date-time":"2016-07-06T21:19:34Z","timestamp":1467839974000},"page":"275-282","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":20,"title":["Implementing a patient-centred outcome measure in daily routine in a specialist palliative care inpatient hospital unit: An observational study"],"prefix":"10.1177","volume":"31","author":[{"given":"Alze Pereira dos Santos","family":"Tavares","sequence":"first","affiliation":[{"name":"Hospital Paulistano, Sao Paulo, Brazil"}]},{"given":"Carolina","family":"Paparelli","sequence":"additional","affiliation":[{"name":"Hospital Paulistano, Sao Paulo, Brazil"}]},{"given":"Carolina Sassaki","family":"Kishimoto","sequence":"additional","affiliation":[{"name":"Hospital Paulistano, Sao Paulo, Brazil"}]},{"given":"Silvia Avo","family":"Cortizo","sequence":"additional","affiliation":[{"name":"Hospital Paulistano, Sao Paulo, Brazil"}]},{"given":"Karen","family":"Ebina","sequence":"additional","affiliation":[{"name":"Hospital Paulistano, Sao Paulo, Brazil"}]},{"given":"Mariana Sarkis","family":"Braz","sequence":"additional","affiliation":[{"name":"Hospital Paulistano, Sao Paulo, Brazil"}]},{"given":"Sandra Regina Gon\u00e7alves","family":"Mazutti","sequence":"additional","affiliation":[{"name":"Hospital Paulistano, Sao Paulo, Brazil"}]},{"given":"Marcio Jos\u00e9 Cristiano","family":"Arruda","sequence":"additional","affiliation":[{"name":"Hospital Paulistano, Sao Paulo, Brazil"}]},{"given":"B\u00e1rbara","family":"Antunes","sequence":"additional","affiliation":[{"name":"Centre for Health Technology and Services Research, Faculty of Medicine, University of Porto, Portugal"},{"name":"Centro de Estudos e Investiga\u00e7\u00e3o em Sa\u00fade da Universidade de Coimbra, Portugal"},{"name":"King\u2019s College London, Cicely Saunders Institute, Department of Palliative Care, Policy and Rehabilitation, United Kingdom"}]}],"member":"179","published-online":{"date-parts":[[2016,7,11]]},"reference":[{"key":"bibr1-0269216316655349","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2005.06.007"},{"key":"bibr2-0269216316655349","doi-asserted-by":"publisher","DOI":"10.1093\/jncimonographs\/lgm005"},{"key":"bibr3-0269216316655349","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1002\/cncr.24703","volume":"116","author":"Wang XS.","year":"2010","journal-title":"Cancer"},{"key":"bibr4-0269216316655349","doi-asserted-by":"publisher","DOI":"10.3949\/ccjm.78a.10053"},{"key":"bibr5-0269216316655349","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-005-0834-3"},{"key":"bibr6-0269216316655349","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2011.0393"},{"key":"bibr7-0269216316655349","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-009-0721-4"},{"key":"bibr8-0269216316655349","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.c186"},{"key":"bibr9-0269216316655349","doi-asserted-by":"publisher","DOI":"10.1177\/0269216313491619"},{"key":"bibr10-0269216316655349","first-page":"17","volume":"30","author":"Bausewein C","year":"2015","journal-title":"Palliat Med"},{"key":"bibr11-0269216316655349","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.f167"},{"issue":"27","key":"bibr12-0269216316655349","first-page":"1","volume":"9","author":"Bausewein C","year":"2011","journal-title":"Health Qual Life Out"},{"key":"bibr13-0269216316655349","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2007.12.2341"},{"key":"bibr14-0269216316655349","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2014.07.010"},{"key":"bibr15-0269216316655349","doi-asserted-by":"publisher","DOI":"10.1136\/bmjqs-2013-002524"},{"key":"bibr16-0269216316655349","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2006.10.015"},{"key":"bibr17-0269216316655349","doi-asserted-by":"publisher","DOI":"10.1191\/0269216303pm760oa"},{"key":"bibr18-0269216316655349","doi-asserted-by":"publisher","DOI":"10.1136\/qshc.8.4.219"},{"key":"bibr19-0269216316655349","unstructured":"POS Development Team. Palliative Care Outcome Scale. A resource for palliative care, http:\/\/pos-pal.org (accessed 2 September 2015)."},{"key":"bibr20-0269216316655349","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2015.07.015"},{"key":"bibr21-0269216316655349","unstructured":"Correia FR. Tradu\u00e7\u00e3o, adapta\u00e7\u00e3o cultural e valida\u00e7\u00e3o inicial no Brasil da Palliative care Outcome Scale (POS). Ribeir\u00e3o Preto, 2012, http:\/\/www.teses.usp.br\/teses\/disponiveis\/22\/22133\/tde-27032012-153946\/pt-br.php"},{"key":"bibr22-0269216316655349","unstructured":"Antunes B, Ferreira P, Pinto A. Relevance of symptoms in end-of-life care: validation of the Portuguese POS-S: 17\u00aa Confer\u00eancia Annual da ISOQOL. presented at the 17th Annual Conference of the International Society for Quality of Life Research in October 27\u201330, 2010 London, UK. http:\/\/www.isoqol.org\/UserFiles\/file\/2010_conference_program.pdf"},{"key":"bibr23-0269216316655349","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-6576.2010.02293.x"},{"key":"bibr24-0269216316655349","first-page":"34","volume":"15","author":"Satisfaction with medical care","year":"1995","journal-title":"J Health Care Mark"},{"key":"bibr25-0269216316655349","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2013.01.010"},{"key":"bibr26-0269216316655349","doi-asserted-by":"publisher","DOI":"10.1136\/bmjspcare-2014-000748."},{"key":"bibr27-0269216316655349","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2008.20.1558"},{"key":"bibr28-0269216316655349","unstructured":"Palliative care for adults, 5th ed. 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