{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T04:19:21Z","timestamp":1772165961982,"version":"3.50.1"},"reference-count":31,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2020,5,14]],"date-time":"2020-05-14T00:00:00Z","timestamp":1589414400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2020,5,14]],"date-time":"2020-05-14T00:00:00Z","timestamp":1589414400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100001871","name":"Funda\u00e7\u00e3o para a Ci\u00eancia e a Tecnologia","doi-asserted-by":"publisher","award":["PD\/BD\/113664\/2015"],"award-info":[{"award-number":["PD\/BD\/113664\/2015"]}],"id":[{"id":"10.13039\/501100001871","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001871","name":"Funda\u00e7\u00e3o para a Ci\u00eancia e a Tecnologia","doi-asserted-by":"publisher","award":["PD\/0003\/2013"],"award-info":[{"award-number":["PD\/0003\/2013"]}],"id":[{"id":"10.13039\/501100001871","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100005635","name":"Funda\u00e7\u00e3o Calouste Gulbenkian","doi-asserted-by":"publisher","award":["Programa Gulbenkian Inovar em Sa\u00fade"],"award-info":[{"award-number":["Programa Gulbenkian Inovar em Sa\u00fade"]}],"id":[{"id":"10.13039\/501100005635","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000272","name":"National Institute for Health Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Palliat Care"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>patients with palliative needs often experience high symptom burden which causes suffering to themselves and their families. Depression and psychological distress should not be considered a \u201cnormal event\u201d in advanced disease patients and should be screened, diagnosed, acted on and followed-up. Psychological distress has been associated with greater physical symptom severity, suffering, and mortality in cancer patients. A holistic, but short measure should be used for physical and non-physical needs assessment. The Integrated Palliative care Outcome Scale is one such measure. This work aims to determine palliative needs of patients and explore screening accuracy of two items pertaining to psychological needs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>multi-centred observational study using convenience sampling. Data were collected in 9 Portuguese centres. Inclusion criteria: \u226518\u2009years, mentally fit to give consent, diagnosed with an incurable, potentially life-threatening illness. Exclusion criteria: patient in distress (\u201cunable to converse for a period of time\u201d), cognitively impaired. Descriptive statistics used for demographics. Receiving Operator Characteristics curves and Area Under the Curve for anxiety and depression discriminant properties against the Hospital Anxiety and Depression Scale.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>1703 individuals were screened between July 1st, 2015 and February 2016. A total of 135 (7.9%) were included. Main reason for exclusion was being healthy (75.2%). The primary care centre screened most individuals, as they have the highest rates of daily patients and the majority are healthy. Mean age is 66.8\u2009years (SD 12.7), 58 (43%) are female. Most patients had a cancer diagnosis 109 (80.7%). Items scoring highest (=4) were: family or friends anxious or worried (36.3%); feeling anxious or worried about illness (13.3%); feeling depressed (9.6%). Using a cut-off score of 2\/3, Area Under the Curve for depression and anxiety items were above 70%.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>main palliative needs were psychological, family related and spiritual. This suggests that clinical teams may better manage physical issues and there is room for improvement regarding non-physical needs. Using the Integrated Palliative care Outcome Scale systematically could aid clinical teams screening patients for distressing needs and track their progress in assisting patients and families with those issues.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12904-020-00571-8","type":"journal-article","created":{"date-parts":[[2020,5,14]],"date-time":"2020-05-14T09:10:14Z","timestamp":1589447414000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Determining the prevalence of palliative needs and exploring screening accuracy of depression and anxiety items of the integrated palliative care outcome scale \u2013 a multi-centre study"],"prefix":"10.1186","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1655-7391","authenticated-orcid":false,"given":"B\u00e1rbara","family":"Antunes","sequence":"first","affiliation":[]},{"given":"Pedro Pereira","family":"Rodrigues","sequence":"additional","affiliation":[]},{"given":"Irene J.","family":"Higginson","sequence":"additional","affiliation":[]},{"given":"Pedro Lopes","family":"Ferreira","sequence":"additional","affiliation":[]}],"member":"297","published-online":{"date-parts":[[2020,5,14]]},"reference":[{"key":"571_CR1","doi-asserted-by":"publisher","unstructured":"Oliver D. Improving patient outcomes through palliative care integration in other specialised health services: what we have learned so far and how can we improve? Ann Palliat Med. 2018. https:\/\/doi.org\/10.21037\/apm.2018.05.05.","DOI":"10.21037\/apm.2018.05.05"},{"key":"571_CR2","doi-asserted-by":"publisher","first-page":"905","DOI":"10.1136\/bmj.324.7342.905","volume":"324","author":"D Clark","year":"2002","unstructured":"Clark D. Between hope and acceptance: the medicalisation of dying. BMJ (Clinical research ed). 2002;324:905\u20137.","journal-title":"BMJ (Clinical research ed)"},{"key":"571_CR3","doi-asserted-by":"publisher","first-page":"215","DOI":"10.1007\/s00408-011-9355-7","volume":"190","author":"S Bajwah","year":"2012","unstructured":"Bajwah S, Higginson IJ. Ross, Wells AU, birring SS, Patel a et al. specialist palliative care is more than drugs: a retrospective study of ILD patients. Lung. 2012;190:215\u201320.","journal-title":"Lung"},{"key":"571_CR4","doi-asserted-by":"publisher","first-page":"1188","DOI":"10.1111\/j.1365-2702.2006.01274.x","volume":"15","author":"HR Jocham","year":"2006","unstructured":"Jocham HR, Dassen T, Widdershoven G, Halfens R. Quality of life in palliative care cancer patients: a literature review. J Clin Nurs. 2006;15:1188\u201395.","journal-title":"J Clin Nurs"},{"key":"571_CR5","doi-asserted-by":"publisher","first-page":"93","DOI":"10.1016\/S0885-3924(98)00131-6","volume":"17","author":"AL Stewart","year":"1999","unstructured":"Stewart AL, Teno J, Patrick DL, Lynn J. The concept of quality of life of dying persons in the context of health care. J Pain Symptom Manag. 1999;17:93\u2013108.","journal-title":"J Pain Symptom Manag"},{"key":"571_CR6","doi-asserted-by":"publisher","first-page":"139","DOI":"10.1001\/jama.2012.7381","volume":"308","author":"JM Kupfer","year":"2012","unstructured":"Kupfer JM, Bond EU. Patient satisfaction and patient-centered care: necessary but not equal. JAMA. 2012;308:139\u201340.","journal-title":"JAMA"},{"key":"571_CR7","unstructured":"\"WHO Definition of Palliative Care\". World Health Organization. Retrieved July 10, 2018. http:\/\/www.who.int\/cancer\/palliative\/definition\/en\/."},{"key":"571_CR8","doi-asserted-by":"publisher","unstructured":"Ann-Yi S, Bruera E, Wu J, Liu DD, Agosta M, Williams JL, et al. Characteristics and outcomes of psychology referrals in palliative care department. J Pain Symptom Manag. 2018. https:\/\/doi.org\/10.1016\/j.jpainsymman.2018.05.022.","DOI":"10.1016\/j.jpainsymman.2018.05.022"},{"key":"571_CR9","doi-asserted-by":"publisher","first-page":"11","DOI":"10.1186\/s40359-018-0225-4","volume":"6","author":"N Anderson","year":"2018","unstructured":"Anderson N, Ozakinci G. 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Sensitivity and specificity of a two-question screening tool for depression in a specialist palliative care unit. Palliat Med. 2007;21:193e198.","journal-title":"Palliat Med"}],"container-title":["BMC Palliative Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12904-020-00571-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12904-020-00571-8\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12904-020-00571-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,5,13]],"date-time":"2021-05-13T19:18:13Z","timestamp":1620933493000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcpalliatcare.biomedcentral.com\/articles\/10.1186\/s12904-020-00571-8"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,5,14]]},"references-count":31,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2020,12]]}},"alternative-id":["571"],"URL":"https:\/\/doi.org\/10.1186\/s12904-020-00571-8","relation":{"has-preprint":[{"id-type":"doi","id":"10.21203\/rs.2.15693\/v3","asserted-by":"object"},{"id-type":"doi","id":"10.21203\/rs.2.15693\/v2","asserted-by":"object"},{"id-type":"doi","id":"10.21203\/rs.2.15693\/v1","asserted-by":"object"}]},"ISSN":["1472-684X"],"issn-type":[{"value":"1472-684X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,5,14]]},"assertion":[{"value":"11 July 2019","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"29 April 2020","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"14 May 2020","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Ethical approval was granted from all Research Ethics Committees\u2019 included centres and was in accordance with the 1964 Helsinki declaration and its later amendments or comparable ethical Standard: Comiss\u00e3o de \u00c9tica para a Sa\u00fade do Centro Hospitalar de S. Jo\u00e3o \u2013 Entidade P\u00fablica Empresarial (no reference number); Comiss\u00e3o de \u00c9tica para a Sa\u00fade Administra\u00e7\u00e3o Regional de Sa\u00fade Centro - 77\/2015; Comiss\u00e3o de \u00c9tica para a Sa\u00fade de Lisboa e Vale do Tejo \u2013 6801\/CES\/2015; Comiss\u00e3o de \u00c9tica do Centro Hospitalar de Vila Nova de Gaia\/Espinho \u2013 275\/2015; Conselho de Investiga\u00e7\u00e3o e da Comiss\u00e3o de \u00c9tica do Instituto Portugu\u00eas de Oncologia de Lisboa Francisco Gentil, Entidade P\u00fablica Empresarial \u2013 UIC\/967 n\u00b0 89\/2015; Comiss\u00e3o de \u00c9tica Instituto S. Jo\u00e3o de Deus \u2013 CEISJD03_15; Comiss\u00e3o de \u00c9tica do Centro Acad\u00e9mico de Medicina de Lisboa \u2013 51\/15; Comiss\u00e3o de \u00c9tica da Unidade Local de Sa\u00fade do Nordeste Entidade P\u00fablica Empresarial \u2013 p\u00b0, CE.Informed written (signed) consent was obtained from all participants (patients and healthcare professionals).","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"69"}}