{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T00:44:31Z","timestamp":1778719471653,"version":"3.51.4"},"reference-count":40,"publisher":"MDPI AG","issue":"14","license":[{"start":{"date-parts":[[2020,7,10]],"date-time":"2020-07-10T00:00:00Z","timestamp":1594339200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Background and study aims: Acute health service requires focused palliative care (PC). This study was performed to provide guidance for the establishment of a palliative care consultation service (PCCS). Patients and methods: This study was conceived as a retrospective single-center study for observing, analyzing and evaluating the initial setup of a PCCS from 1 May 2015 to 31 May 2018. Patients from Muenster University Hospital with advanced life-limiting diseases, identified to require PC, were included. Results: PCCS was requested from various departments, for between 20 and 80 patients per month, corresponding to a total of 2359 for the study period. Requests were highest in internal medicine (27.3%), gynecology (18.1%) and radiotherapy (17.6%). Time to referral was significantly shorter in departments with special PCCS ward rounds (6 \u00b1 9 vs. 12 \u00b1 22 days, p &lt; 0.001). The most frequently reported symptoms were fatigue, pain and loss of appetite. Pain was frequently localized in the stomach (20.4%), back (17.1%), or in the head and neck area (14.9%). After the first PCCS consultation, 254 patients (90%) reported sufficient pain relief after 48 h. An introduction\/modification of painkiller medication, which was recommended for 142 inpatients, was implemented in 57.0% of cases by the respective departments. Overall, the direct realization of PCCS recommendations reached only 50% on average. Conclusions: Besides an analysis of the ability to address the symptoms of the referred patients by the PCCS, this study highlights the importance of the interaction between PCCS and other departments. It further elucidates the role and possibilities of this service both in regular ward rounds and individual staff contacts.<\/jats:p>","DOI":"10.3390\/ijerph17144977","type":"journal-article","created":{"date-parts":[[2020,7,10]],"date-time":"2020-07-10T09:25:28Z","timestamp":1594373128000},"page":"4977","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Establishment of a Palliative Care Consultation Service (PCCS) in an Acute Hospital Setting"],"prefix":"10.3390","volume":"17","author":[{"given":"Peter Tom","family":"Engel","sequence":"first","affiliation":[{"name":"Department of Palliative Care, University of Muenster, 48149 Muenster, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tharshika","family":"Thavayogarajah","sequence":"additional","affiliation":[{"name":"Department of Hematology, Oncology, Hemostaseology, and Stem Cell Transplantation, Faculty of Medicine, RWTH Aachen University, 52074 Aachen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2574-9419","authenticated-orcid":false,"given":"Dennis","family":"G\u00f6rlich","sequence":"additional","affiliation":[{"name":"Institute of Biostatistics and Clinical Research, University of Muenster, 48149 Muenster, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philipp","family":"Lenz","sequence":"additional","affiliation":[{"name":"Department of Palliative Care, University of Muenster, 48149 Muenster, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2020,7,10]]},"reference":[{"key":"ref_1","unstructured":"(2017, November 16). Definition of Palliative Care. Available online: http:\/\/www.who.int\/cancer\/palliative\/definition\/en\/."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1016\/j.jpainsymman.2006.10.015","article-title":"Symptom prevalence in patients with incurable cancer: A systematic review","volume":"34","author":"Teunissen","year":"2007","journal-title":"J. Pain Symptom Manag."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"646","DOI":"10.1200\/JCO.2010.29.2599","article-title":"Palliative cancer care: An epidemiologic study","volume":"29","author":"Becker","year":"2011","journal-title":"J. Clin. Oncol."},{"key":"ref_4","doi-asserted-by":"crossref","unstructured":"Huseb\u00f8, S., and Klaschik, E. (2009). Palliativmedizin\u2014Grundlagen und Praxis, Springer. Auflage.","DOI":"10.1007\/978-3-642-01549-6"},{"key":"ref_5","unstructured":"Radbruch L, P.S. (2020, May 28). Standards und Richtlinien f\u00fcr Hospiz- und Palliativversorgung. Available online: https:\/\/www.thieme-connect.com\/products\/ejournals\/html\/10.1055\/s-0031-1276957."},{"key":"ref_6","unstructured":"Nemeth, C.R.I. (2017, November 16). Available online: https:\/\/www.sozialministerium.at\/dam\/jcr:5a7fd621-74c9-44cb-9f2b-d1a946135f36\/bericht_abgestufte_hospiz-_und_palliativversorgung.pdf."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1634\/theoncologist.2010-0161","article-title":"Association between a name change from palliative to supportive care and the timing of patient referrals at a comprehensive cancer center","volume":"16","author":"Dalal","year":"2011","journal-title":"Oncologist"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"423","DOI":"10.1097\/PPO.0b013e3181f684e5","article-title":"What is the evidence that palliative care teams improve outcomes for cancer patients and their families?","volume":"16","author":"Higginson","year":"2010","journal-title":"Cancer J."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"180","DOI":"10.1089\/jpm.2007.0055","article-title":"Impact of an inpatient palliative care team: A randomized control trial","volume":"11","author":"Gade","year":"2008","journal-title":"J. Palliat. Med."},{"key":"ref_10","doi-asserted-by":"crossref","unstructured":"Brinkman-Stoppelenburg, A., Witkamp, F.E., van Zuylen, L., van der Rijt, C.C.D., and van der Heide, A. (2018). Palliative care team consultation and quality of death and dying in a university hospital: A secondary analysis of a prospective study. PLoS ONE, 13.","DOI":"10.1371\/journal.pone.0208564"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"912","DOI":"10.1001\/archinte.168.9.912","article-title":"The quality of dying and death","volume":"168","author":"Hales","year":"2008","journal-title":"Arch. Intern. Med."},{"key":"ref_12","first-page":"863","article-title":"Palliative Care of Adult Patients With Cancer","volume":"112","author":"Bausewein","year":"2015","journal-title":"Dtsch. Arztebl. Int."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"733","DOI":"10.1056\/NEJMoa1000678","article-title":"Early palliative care for patients with metastatic non-small-cell lung cancer","volume":"363","author":"Temel","year":"2010","journal-title":"N. Engl. J. Med."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1089\/jpm.2015.0119","article-title":"The Costs of Waiting: Implications of the Timing of Palliative Care Consultation among a Cohort of Decedents at a Comprehensive Cancer Center","volume":"19","author":"Scibetta","year":"2016","journal-title":"J. Palliat. Med."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"623890","DOI":"10.1155\/2015\/623890","article-title":"Concordance between Experiences of Bereaved Relatives, Physicians, and Nurses with Hospital End-of-Life Care: Everyone Has Their \u201cOwn Truth\u201d","volume":"2015","author":"Witkamp","year":"2015","journal-title":"Int. J. Palliat. Care"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"627","DOI":"10.1503\/cmaj.050626","article-title":"What matters most in end-of-life care: Perceptions of seriously ill patients and their family members","volume":"174","author":"Heyland","year":"2006","journal-title":"CMAJ"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"373","DOI":"10.1097\/00002820-197810000-00003","article-title":"Development of a symptom distress scale","volume":"1","author":"McCorkle","year":"1978","journal-title":"Cancer Nurs."},{"key":"ref_18","unstructured":"Girgis, A.J.C., Currow, D., Waller, A., Kristjanson, L., Mitchell, G., Yates, P., Neil, A., Kelly, B., Tattersall, M., and Bowman., D. (2020, May 28). Palliative Care Needs Assessment Guidelines. Available online: https:\/\/www.caresearch.com.au\/caresearch\/Portals\/0\/Documents\/PROFESSIONAL-GROUPS\/General-Practitioners\/PalliativeCareNeedsAssessmentGde-CHeRP.pdf."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"649","DOI":"10.1097\/00000421-198212000-00014","article-title":"Toxicity and response criteria of the Eastern Cooperative Oncology Group","volume":"5","author":"Oken","year":"1982","journal-title":"Am. J. Clin. Oncol."},{"key":"ref_20","doi-asserted-by":"crossref","unstructured":"Wickham, H. (2009). ggplot2: Elegant Graphics for Data Analysis, Springer.","DOI":"10.1007\/978-0-387-98141-3"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"110","DOI":"10.1634\/theoncologist.2015-0234","article-title":"Use of Palliative Care Services in a Tertiary Cancer Center","volume":"21","author":"Dalal","year":"2016","journal-title":"Oncologist"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"261","DOI":"10.1016\/j.jpainsymman.2012.02.015","article-title":"Growth of an academic palliative medicine program: Patient encounters and clinical burden","volume":"45","author":"Dev","year":"2013","journal-title":"J. Pain Symptom Manag."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"680","DOI":"10.1016\/j.jpainsymman.2011.02.010","article-title":"Navigating tensions: Integrating palliative care consultation services into an academic medical center setting","volume":"42","author":"Norton","year":"2011","journal-title":"J. Pain Symptom Manag."},{"key":"ref_24","doi-asserted-by":"crossref","unstructured":"Dasch, B., Kalies, H., Feddersen, B., Ruderer, C., Hiddemann, W., and Bausewein, C. (2017). Care of cancer patients at the end of life in a German university hospital: A retrospective observational study from 2014. PLoS ONE, 12.","DOI":"10.1371\/journal.pone.0175124"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"327","DOI":"10.1016\/j.jpainsymman.2008.09.009","article-title":"Delivering palliative care in an acute hospital setting: Views of referrers and specialist providers","volume":"38","author":"Ewing","year":"2009","journal-title":"J. Pain Symptom Manag."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"231","DOI":"10.1089\/jpm.2008.0235","article-title":"Identifying factors affecting utilization of an inpatient palliative care service: A physician survey","volume":"12","author":"Snow","year":"2009","journal-title":"J. Palliat. Med."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"406","DOI":"10.1177\/0269216316663976","article-title":"Current status of accurate prognostic awareness in advanced\/terminally ill cancer patients: Systematic review and meta-regression analysis","volume":"31","author":"Chen","year":"2017","journal-title":"Palliat. Med."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"4380","DOI":"10.1200\/JCO.2012.44.0248","article-title":"Referral practices of oncologists to specialized palliative care","volume":"30","author":"Wentlandt","year":"2012","journal-title":"J. Clin. Oncol."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"1137","DOI":"10.1089\/jpm.2009.0131","article-title":"Physician and nurse perceptions of a new inpatient palliative care consultation project: Implications for education and training","volume":"12","author":"Enguidanos","year":"2009","journal-title":"J. Palliat. Med."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"786","DOI":"10.1089\/jpm.2012.0487","article-title":"Education and referral criteria: Impact on oncology referrals to palliative care","volume":"16","author":"Reville","year":"2013","journal-title":"J. Palliat. Med."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1089\/jpm.2007.0094","article-title":"Clinical findings of a palliative care consultation team at a comprehensive cancer center","volume":"11","author":"Dhillon","year":"2008","journal-title":"J. Palliat. Med."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"2287","DOI":"10.1007\/s00520-015-3034-9","article-title":"Characteristics and outcomes of patients with advanced cancer evaluated by a palliative care team at an emergency center. A retrospective study","volume":"24","author":"Shin","year":"2016","journal-title":"Support Care Cancer"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"148","DOI":"10.1177\/0269216310385370","article-title":"Non-cancer patients in specialized palliative care in Germany: What are the problems?","volume":"25","author":"Ostgathe","year":"2011","journal-title":"Palliat. Med."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1177\/1049909115610077","article-title":"The Evolution of an Inpatient Palliative Care Consultation Service in an Urban Teaching Hospital","volume":"34","author":"Liu","year":"2017","journal-title":"Am. J. Hosp. Palliat. Care"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"e37","DOI":"10.1200\/JOP.2013.001130","article-title":"Oncologist factors that influence referrals to subspecialty palliative care clinics","volume":"10","author":"Schenker","year":"2014","journal-title":"J. Oncol. Pract."},{"key":"ref_36","unstructured":"(2017, November 16). S-Leitlinie Palliativmedizin 05\/2015, 2015. Available online: https:\/\/www.dgpalliativmedizin.de\/images\/stories\/LL_Palliativmedizin_Langversion_1_1.pdf."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"1347","DOI":"10.1089\/jpm.2007.0065","article-title":"The economic and clinical impact of an inpatient palliative care consultation service: A multifaceted approach","volume":"10","author":"Ciemins","year":"2007","journal-title":"J. Palliat. Med."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"733","DOI":"10.1038\/sj.bjc.6600522","article-title":"The imPaCT study: A randomised controlled trial to evaluate a hospital palliative care team","volume":"87","author":"Hanks","year":"2002","journal-title":"Br. J. Cancer"},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"e2981","DOI":"10.1097\/MD.0000000000002981","article-title":"Impact of Palliative Care Consultation Service on Terminally Ill Cancer Patients: A 9-Year Observational Cohort Study in Taiwan","volume":"95","author":"Lu","year":"2016","journal-title":"Medicine (Baltimore)"},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"873","DOI":"10.1016\/j.jpainsymman.2008.05.005","article-title":"Optimizing the success of a palliative care consult service: How to average over 110 consults per month","volume":"37","author":"Radwany","year":"2009","journal-title":"J. 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