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Research

Where do general practitioners find patients with possible palliative care needs?

Bert Leysen, Bart Van den Eynden and Johan Wens
BJGP Open 8 December 2020; BJGPO.2020.0100. DOI: https://doi.org/10.3399/BJGPO.2020.0100
Bert Leysen
1 University of Antwerp Faculty of Medicine and Health Sciences, Wilrijk, Belgium
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  • For correspondence: bert.leysen@uantwerpen.be
Bart Van den Eynden
2 Multidisciplinary Pain Centre, Palliative Care Support Team, University Hospital Antwerp, Edegem, Belgium
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Johan Wens
3 University of Antwerp Faculty of Medicine and Health Sciences, Wilrijk, Belgium
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Abstract

Background: For general practitioners (GPs) to implement early palliative care, the first step is to identify patients with palliative care needs, e.g. with a no-response to the Surprise Question (SQ) (not surprised if a patient would die within a year). Aim: To describe setting-specific screening results of patients eligible for early palliative care in family practices, here defined as patients aged 45 years with a GPs’ no-answer to the SQ. Design and setting: Secondary analysis. Cross-sectional descriptive study in family practices in 5 Belgian areas. Methods: GPs were recruited by targeted sampling. As a first part of an implementation research project, participating GPs provided demographic information about themselves and also provided a response to the SQ for all patients who came to the practice in ten consecutive office days. A summary table describing the gender, age, location of contact (surgery, patient’s home, or nursing home) of the patients was provided by each GP. Results: 56 GPs provided complete data for the practice summary tables. In total 9,150 patients were described (all ages, all settings), of which 506 patients (6%) had a SQ-no-as-answer. The distribution of SQ-no-as-answer patients per setting was 152/7659 (2%) patients seen in family practice surgeries, 139/998 (14%) patients seen in their homes, and 215/493 (44%) patients seen innursing homes. Conclusions: There was quite a large number of SQ-no-as-answer patients, with possible palliative care needs. To enhance implementation of early palliative care, future research should compare results of SQ and other screening tools with palliative care symptoms assessments.

  • Clinical (general)
  • Comorbidity
  • Continuity of care
  • Clinical (physical)
  • Cardiovascular disease
  • Diabetes
  • Research methods
  • Epidemiology
  • Received June 19, 2020.
  • Accepted September 27, 2020.
  • Copyright © 2020, The Authors

This article is Open Access: CC BY license (https://creativecommons.org/licenses/by/4.0/)

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Where do general practitioners find patients with possible palliative care needs?
Bert Leysen, Bart Van den Eynden, Johan Wens
BJGP Open 8 December 2020; BJGPO.2020.0100. DOI: 10.3399/BJGPO.2020.0100

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Accepted Manuscript
Where do general practitioners find patients with possible palliative care needs?
Bert Leysen, Bart Van den Eynden, Johan Wens
BJGP Open 8 December 2020; BJGPO.2020.0100. DOI: 10.3399/BJGPO.2020.0100
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Keywords

  • Clinical (general)
  • Comorbidity
  • Continuity of care
  • Clinical (physical)
  • Cardiovascular disease
  • Diabetes
  • Research methods
  • Epidemiology

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