(PDF) Estadistica y probabilidades mitacc meza

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READTICOTIONSD I S C I P T I V E AND P R
OBALITIESMAXIM O M E T A C M E Z A. . .
Automotores que seprecie.com.Palliative Care
Consultation in a Hematology
Service: A Cross-sectional
Study. Patients with chronic

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lymphocytic leukemia (CLL)
face a range of symptoms.
The provision of palliative
care support can enable
patients to achieve theirpersonal goals and improve
quality of life. However, thebenefits of palliative caremanagement have not been
well studied in this patient
population. Our aim was topage 4 / 10

evaluate whether patientswith CLL benefited from theprovision of palliative care
support from ahematologist/oncologist. A
cross-sectional design wasused for patients with newly
diagnosed CLL referred to ahematology/oncology
consultation service who
would benefit from palliative
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care consultation. A team ofoncology nurses andhematology/oncology
palliative care specialists in
the hematology/oncology
clinic managed palliative careconsultations. A retrospective
chart review was performed
from the referral date to thedata extraction date, between
January 1, 2015, andpage 6 / 10

September 30, 2015. A totalof 29 patients, predominantly
male, with a mean age of 68
years, were included. The
median time of follow-up
from referral was 3 months.
Most patients were referred
after the diagnosis of CLL
had been confirmed (n = 21[72%]). Twenty-one (72%)
of the patients had a median
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of 2 comorbidities, of whom
18 (86%) had at least 1 lifelimiting comorbidity. Fifteen(52%) patients had anadverse prognostic factor.
The median Karnofsky
Performance Status score
was 60%. Most patients(85%) indicated a preference
for palliative careconsultation. Only 1 patient
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had 2 palliative care consults.
Twenty-two (76%) of thepatients were referred fromanother provider for a reviewof their palliative care.
Twenty-one (72%) of thepatients underwent proactiveplanning for end-of-life care.
Palliative care consultations
were initiated in 21 (72%) of
the 29 referred patients. Of
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these 21 patients, 19
underwent 8 proactiveplanning discussions, 2
education sessions for thepatients or the family, 1
discussion with the patient's
primary d4474df7b8

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