Advance care planning: the impact of Ceiling of Treatment plans in patients with Coordinate My Care

in europe •  7 years ago 

By a News Reporter-Staff News Editor at Health & Medicine Week -- Fresh data on Emergency Treatment - Resuscitation are presented in a new report. According to news originating from London, United Kingdom, by NewsRx correspondents, research stated, “The aim of this evaluation is to describe the components and results of urgent care planning in Coordinate My Care (CMC), a digital clinical service for patients with life-limiting illness, for use if a patient is unable to make or express choices. Ceiling of treatment (CoT) plans were created detailing where the patient would like to receive their care and how aggressive medical interventions should be.”

Our news journalists obtained a quote from the research from Royal Marsden Hospital, “A retrospective service evaluation was completed of all CMC records created between December 2015 and September 2016 (n=6854). CMC records were divided into two cohorts: those with a CoT plan and those without. The factors associated with these cohorts were reviewed including age, diagnosis, resuscitation status and preferences for place of death (PPD). Analysis of the non-mandatory free text section was carried out. Two-thirds of patients had recorded decisions about CoT. Regardless of which CoT option was chosen, for most patients, PPD was home or care home. Patients with a CoT plan were more likely to have a documented resuscitation status.Patients with a CoT were more likely to die in their PPD (82%vs71%, OR 1.79, p<0.0001). A higher proportion of patients with a CoT decision died outside hospital. This analysis demonstrates that a substantial proportion of patients are willing to engage in urgent care planning.”

According to the news editors, the research concluded: “Three facets of urgent care planning identified include PPD, CoT and resuscitation status.”

For more information on this research see: Advance care planning: the impact of Ceiling of Treatment plans in patients with Coordinate My Care. Bmj Supportive & Palliative Care , 2018;():. (BMJ Publishing Group - http://group.bmj.com/; Bmj Supportive & Palliative Care - http://spcare.bmj.com/)

The news correspondents report that additional information may be obtained from H.L. Broadhurst, Symptom Control and Palliative Care Department, Royal Marsden Hospital, London, UK. Additional authors for this research include J. Droney, T. Callender, A. Shaw and J. Riley.

The direct object identifier (DOI) for that additional information is: https://doi.org/10.1136/bmjspcare-2017-001414. This DOI is a link to an online electronic document that is either free or for purchase, and can be your direct source for a journal article and its citation.

Our reports deliver fact-based news of research and discoveries from around the world. Copyright 2018, NewsRx LLC

CITATION: (2018-04-27), Royal Marsden Hospital Details Findings in Resuscitation (Advance care planning: the impact of Ceiling of Treatment plans in patients with Coordinate My Care), Health & Medicine Week, 7113, ISSN: 1532-4605, BUTTER® ID: 015563252

From the newsletter Health & Medicine Week.
https://www.newsrx.com/Butter/#!Search:a=15563252


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