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Involvement of a psychiatric consultation service in a palliative care team at the Japanese cancer center hospital.
- Source :
-
Japanese journal of clinical oncology [Jpn J Clin Oncol] 2010 Dec; Vol. 40 (12), pp. 1139-46. Date of Electronic Publication: 2010 Aug 05. - Publication Year :
- 2010
-
Abstract
- Objective: Close collaboration between the cancer care team service and the psychiatric consultation service is recommended to provide adequate comprehensive care to cancer patients. In Japan, specialized palliative care teams work in conjunction with consultation-liaison psychiatrists as an essential members. There are, however, few studies reporting on these services.<br />Methods: We obtained the characteristics, physical and psychiatric symptoms and outcomes of cancer patients by analyzing the database of patients referred to the palliative care team at the National Cancer Center Hospital East, Japan.<br />Results: Among consecutive 2000 referrals, most patients referred to the palliative care team present both physical and psychiatric symptoms. Psychiatric diagnoses were provided for ∼70% of these patients. Consultation-liaison psychiatrists provided medical care to 80% of all the referrals. The main symptoms for psychiatric consultation were delirium (28%), adjustment disorder (18%), major depression (7.6%) and dementia (6.6%).<br />Conclusions: Psychiatric problems are common in cancer patients of the palliative care team. The palliative care team should assess the psychiatric problems in cancer patients, and the involvement of the consultation-liaison psychiatrists in the palliative care teams may be one of the strategies to establish the psychosocial support for cancer patients in the acute hospital settings.
- Subjects :
- Adjustment Disorders etiology
Adolescent
Adult
Aged
Aged, 80 and over
Comorbidity
Dementia etiology
Depressive Disorder, Major etiology
Female
Humans
Japan
Karnofsky Performance Status
Male
Medical Records
Middle Aged
Neoplasm Staging
Neoplasms pathology
Palliative Care standards
Palliative Care trends
Retrospective Studies
Social Support
Young Adult
Cancer Care Facilities standards
Neoplasms psychology
Neoplasms therapy
Palliative Care methods
Patient Care Team
Psychiatry
Referral and Consultation
Subjects
Details
- Language :
- English
- ISSN :
- 1465-3621
- Volume :
- 40
- Issue :
- 12
- Database :
- MEDLINE
- Journal :
- Japanese journal of clinical oncology
- Publication Type :
- Academic Journal
- Accession number :
- 20688777
- Full Text :
- https://doi.org/10.1093/jjco/hyq147