COVID-19: guidance on palliative care from a European Respiratory Society international task force.

Janssen, DJA; Ekström, M; Currow, DC; Johnson, MJ; Maddocks, M; Simonds, AK; Tonia, T; Marsaa, K

COVID-19: guidance on palliative care from a European Respiratory Society international task force.

Janssen, DJA Ekström, M Currow, DC Johnson, MJ Maddocks, M Simonds, AK Tonia, T Marsaa, K

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Publisher:: EUROPEAN RESPIRATORY SOC JOURNALS LTD
Publication Type:: Journal Article
Citation:: The European respiratory journal, 2020, 56, (3)
Issue Date:: 2020-09-03

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Field	Value	Language
dc.contributor.author	Janssen, DJA
dc.contributor.author	Ekström, M
dc.contributor.author	Currow, DC
dc.contributor.author	Johnson, MJ
dc.contributor.author	Maddocks, M
dc.contributor.author	Simonds, AK
dc.contributor.author	Tonia, T
dc.contributor.author	Marsaa, K
dc.date.accessioned	2021-04-06T03:00:37Z
dc.date.available	2020-07-02
dc.date.available	2021-04-06T03:00:37Z
dc.date.issued	2020-09-03
dc.identifier.citation	The European respiratory journal, 2020, 56, (3)
dc.identifier.issn	0903-1936
dc.identifier.issn	1399-3003
dc.identifier.uri	http://hdl.handle.net/10453/147853
dc.description.abstract	<h4>Background</h4>Many people are dying from coronavirus disease 2019 (COVID-19), but consensus guidance on palliative care in COVID-19 is lacking. This new life-threatening disease has put healthcare systems under pressure, with the increased need of palliative care provided to many patients by clinicians who have limited prior experience in this field. Therefore, we aimed to make consensus recommendations for palliative care for patients with COVID-19 using the Convergence of Opinion on Recommendations and Evidence (CORE) process.<h4>Methods</h4>We invited 90 international experts to complete an online survey including stating their agreement, or not, with 14 potential recommendations. At least 70% agreement on directionality was needed to provide consensus recommendations. If consensus was not achieved on the first round, a second round was conducted.<h4>Results</h4>68 (75.6%) experts responded in the first round. Most participants were experts in palliative care, respiratory medicine or critical care medicine. In the first round, consensus was achieved on 13 recommendations based upon indirect evidence and clinical experience. In the second round, 58 (85.3%) out of 68 of the first-round experts responded, resulting in consensus for the 14th recommendation.<h4>Conclusion</h4>This multi-national task force provides consensus recommendations for palliative care for patients with COVID-19 concerning: advance care planning; (pharmacological) palliative treatment of breathlessness; clinician-patient communication; remote clinician-family communication; palliative care involvement in patients with serious COVID-19; spiritual care; psychosocial care; and bereavement care. Future studies are needed to generate empirical evidence for these recommendations.
dc.format	Electronic-Print
dc.language	eng
dc.publisher	EUROPEAN RESPIRATORY SOC JOURNALS LTD
dc.relation.ispartof	The European respiratory journal
dc.relation.isbasedon	10.1183/13993003.02583-2020
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	11 Medical and Health Sciences, 1116 Medical Physiology
dc.subject.classification	Respiratory System
dc.subject.mesh	Humans
dc.subject.mesh	Pneumonia, Viral
dc.subject.mesh	Coronavirus Infections
dc.subject.mesh	Palliative Care
dc.subject.mesh	Respiratory Therapy
dc.subject.mesh	Severity of Illness Index
dc.subject.mesh	Consensus
dc.subject.mesh	Advisory Committees
dc.subject.mesh	Advance Care Planning
dc.subject.mesh	Europe
dc.subject.mesh	Pandemics
dc.subject.mesh	Psychosocial Support Systems
dc.subject.mesh	Betacoronavirus
dc.subject.mesh	COVID-19
dc.subject.mesh	SARS-CoV-2
dc.subject.mesh	Advance Care Planning
dc.subject.mesh	Advisory Committees
dc.subject.mesh	Betacoronavirus
dc.subject.mesh	COVID-19
dc.subject.mesh	Consensus
dc.subject.mesh	Coronavirus Infections
dc.subject.mesh	Europe
dc.subject.mesh	Humans
dc.subject.mesh	Palliative Care
dc.subject.mesh	Pandemics
dc.subject.mesh	Pneumonia, Viral
dc.subject.mesh	Psychosocial Support Systems
dc.subject.mesh	Respiratory Therapy
dc.subject.mesh	SARS-CoV-2
dc.subject.mesh	Severity of Illness Index
dc.title	COVID-19: guidance on palliative care from a European Respiratory Society international task force.
dc.type	Journal Article
utslib.citation.volume	56
utslib.location.activity	England
utslib.for	1116 Medical Physiology
utslib.for	11 Medical and Health Sciences
utslib.for	1116 Medical Physiology
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/IMPACCT
utslib.copyright.status	closed_access	*
dc.date.updated	2021-04-06T03:00:33Z
pubs.issue	3
pubs.publication-status	Published
pubs.volume	56
utslib.citation.issue	3

Abstract:

Background

Many people are dying from coronavirus disease 2019 (COVID-19), but consensus guidance on palliative care in COVID-19 is lacking. This new life-threatening disease has put healthcare systems under pressure, with the increased need of palliative care provided to many patients by clinicians who have limited prior experience in this field. Therefore, we aimed to make consensus recommendations for palliative care for patients with COVID-19 using the Convergence of Opinion on Recommendations and Evidence (CORE) process.

Methods

We invited 90 international experts to complete an online survey including stating their agreement, or not, with 14 potential recommendations. At least 70% agreement on directionality was needed to provide consensus recommendations. If consensus was not achieved on the first round, a second round was conducted.

Results

68 (75.6%) experts responded in the first round. Most participants were experts in palliative care, respiratory medicine or critical care medicine. In the first round, consensus was achieved on 13 recommendations based upon indirect evidence and clinical experience. In the second round, 58 (85.3%) out of 68 of the first-round experts responded, resulting in consensus for the 14th recommendation.

Conclusion

This multi-national task force provides consensus recommendations for palliative care for patients with COVID-19 concerning: advance care planning; (pharmacological) palliative treatment of breathlessness; clinician-patient communication; remote clinician-family communication; palliative care involvement in patients with serious COVID-19; spiritual care; psychosocial care; and bereavement care. Future studies are needed to generate empirical evidence for these recommendations.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/147853