Barriers to palliative care in hepatocellular carcinoma: A review of the literature

Abasseri, M; Hoque, S; Kochovska, BAS; Caldwell, K; Sheahan, L; Zekry, A

Barriers to palliative care in hepatocellular carcinoma: A review of the literature

Abasseri, M Hoque, S Kochovska, BAS Caldwell, K Sheahan, L Zekry, A

Permalink

Publisher:: Wiley
Publication Type:: Journal Article
Citation:: Journal of Gastroenterology and Hepatology, 2023, 38, (7), pp. 1047-1055
Issue Date:: 2023-07

Open Access

Copyright Clearance Process

Recently Added
In Progress
Open Access

This item is open access.

Adobe PDF

Download Published versionAdobe PDF (426.63 kB)

View on publisher's site

View statistics

Full metadata record

Field	Value	Language
dc.contributor.author	Abasseri, M
dc.contributor.author	Hoque, S
dc.contributor.author	Kochovska, BAS
dc.contributor.author	Caldwell, K
dc.contributor.author	Sheahan, L
dc.contributor.author	Zekry, A
dc.date.accessioned	2024-04-03T21:37:31Z
dc.date.available	2023-01-11
dc.date.available	2024-04-03T21:37:31Z
dc.date.issued	2023-07
dc.identifier.citation	Journal of Gastroenterology and Hepatology, 2023, 38, (7), pp. 1047-1055
dc.identifier.issn	0815-9319
dc.identifier.issn	1440-1746
dc.identifier.uri	http://hdl.handle.net/10453/177468
dc.description.abstract	Hepatocellular carcinoma HCC is a deadly and burdensome form of liver cancer with an increasing global prevalence Its course is unpredictable as it frequently occurs in the context of underlying end stage liver disease and the associated symptoms and adverse effects of treatment cause severe suffering for patients Palliative care PC is a medical specialty that addresses the physical emotional and spiritual needs of patients and their carers in the context of life limiting illness In other cancers a growing body of evidence has demonstrated that the early introduction of PC at diagnosis improves patient and carer outcomes Despite this the integration of palliative care at the diagnosis of HCC remains suboptimal as patients usually receive PC only at the very terminal phase of their disease even when diagnosed early Significant barriers to the uptake of palliative care in the treatment algorithm of hepatocellular carcinoma fall under four main themes data limitations disease clinician and patient factors Barriers relating to data limitations mainly encapsulated the risk of bias inherent in published work in the field of PC Clinician reported barriers related to negative attitudes towards PC and a lack of time for PC discussions Barriers related to the disease align with prognostic uncertainty due to the unpredictable course of HCC Significantly there exists a paucity of evidence exploring patient perceived barriers to timely PC implementation in HCC Given that patients are often the underrepresented stakeholder in the delivery of PC future research should explore the patient perspective in adequately designed qualitative studies as the first step
dc.format	Print-Electronic
dc.language	eng
dc.publisher	Wiley
dc.relation.ispartof	Journal of Gastroenterology and Hepatology
dc.relation.isbasedon	10.1111/jgh.16107
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	1103 Clinical Sciences
dc.subject.classification	Gastroenterology & Hepatology
dc.subject.classification	3202 Clinical sciences
dc.subject.mesh	Humans
dc.subject.mesh	Palliative Care
dc.subject.mesh	Carcinoma, Hepatocellular
dc.subject.mesh	Liver Neoplasms
dc.subject.mesh	End Stage Liver Disease
dc.subject.mesh	Humans
dc.subject.mesh	Carcinoma, Hepatocellular
dc.subject.mesh	Liver Neoplasms
dc.subject.mesh	Palliative Care
dc.subject.mesh	End Stage Liver Disease
dc.subject.mesh	Humans
dc.subject.mesh	Palliative Care
dc.subject.mesh	Carcinoma, Hepatocellular
dc.subject.mesh	Liver Neoplasms
dc.subject.mesh	End Stage Liver Disease
dc.title	Barriers to palliative care in hepatocellular carcinoma: A review of the literature
dc.type	Journal Article
utslib.citation.volume	38
utslib.location.activity	Australia
utslib.for	1103 Clinical Sciences
utslib.copyright.status	open_access	*
pubs.consider-herdc	true
dc.date.updated	2024-04-03T21:37:29Z
pubs.issue	7
pubs.publication-status	Published
pubs.volume	38
utslib.citation.issue	7

Abstract:

Hepatocellular carcinoma HCC is a deadly and burdensome form of liver cancer with an increasing global prevalence Its course is unpredictable as it frequently occurs in the context of underlying end stage liver disease and the associated symptoms and adverse effects of treatment cause severe suffering for patients Palliative care PC is a medical specialty that addresses the physical emotional and spiritual needs of patients and their carers in the context of life limiting illness In other cancers a growing body of evidence has demonstrated that the early introduction of PC at diagnosis improves patient and carer outcomes Despite this the integration of palliative care at the diagnosis of HCC remains suboptimal as patients usually receive PC only at the very terminal phase of their disease even when diagnosed early Significant barriers to the uptake of palliative care in the treatment algorithm of hepatocellular carcinoma fall under four main themes data limitations disease clinician and patient factors Barriers relating to data limitations mainly encapsulated the risk of bias inherent in published work in the field of PC Clinician reported barriers related to negative attitudes towards PC and a lack of time for PC discussions Barriers related to the disease align with prognostic uncertainty due to the unpredictable course of HCC Significantly there exists a paucity of evidence exploring patient perceived barriers to timely PC implementation in HCC Given that patients are often the underrepresented stakeholder in the delivery of PC future research should explore the patient perspective in adequately designed qualitative studies as the first step

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

http://hdl.handle.net/10453/177468