Recomendaciones para la inclusión temprana del paciente oncológico en cuidados paliativos. Revisión Narrativa

Abstract

Abstract: Palliative Care (PC) in patients with chronic diseases is associated with a positive impact on the quality of life and the quality of care, through the identification of early referral criteria could provide a guide for the identification of patients suitable for ZIP. Objetive: perform a narrative review of the recommendations for the early inclusion of cancer patients in palliative care (PC). Metodology: a narrative review was carried out of the articles published between 2017 and 2022, in PubMed, ProQuest, Lilacs, Scielo and Google Scholar. Results: 9 unique referral criteria were identified, which included referral within 8 weeks of diagnosis, severe, persistent and poorly controlled symptoms, lack of response to curative treatment, performance status, cognitive status, indicators of disease progression, emotional impact and prognosis. Significant variations were evident among the articles and clinical practice guidelines regarding the definition of advanced cancer and the assessment tools for symptom/distress screening. Conclusion: This narrative review identified 9 recurrent early referral criteria for chronic disease patient palliative care.