Home > Research > Publications & Outputs > The need for early referral to palliative care ...

Research

Associated organisational unit

Electronic data

  • Main_document_R1

    Rights statement: The final, definitive version of this article has been published in the Journal, Palliative Medicine, 34 (9), 2020, © SAGE Publications Ltd, 2020 by SAGE Publications Ltd at the Palliative Medicine page: https://journals.sagepub.com/home/pmj on SAGE Journals Online: http://journals.sagepub.com/

    Accepted author manuscript, 185 KB, PDF document

    Available under license: CC BY-NC: Creative Commons Attribution-NonCommercial 4.0 International License

Links

Text available via DOI:

Keywords

View graph of relations

The need for early referral to palliative care especially for Black, Asian and minority ethnic groups in a COVID-19 pandemic: Findings from a service evaluation

Research output: Contribution to Journal/Magazine › Journal article › peer-review

Published

Standard

The need for early referral to palliative care especially for Black, Asian and minority ethnic groups in a COVID-19 pandemic: Findings from a service evaluation. / Chidiac, C.; Feuer, D.; Flatley, M. et al.
In: Palliative Medicine, Vol. 34, No. 9, 01.10.2020, p. 1241-1248.

Research output: Contribution to Journal/Magazine › Journal article › peer-review

Harvard

Chidiac, C, Feuer, D, Flatley, M, Rodgerson, A, Grayson, K & Preston, N 2020, 'The need for early referral to palliative care especially for Black, Asian and minority ethnic groups in a COVID-19 pandemic: Findings from a service evaluation', Palliative Medicine, vol. 34, no. 9, pp. 1241-1248. https://doi.org/10.1177/0269216320946688

APA

Chidiac, C., Feuer, D., Flatley, M., Rodgerson, A., Grayson, K., & Preston, N. (2020). The need for early referral to palliative care especially for Black, Asian and minority ethnic groups in a COVID-19 pandemic: Findings from a service evaluation. Palliative Medicine, 34(9), 1241-1248. https://doi.org/10.1177/0269216320946688

Vancouver

Chidiac C, Feuer D, Flatley M, Rodgerson A, Grayson K, Preston N. The need for early referral to palliative care especially for Black, Asian and minority ethnic groups in a COVID-19 pandemic: Findings from a service evaluation. Palliative Medicine. 2020 Oct 1;34(9):1241-1248. Epub 2020 Jul 31. doi: 10.1177/0269216320946688

Author

Chidiac, C. ; Feuer, D. ; Flatley, M. et al. / The need for early referral to palliative care especially for Black, Asian and minority ethnic groups in a COVID-19 pandemic : Findings from a service evaluation. In: Palliative Medicine. 2020 ; Vol. 34, No. 9. pp. 1241-1248.

Bibtex

@article{16f33dc0e2574720b6422ff4064024bf,
title = "The need for early referral to palliative care especially for Black, Asian and minority ethnic groups in a COVID-19 pandemic: Findings from a service evaluation",
abstract = "Background: Palliative care services face challenges in adapting and responding to the COVID-19 pandemic. Understanding how palliative care needs and outcomes have changed during the pandemic compared to before the pandemic is crucial to inform service planning and research initiatives. Aim: To evaluate the impact of COVID-19 on symptoms, clinical characteristics, and outcomes for patients referred to a hospital-based palliative care service in a district general hospital in London, UK. Design: A retrospective service evaluation. Data were extracted from the electronic patient records. Setting/participants: The first 60 inpatients with confirmed COVID-19 infection, referred to the hospital palliative care service between 1 March 2020 and 23 April 2020, and another 60 inpatients, referred to the hospital palliative care service between 11 March 2019 and 23 April 2019, were included from a district general hospital in East London, UK. Results: Patients with COVID-19 have lower comorbidity scores, poorer performance status, and a shorter time from referral to death compared to patients without COVID-19. Breathlessness, drowsiness, agitation, and fever are the most prevalent symptoms during COVID-19 compared to pain and drowsiness pre-COVID-19. Time from admission to referral to palliative care is longer for Black, Asian and minority ethnic patients, especially during COVID-19. Conclusion: Early referral to palliative care is essential in COVID-19, especially for Black, Asian and minority ethnic groups. There is urgent need to research why Black, Asian and minority ethnic patients are referred late; how palliative care services have changed; and possible solutions to setting up responsive, flexible, and integrated services.",
keywords = "COVID-19, ethnic minorities, outcomes, palliative care, pandemic, symptoms",
author = "C. Chidiac and D. Feuer and M. Flatley and A. Rodgerson and K. Grayson and N. Preston",
note = "The final, definitive version of this article has been published in the Journal, Palliative Medicine, 34 (9), 2020, {\textcopyright} SAGE Publications Ltd, 2020 by SAGE Publications Ltd at the Palliative Medicine page: https://journals.sagepub.com/home/pmj on SAGE Journals Online: http://journals.sagepub.com/ ",
year = "2020",
month = oct,
day = "1",
doi = "10.1177/0269216320946688",
language = "English",
volume = "34",
pages = "1241--1248",
journal = "Palliative Medicine",
issn = "0269-2163",
publisher = "SAGE Publications Ltd",
number = "9",

}

RIS

TY - JOUR

T1 - The need for early referral to palliative care especially for Black, Asian and minority ethnic groups in a COVID-19 pandemic

T2 - Findings from a service evaluation

AU - Chidiac, C.

AU - Feuer, D.

AU - Flatley, M.

AU - Rodgerson, A.

AU - Grayson, K.

AU - Preston, N.

N1 - The final, definitive version of this article has been published in the Journal, Palliative Medicine, 34 (9), 2020, © SAGE Publications Ltd, 2020 by SAGE Publications Ltd at the Palliative Medicine page: https://journals.sagepub.com/home/pmj on SAGE Journals Online: http://journals.sagepub.com/

PY - 2020/10/1

Y1 - 2020/10/1

N2 - Background: Palliative care services face challenges in adapting and responding to the COVID-19 pandemic. Understanding how palliative care needs and outcomes have changed during the pandemic compared to before the pandemic is crucial to inform service planning and research initiatives. Aim: To evaluate the impact of COVID-19 on symptoms, clinical characteristics, and outcomes for patients referred to a hospital-based palliative care service in a district general hospital in London, UK. Design: A retrospective service evaluation. Data were extracted from the electronic patient records. Setting/participants: The first 60 inpatients with confirmed COVID-19 infection, referred to the hospital palliative care service between 1 March 2020 and 23 April 2020, and another 60 inpatients, referred to the hospital palliative care service between 11 March 2019 and 23 April 2019, were included from a district general hospital in East London, UK. Results: Patients with COVID-19 have lower comorbidity scores, poorer performance status, and a shorter time from referral to death compared to patients without COVID-19. Breathlessness, drowsiness, agitation, and fever are the most prevalent symptoms during COVID-19 compared to pain and drowsiness pre-COVID-19. Time from admission to referral to palliative care is longer for Black, Asian and minority ethnic patients, especially during COVID-19. Conclusion: Early referral to palliative care is essential in COVID-19, especially for Black, Asian and minority ethnic groups. There is urgent need to research why Black, Asian and minority ethnic patients are referred late; how palliative care services have changed; and possible solutions to setting up responsive, flexible, and integrated services.

AB - Background: Palliative care services face challenges in adapting and responding to the COVID-19 pandemic. Understanding how palliative care needs and outcomes have changed during the pandemic compared to before the pandemic is crucial to inform service planning and research initiatives. Aim: To evaluate the impact of COVID-19 on symptoms, clinical characteristics, and outcomes for patients referred to a hospital-based palliative care service in a district general hospital in London, UK. Design: A retrospective service evaluation. Data were extracted from the electronic patient records. Setting/participants: The first 60 inpatients with confirmed COVID-19 infection, referred to the hospital palliative care service between 1 March 2020 and 23 April 2020, and another 60 inpatients, referred to the hospital palliative care service between 11 March 2019 and 23 April 2019, were included from a district general hospital in East London, UK. Results: Patients with COVID-19 have lower comorbidity scores, poorer performance status, and a shorter time from referral to death compared to patients without COVID-19. Breathlessness, drowsiness, agitation, and fever are the most prevalent symptoms during COVID-19 compared to pain and drowsiness pre-COVID-19. Time from admission to referral to palliative care is longer for Black, Asian and minority ethnic patients, especially during COVID-19. Conclusion: Early referral to palliative care is essential in COVID-19, especially for Black, Asian and minority ethnic groups. There is urgent need to research why Black, Asian and minority ethnic patients are referred late; how palliative care services have changed; and possible solutions to setting up responsive, flexible, and integrated services.

KW - COVID-19

KW - ethnic minorities

KW - outcomes

KW - palliative care

KW - pandemic

KW - symptoms

U2 - 10.1177/0269216320946688

DO - 10.1177/0269216320946688

M3 - Journal article

VL - 34

SP - 1241

EP - 1248

JO - Palliative Medicine

JF - Palliative Medicine

SN - 0269-2163

IS - 9

ER -