In men with advanced prostate cancer, what is the evidence that referral to specialist palliative care can assist in supporting a patient’s decision making and treatment planning processes?
In relation to the role of specialist palliative care in supporting decision-making and treatment planning processes, there was Level II evidence that a coordinated palliative approach to care can improve quality-of-life measures and enhance satisfaction for men and their carers. Engelhardt described a programme of co-ordinated care of advanced illness in which a significantly increased number of patients completed advance care plans (p=0.006). Supporting patients’ processes of decision-making and care planning is seen as an important aspect of the work of specialist palliative care services. Palliative care services in Australia are often engaged in promoting the use of advance care planning instruments legislated by states and territories and in the appointment of a nominated medical agent.
Palliative care question 1: In men with metastatic prostate cancer what is the evidence that referral to specialist palliative care can assist in supporting a patient’s decision-making and treatment planning processes?
Evidence summary and recommendations
| There is evidence that the involvement of a specialist palliative care team or a coordinated palliative approach to care can improve satisfaction with care for patients with advanced cancer, as well as increase the frequency with which advance care plans are made. This finding can be generalised to men with metastatic prostate
|II||, , , |
|Men with metastatic prostate cancer should be referred for specialist palliative care or a coordinated palliative approach to assist in advance care planning.||C|
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