Palliative care in COPD

An unmet area for quality improvement

Julia Vermylen*, Eytan Szmuilowicz, Ravi Kalhan

*Corresponding author for this work

Research output: Contribution to journalReview article

35 Citations (Scopus)

Abstract

COPD is a leading cause of morbidity and mortality worldwide. Patients suffer from refractory breathlessness, unrecognized anxiety and depression, and decreased quality of life. Palliative care improves symptom management, patient reported health-related quality of life, cost savings, and mortality though the majority of patients with COPD die without access to palliative care. There are many barriers to providing palliative care to patients with COPD including the difficulty in prognosticating a patient’s course causing referrals to occur late in a patient’s disease. Additionally, physicians avoid conversations about advance care planning due to unique communication barriers present with patients with COPD. Lastly, many health systems are not set up to provide trained palliative care physicians to patients with chronic disease including COPD. This review analyzes the above challenges, the available data regarding palliative care applied to the COPD population, and proposes an alternative approach to address the unmet needs of patients with COPD with proactive primary palliative care.

Original languageEnglish (US)
Pages (from-to)1543-1551
Number of pages9
JournalInternational Journal of COPD
Volume10
Issue number1
DOIs
StatePublished - Aug 4 2015

Fingerprint

Quality Improvement
Palliative Care
Chronic Obstructive Pulmonary Disease
Advance Care Planning
Quality of Life
Communication Barriers
Physicians
Mortality
Cost Savings
Dyspnea
Primary Health Care
Chronic Disease
Referral and Consultation
Anxiety
Depression
Morbidity
Health

Keywords

  • Advance care planning
  • Advanced lung disease
  • End-of-life care
  • Primary palliative care
  • Prognosis
  • Quality of life

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Health Policy
  • Public Health, Environmental and Occupational Health

Cite this

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abstract = "COPD is a leading cause of morbidity and mortality worldwide. Patients suffer from refractory breathlessness, unrecognized anxiety and depression, and decreased quality of life. Palliative care improves symptom management, patient reported health-related quality of life, cost savings, and mortality though the majority of patients with COPD die without access to palliative care. There are many barriers to providing palliative care to patients with COPD including the difficulty in prognosticating a patient’s course causing referrals to occur late in a patient’s disease. Additionally, physicians avoid conversations about advance care planning due to unique communication barriers present with patients with COPD. Lastly, many health systems are not set up to provide trained palliative care physicians to patients with chronic disease including COPD. This review analyzes the above challenges, the available data regarding palliative care applied to the COPD population, and proposes an alternative approach to address the unmet needs of patients with COPD with proactive primary palliative care.",
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Palliative care in COPD : An unmet area for quality improvement. / Vermylen, Julia; Szmuilowicz, Eytan; Kalhan, Ravi.

In: International Journal of COPD, Vol. 10, No. 1, 04.08.2015, p. 1543-1551.

Research output: Contribution to journalReview article

TY - JOUR

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T2 - An unmet area for quality improvement

AU - Vermylen, Julia

AU - Szmuilowicz, Eytan

AU - Kalhan, Ravi

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N2 - COPD is a leading cause of morbidity and mortality worldwide. Patients suffer from refractory breathlessness, unrecognized anxiety and depression, and decreased quality of life. Palliative care improves symptom management, patient reported health-related quality of life, cost savings, and mortality though the majority of patients with COPD die without access to palliative care. There are many barriers to providing palliative care to patients with COPD including the difficulty in prognosticating a patient’s course causing referrals to occur late in a patient’s disease. Additionally, physicians avoid conversations about advance care planning due to unique communication barriers present with patients with COPD. Lastly, many health systems are not set up to provide trained palliative care physicians to patients with chronic disease including COPD. This review analyzes the above challenges, the available data regarding palliative care applied to the COPD population, and proposes an alternative approach to address the unmet needs of patients with COPD with proactive primary palliative care.

AB - COPD is a leading cause of morbidity and mortality worldwide. Patients suffer from refractory breathlessness, unrecognized anxiety and depression, and decreased quality of life. Palliative care improves symptom management, patient reported health-related quality of life, cost savings, and mortality though the majority of patients with COPD die without access to palliative care. There are many barriers to providing palliative care to patients with COPD including the difficulty in prognosticating a patient’s course causing referrals to occur late in a patient’s disease. Additionally, physicians avoid conversations about advance care planning due to unique communication barriers present with patients with COPD. Lastly, many health systems are not set up to provide trained palliative care physicians to patients with chronic disease including COPD. This review analyzes the above challenges, the available data regarding palliative care applied to the COPD population, and proposes an alternative approach to address the unmet needs of patients with COPD with proactive primary palliative care.

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