Eduardo Bruera
@brueraeduardo.bsky.social
Chair, Department of Palliative, Rehabilitation and Integrative Medicine, The University of Texas MD Anderson Cancer Center
Palliative care involvement was associated with an increase in symptom control medications and decrease in medications for comorbid conditions over time. pubmed.ncbi.nlm.nih.gov/25123192/
Changes in medication profile among patients with advanced cancer admitted to an acute palliative care unit - PubMed
Palliative care involvement was associated with an increase in symptom control medications and decrease in medications for comorbid conditions over time.
pubmed.ncbi.nlm.nih.gov
Only 25% of ED visits by patients with advanced cancer receiving palliative care were potentially avoidable. Proactive efforts to improve communication and support between scheduled appointments are needed. pubmed.ncbi.nlm.nih.gov/25131891/
Avoidable and unavoidable visits to the emergency department among patients with advanced cancer receiving outpatient palliative care - PubMed
Nearly one-fourth of ED visits by patients with advanced cancer receiving palliative care were potentially avoidable. Proactive efforts to improve communication and support between scheduled appointme...
pubmed.ncbi.nlm.nih.gov
Body image dissatisfaction was frequent and associated with symptom burden. A single item ≤3 has a sensitivity of 70% for body image satisfaction screening pubmed.ncbi.nlm.nih.gov/25188590/
Screening for body image dissatisfaction in patients with advanced cancer: a pilot study - PubMed
Body image dissatisfaction was frequent and associated with symptom burden. A single item ≤3 has a sensitivity of 70% for body image satisfaction screening.
pubmed.ncbi.nlm.nih.gov
Opiophobic cocktails are less effective , addictive , and make opioid initiation and titration much harder pubmed.ncbi.nlm.nih.gov/42543383/
Managing Pain in Patients Receiving Palliative Cancer Care During the Opiophobia Epidemic - PubMed
Managing Pain in Patients Receiving Palliative Cancer Care During the Opiophobia Epidemic
pubmed.ncbi.nlm.nih.gov
ECOG PS assessments by PC specialists and nurses were significantly higher than those of medical oncologists. Systematic efforts to increase regular interdisciplinary communications may help to bridge this gap. pubmed.ncbi.nlm.nih.gov/25542550/
Differences in Performance Status Assessment Among Palliative Care Specialists, Nurses, and Medical Oncologists - PubMed
ECOG PS assessments by PC specialists and nurses were significantly higher than those of medical oncologists. Systematic efforts to increase regular interdisciplinary communications may help to bridge...
pubmed.ncbi.nlm.nih.gov
Sixty-one percent of patients with a diagnosis of delirium by a palliative care specialist were missed by the primary referring team. Patients with MD were frequently referred for pain. Universal screening of cancer patients for delirium is recommended. pubmed.ncbi.nlm.nih.gov/25617070/
The frequency of missed delirium in patients referred to palliative care in a comprehensive cancer center - PubMed
Sixty-one percent of patients with a diagnosis of delirium by a palliative care specialist were missed by the primary referring team. Patients with MD were frequently referred for pain. Universal scre...
pubmed.ncbi.nlm.nih.gov
Despite the PCU mortality in this cohort being high, 22.4% of patients transferring from the ICU were successfully discharged to the community. High flow O2 at the time of PCU transfer was independently associated with increased mortality pubmed.ncbi.nlm.nih.gov/42509033/
Acute palliative care unit discharge outcomes: intensive versus non-intensive care transfers - PubMed
Despite the APCU mortality in this cohort being high, 22.4% of patients transferring from the ICU were successfully discharged to the community. HFNC use at the time of APCU transfer was independently...
pubmed.ncbi.nlm.nih.gov
Shift palliative skills upstream ; adopt standardized tools; and measure quality outcomes. pubmed.ncbi.nlm.nih.gov/42516881/
Person-Centered Care Planning: Palliative Symptom Management in Multiple Chronic Conditions - PubMed
Shift palliative skills upstream in primary care; adopt standardized tools; and measure quality outcomes.
pubmed.ncbi.nlm.nih.gov
Despite intensive management some cancer patients continue to experience high symptom burden as they approached death. It is unethical for a hospital with an intensive care unit to have no palliative care unit. pubmed.ncbi.nlm.nih.gov/25242021/
Symptom Expression in the Last Seven Days of Life Among Cancer Patients Admitted to Acute Palliative Care Units - PubMed
Despite intensive management in APCUs, some cancer patients continue to experience high symptom burden as they approached death.
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pubmed.ncbi.nlm.nih.gov/25242021/
Symptom Expression in the Last Seven Days of Life Among Cancer Patients Admitted to Acute Palliative Care Units - PubMed
Despite intensive management in APCUs, some cancer patients continue to experience high symptom burden as they approached death.
pubmed.ncbi.nlm.nih.gov
When not possible as the primary opioid methadone can be very effective in small doses as a adjuvant pubmed.ncbi.nlm.nih.gov/25369859/
Dual opioid therapy using methadone as a coanalgesic - PubMed
Dual opioid therapy using methadone as a coanalgesic
pubmed.ncbi.nlm.nih.gov
We need to expect unexpected deaths even in palliative care units pubmed.ncbi.nlm.nih.gov/25499421/
Frequency and factors associated with unexpected death in an acute palliative care unit: expect the unexpected - PubMed
Unexpected death occurred in an unexpectedly high proportion of patients in the APCU setting and was associated with fewer signs of impending death. Our findings highlight the need for palliative care...
pubmed.ncbi.nlm.nih.gov
Thirty-seven percent of advanced cancer patients receiving PC inaccurately perceived their disease curable. These patients were more likely to have earlier PC referrals pubmed.ncbi.nlm.nih.gov/30048214/
pubmed.ncbi.nlm.nih.gov
“Embedded “ supp pall care less successful than independent outpatient clinics pubmed.ncbi.nlm.nih.gov/30067150/
Outcomes of Embedded Palliative Care Outpatients Initial Consults on Timing of Palliative Care Access, Symptoms, and End-of-Life Quality Care Indicators among Advanced Nonsmall Cell Lung Cancer Patien...
EPC consults plus OPC follow-ups accessed PC earlier, and had more frequent and earlier ACP discussions as compared with OPC consults. Embedded palliative cancer care might not be the ideal model for ...
pubmed.ncbi.nlm.nih.gov
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Left Behind: Addressing the Impact of Family Separation Due to Immigration Policies on the Suffering of Patients with Advanced Cancer - PubMed
These cases illustrate how systemic separation from key attachment figures can amplify distress and complicate palliative care. Recommendations include virtual family involvement, designated in-person...
pubmed.ncbi.nlm.nih.gov
Hypoalbuminemia may be a potential differential biomarker of dyspnea response to dexamethasone and placebo. On further validation, these findings may facilitate future personalized clinical trial design and tailoring of dyspnea interventions. pubmed.ncbi.nlm.nih.gov/42456084/
Hypoalbuminemia as a Predictive Biomarker of Dyspnea Response to Dexamethasone and Placebo in Patients With Cancer: Secondary Analysis of the ABCD Randomized Clinical Trial - PubMed
Hypoalbuminemia may be a potential differential biomarker of dyspnea response to dexamethasone and placebo. On further validation, these findings may facilitate future personalized clinical trial desi...
pubmed.ncbi.nlm.nih.gov
Cancer pts with higher symptom burden are more likely to report cannabinoid use. Universal screening accompanied by patient education is important in palliative care. pubmed.ncbi.nlm.nih.gov/42373314/
pubmed.ncbi.nlm.nih.gov
Happy Canada 🍁 🇨🇦 Day to all pall care clinicians, who daily help pts and families with poor support from hospital and health care executives. Thank you for your service and care
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Um legado que transformou os Cuidados Paliativos no mundo. Com a gentil autorização do Dr. eduardo bruera , tive a honra de traduzir este infográfico para o português, tornando seu conteúdo mais… | B...
Um legado que transformou os Cuidados Paliativos no mundo. Com a gentil autorização do Dr. eduardo bruera , tive a honra de traduzir este infográfico para o português, tornando seu conteúdo mais aces...
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Parents are a vulnerable subpopulation. Regular and comprehensive screening for supportive care needs for both patients and coparents combined with the efforts of multi-disciplinary clinical team are needed to address families' cancer-related concerns pubmed.ncbi.nlm.nih.gov/42336331/
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pubmed.ncbi.nlm.nih.gov
The reasons why EOL prognosis is so difficult pubmed.ncbi.nlm.nih.gov/25634898/
End-of-life diagnosis, communication, and the search for "infectin," "clottin," and "heart arrestin" - PubMed
End-of-life diagnosis, communication, and the search for "infectin," "clottin," and "heart arrestin"
pubmed.ncbi.nlm.nih.gov
Oncology clinicians prefer the name “supportive” more than “palliative “, especially for early referral in multiple cultures pubmed.ncbi.nlm.nih.gov/41851482/
Supportive or palliative? When words influence care more than guidelines - PubMed
The choice of terminology is not merely semantic-it has measurable consequences on referral timing, patient engagement, and perceptions of care. Using labels such as "supportive care" encourages earli...
pubmed.ncbi.nlm.nih.gov
Home death was NOT rated high as a priority among oncologists for themselves. A home death may be hard on pts and families. pubmed.ncbi.nlm.nih.gov/42019829/
What Do Medical Oncologists Want for Themselves at The End-of-Life? Analysis of Go Wish Cards Game - PubMed
The use of the GWCG promoted reflection on participants' own EoL values and priorities, facilitating dialogue on sensitive topics. This self-reflective process can enhance participants' sensitivity to...
pubmed.ncbi.nlm.nih.gov
Young cancer, patients, suffered persistent severe symptoms for five months before requesting medical assistance in dying. Once they requested MAID about half we’re dead within a week pubmed.ncbi.nlm.nih.gov/41989774/
Quality of Care For Young Adult Patients With Cancer at the End of Life - PubMed
Quality of Care For Young Adult Patients With Cancer at the End of Life
pubmed.ncbi.nlm.nih.gov
Pts in Supp/ pall care with involuntary weight loss improve with multidimensional cachexia intervention pubmed.ncbi.nlm.nih.gov/41693023/
Nutrition rehabilitation programs and cachexia clinics for anorexia-cachexia syndrome in patients with cancer - PubMed
The anorexia-cachexia syndrome (ACS) is characterized by loss of appetite and unintentional weight loss. Important clinical outcomes are associated with ACS including increased risk of chemotherapy si...
pubmed.ncbi.nlm.nih.gov