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Prof. Christoph Ostgathe

@costgathe.bsky.social

Chair for Palliative Medicine, Friedrich-Alexander-Universität Erlangen-Nürnberg, Head of Departement Palliative Medicine

14 Posts328 Follower258 Folgt
Prof. Christoph Ostgathe@costgathe.bsky.social · 2y ago

In the #internet and #socialmedia discourse the #CoViD #pandemic had a negative impact on the perception of #palliativecare. Negative stereotypes increased, e.g. palliative care is increasingly seen as a synonym for end-of-life care! www.liebertpub.com/doi/10.1089/...

What Does “Palliative” Mean? Sentiment, Knowledge, and Public Perception Concerning Palliative Care on the Internet since the COVID-19 Pandemic | Palliative Medicine Reports

Background: Little is known about the public perception of palliative care during and after the pandemic. Assuming that analyzing online language data has the potential to collect real-time public opi...

liebertpub.com

Prof. Christoph Ostgathe@costgathe.bsky.social · 2y ago

Our common denominator is that in our field much better evidence is needed! Let`s strive to confirm or question our own #palliativecare paradigms. Not everything we learned from cancer may fully apply to other diagnoses. Note: Clemens et al, cited by Gallagher R.,studied exclusively cancer pts.

Tim Hiebert@timhiebert.bsky.social · 2y ago

A nuanced response is warranted, but I lack the energy. In brief, the authors of the cited review themselves acknowledge that opioids are warranted for severe/refractory dyspnea when other treatments are optimized. That’s exactly when they should be used. RCT’s can’t answer all clinical questions.

Prof. Christoph Ostgathe@costgathe.bsky.social · 2y ago

We have to be critical towards our own #palliativecare paradigms! The evidence for #opioids for breathlessness in #heartfailure is questionable. A recent review states that „it may only be the very last option if other options have failed or in case of an emergency.“ heart.bmj.com/content/109/...

Effect of opioids for breathlessness in heart failure: a systematic review and meta-analysis

Background For the treatment of breathlessness in heart failure (HF), most textbooks advocate the use of opioids. Yet, meta-analyses are lacking. Methods A systematic review was performed for randomi...

heart.bmj.com

Tim Hiebert@timhiebert.bsky.social · 2y ago

Opioids are effective in treating shortness of breath due to advanced heart and lung diseases. We have known this for a long time and yet most physicians do not prescribe. pmc.ncbi.nlm.nih.gov/articles/PMC...

Prof. Christoph Ostgathe@costgathe.bsky.social · 2y ago

Are #PalliativeCare needs in patients with #dementia under-recognized? The low number of dementia diagnoses in the German Hospice and Palliative Care Registry could be due to barriers to accessing specialized services for people with dementia. Lets not forget this group! rdcu.be/d2WIG

Dementia patients in palliative care according to data from the German National Hospice and Palliative Care Register (2009–2021) | BMC Palliative Care

rdcu.be

Prof. Christoph Ostgathe@costgathe.bsky.social · 2y ago

👓 Interesting read 👓 Prevention and screening are the most powerful tools to reduce mortality from #cancer. In analogy prevention and screening are powerful tools to reduce unnecessary suffering in (cancer) patients with #palliativecare needs! jamanetwork.com/journals/jam...

Estimation of Cancer Deaths Averted From Prevention, Screening, and Treatment Efforts, 1975-2020

This model-based study using population-level cancer mortality data evaluates the association of prevention, screening, and treatment interventions with cumulative number of cancer deaths averted from...

jamanetwork.com