Validation of a concise screening tool for the identification of palliative care needs among inpatients: A prospective study in hospital setting
Background/Purpose: Very few studies have investigated the screening tools that aim to identify the need of palliative care services among patients with advanced cancer or chronic non-malignant diseases. This study validated the one-page Taiwanese version-Palliative Care Screening Tool (TW-PCST) for...
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doaj-3469ab9b639642a7ace633db41b586a82020-11-24T23:08:23ZengElsevierJournal of the Formosan Medical Association0929-66462019-05-011185883890Validation of a concise screening tool for the identification of palliative care needs among inpatients: A prospective study in hospital settingSamuel Shih-Chih Wang0Chao-Ming Huang1Rung-Chuang Feng2Yi-Ling Wu3Sheng-Jean Huang4Department of Health and Welfare, University of Taipei, Taipei, TaiwanTaipei City Hospital, Taipei, TaiwanTaipei City Hospital, Taipei, TaiwanTaipei City Hospital, Taipei, TaiwanTaipei City Hospital, Taipei, Taiwan; College of Medicine, National Taiwan University, Taipei, Taiwan; Corresponding author. Taipei City Hospital, No. 145, Zhengzhou Road, Da Tong District, Taipei City 10341, Taiwan. Fax: +886 2 25590838.Background/Purpose: Very few studies have investigated the screening tools that aim to identify the need of palliative care services among patients with advanced cancer or chronic non-malignant diseases. This study validated the one-page Taiwanese version-Palliative Care Screening Tool (TW-PCST) for screening inpatients with potential palliative care needs. Method: ROC curves were produced to examine the sensitivities and specificities at varying cut-off points. The optimal cut-off value to predict mortality was justified using the Youden’s index. The screening was conducted on the first day of admission. Patients were prospectively followed-up after the baseline assessment. Three followed-up periods, namely 14 days, 90 days, and 180 days were analyzed. Results: A total of 21,596 patients were screened. AUCs for all cut-off scores varied from 0.84 to 0.88. A total-ABCD score ≥2 gave the highest Youden’s index for 90 days and 180 days follow-up periods. The optimal cut-point for 14 days was score ≥3. Conclusion: The TW-PCST demonstrated a good sensitivity and specificity in identification of inpatients with palliative care needs. A total-ABCD score ≥2 may be considered as a trigger for further referral. Keywords: Chronic disease, Palliative care, Screening tool, Referral and consultation, Admitted patienthttp://www.sciencedirect.com/science/article/pii/S0929664617308288 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Samuel Shih-Chih Wang Chao-Ming Huang Rung-Chuang Feng Yi-Ling Wu Sheng-Jean Huang |
spellingShingle |
Samuel Shih-Chih Wang Chao-Ming Huang Rung-Chuang Feng Yi-Ling Wu Sheng-Jean Huang Validation of a concise screening tool for the identification of palliative care needs among inpatients: A prospective study in hospital setting Journal of the Formosan Medical Association |
author_facet |
Samuel Shih-Chih Wang Chao-Ming Huang Rung-Chuang Feng Yi-Ling Wu Sheng-Jean Huang |
author_sort |
Samuel Shih-Chih Wang |
title |
Validation of a concise screening tool for the identification of palliative care needs among inpatients: A prospective study in hospital setting |
title_short |
Validation of a concise screening tool for the identification of palliative care needs among inpatients: A prospective study in hospital setting |
title_full |
Validation of a concise screening tool for the identification of palliative care needs among inpatients: A prospective study in hospital setting |
title_fullStr |
Validation of a concise screening tool for the identification of palliative care needs among inpatients: A prospective study in hospital setting |
title_full_unstemmed |
Validation of a concise screening tool for the identification of palliative care needs among inpatients: A prospective study in hospital setting |
title_sort |
validation of a concise screening tool for the identification of palliative care needs among inpatients: a prospective study in hospital setting |
publisher |
Elsevier |
series |
Journal of the Formosan Medical Association |
issn |
0929-6646 |
publishDate |
2019-05-01 |
description |
Background/Purpose: Very few studies have investigated the screening tools that aim to identify the need of palliative care services among patients with advanced cancer or chronic non-malignant diseases. This study validated the one-page Taiwanese version-Palliative Care Screening Tool (TW-PCST) for screening inpatients with potential palliative care needs. Method: ROC curves were produced to examine the sensitivities and specificities at varying cut-off points. The optimal cut-off value to predict mortality was justified using the Youden’s index. The screening was conducted on the first day of admission. Patients were prospectively followed-up after the baseline assessment. Three followed-up periods, namely 14 days, 90 days, and 180 days were analyzed. Results: A total of 21,596 patients were screened. AUCs for all cut-off scores varied from 0.84 to 0.88. A total-ABCD score ≥2 gave the highest Youden’s index for 90 days and 180 days follow-up periods. The optimal cut-point for 14 days was score ≥3. Conclusion: The TW-PCST demonstrated a good sensitivity and specificity in identification of inpatients with palliative care needs. A total-ABCD score ≥2 may be considered as a trigger for further referral. Keywords: Chronic disease, Palliative care, Screening tool, Referral and consultation, Admitted patient |
url |
http://www.sciencedirect.com/science/article/pii/S0929664617308288 |
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