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Palyatif bakım servisinden istenilen kulak burun boğaz konsültasyonları: beş yıllık analiz

Yıl 2023, Cilt: 8 Sayı: 4, 89 - 94, 28.07.2023

Nurullah Türe , Yasemin Kurtoğlu , Mehmet Varol

https://doi.org/10.22391/fppc.1245724

Öz

Giriş: Kulak burun boğaz (KBB) hekimlerinin palyatif bakım servisinden talep edilen konsültasyonları yönetmek için bilgi, beceri ve güvene sahip olmaları gerekmektedir. Ancak, KBB eğitiminde palyatif bakım gereksinimlerine çok az yer verilmektedir. 2016-2021 yılları arasında üçüncü basamak palyatif bakım servisinden talep KBB konsültasyonların değerlendirilmesi ile KBB hekimin palyatif bakım bilgi ve becerilerinin farkındalığının artırılması amaçlandı.

Yöntem: Bu retrospektif, kesitsel çalışmaya, 01 Ocak 2016 ile 31 Eylül 2021 tarihleri arasında Kütahya Sağlık Bilimleri Üniversitesi palyatif bakım servisinden KBB bölümüne konsülte edilen hastalar dahil edildi. 2016-2021 yılları arasında talep edilen KBB konsültasyonu 80’idi. Hastalar yaş, cinsiyet, palyatif yatış tanısı, konsültasyon isteme nedeni, konsültasyon tarihi, ek tetkik ve girişimler açısından değerlendirildi.

Bulgular: Hastaların 27'si (%33,7) kadın, 53'ü (%66,2) erkekti. Ortalama yaş 65 (aralık:22-97) olarak bulundu. Konsültasyon hacminin beş yıllık süre içinde anlamlı bir artış göstermediği (p=0,502) ve konsültasyonların %78,8'inin mesai saatleri içinde (08:00-16:00) talep edildiği izlendi. Ayrıca mesai saatleri içindeki (08:00-16:00) konsültasyona yanıt süresinin mesai saatleri dışına göre (16:01-07:59) anlamlı derecede daha düşük izlendi (p<0.001). Palyatif bakım servisinde takip edilen 65 yaş altı ve 65 yaş üstü hastaların konsültasyon talep edilme nedenleri ve yapılan işlemler anlamlı derecede farklı olarak izlendi (sırasıyla p=0.019 ve p=0.008).

Sonuç: Üçüncü basamak palyatif bakım servisi tarafından talep edilen KBB konsültasyonlarını inceleyen ilk çalışmadır. Bu konsültasyonlara ilişkin farkındalık, palyatif bakım servislerindeki hastaların değerlendirilmesi ve yönetilmesi için rehberlik sağlayabilir.

Anahtar Kelimeler: konsültasyon, otolaringoloji, trakeotomi, palyatif bakım

Anahtar Kelimeler

konsültasyon otolaringoloji trakeotomi palyatif bakım

Kaynakça

  • 1. Balbay EG, Sogukpinar O, Tanriverdi E, Suner KO. The results of bedside pulmonary consultations in a state hospital. Konuralp Med J. 2013;5(1):34-7.
  • 2. WHO. Palliative care. Available at: https://www.who.int/health-topics/palliative-care (Access Date: December 20, 2021)
  • 3. Connor SR. Global Atlas of Palliative Care at the End-of-Life. London, UK 2020: Worldwide Hospice Palliative Care Alliance and World Health Organization. 2nd edition. Available at: http://www.thewhpca.org/resources?task=callelement&format=raw&item_id=1735&element=f85c494b-2b32-4109-b8c1-083cca2b7db6&method=download&args[0]=d117d25f5cb911d459123492b2f42a35 (Access Date: December 20, 2021)
  • 4. Sleeman KE, de Brito M, Etkind S, Nkhoma K, Guo P, Higginson IJ, Gomes B, et al. The escalating global burden of serious health-related suffering: projections to 2060 by world regions, age groups, and health conditions. Lancet Glob Health. 2019;7(7):e883-92. https://doi.org/10.1016/S2214-109X(19)30172-X
  • 5. Lotfallah A, Al-Hity S, Limbrick J, Khan N, Darr A. Palliative care management of head and neck cancer patients among otolaryngology surgeons: a novel national survey assessing knowledge, decision making, perceived confidence and training in the UK. J Laryngol Otol. 2022;136(9):799-808. https://doi.10.1017/S0022215122001037
  • 6. Ballou JH, Brasel KJ. Surgical Palliative Care Education. Surg Clin North Am. 2019;99(5):1037-49. https://doi.10.1016/j.suc.2019.06.016
  • 7. Davis J, Spraggs P, Murray C, Bussey M. Otolaryngology Curriculum: The Intercollegiate Surgical Curriculum Programme. In: https://www.iscp.ac.uk/media/1106/otolaryngology-curriculum-aug-2021-approved-oct-20.pdf (Access Date: December 20, 2021)
  • 8. Hosokawa S, Takahashi G, Okamura J, Imai A, Mochizuki D, Ishikawa R, Takizawa Y, et al. Management of elderly patients with head and neck carcinoma: analysis of outcomes for radical versus palliative treatment. Int J Clin Oncol 2020;25(3):432-8. https://doi.org/10.1007/s10147-019-01531-w
  • 9. Shah UK, Miller EG, Levy C. Palliation in pediatric otorhinolaryngology. International Journal of Pediatric Otorhinolaryngology. 2018;113:22-5. https://doi.org/10.1016/j.ijporl.2018.07.016
  • 10. Sooby P, Tarmal A, Townsley R. Management of catastrophic haemorrhage in palliative head and neck cancer: Creation of a new protocol using simulation. BMJ Open Quality. 2020;9(4):e001003. https://doi.org/10.1136/bmjoq-2020-001003
  • 11. Kishino T, Mori T, Miyashita T, Ouchi Y, Samukawa Y, Fukumura T, Takahashi S, et al. The utility of Glasgow Prognostic Score and Palliative Prognostic Index in patients with head and neck squamous cell carcinoma under palliative care. Ear Nose Throat J. 22021;1455613211005114. https://doi.org/10.1177/01455613211005114
  • 12. IBM SPSS Statistics 25, "SPSS for windows, version 25.0." 2017
  • 13. Topuz MF. General characteristics of otorhinolaryngology consultations: 3-year analysis. J Surgery Med. 2020;4(10):865-9. https://doi.org/10.28982/josam.794291
  • 14. Sher E, Nicholas B. Trends in otolaryngology consult volume at an academic institution from 2014 to 2018. Laryngoscope Investig Otolaryngol. 2020;5(5):813-8. https://doi.10.1002/lio2.422
  • 15. Choi KJ, Kahmke RR, Crowson MG, Puscas L, Scher RL, Cohen SM. Trends in otolaryngology consultation patterns at an academic quaternary care center. JAMA Otolaryngol Head Neck Surg. 2017;143(5):472-7. https://doi.org/10.1001/jamaoto.2016.4056
  • 16. Kozlov E, Carpenter BD, Thorsten M, Heiland M, Agarwal A. Palliative care consultation trajectories. Am J Hosp Palliat Care. 2014;31(4):459-63. https://doi.org/10.1177/1049909113491455
  • 17. Snijders R, Raijmakers, Firouzian A, Kodde A, Kazimier H, Bols F, et al. Trends in palliative care telephone consultation support for health care professionals: a dutch nationwide registry between 2004 and 2019. J Palliat Med 2023;26(1):87-93. https://doi.10.1089/jpm.2022.0097
  • 18. Yuruyen M , Ozbas TI, Tekmen Y, Polat O , Arslan I, Okuturlar Y. Prognostic Factors and Clinical Features in Palliative Care Patients. Konuralp Med J. 2018;10(1):74-80. https://doi.org/10.18521/ktd.368570
  • 19. Karakaya Z, Gokel Y, Acikalin A, Karakaya O. Evaluation of the process and effectiveness of consultation system in the Department of Emergency Medicine. Turk J Trauma Emerg Surg 2009;15(3):210-6. https://pubmed.ncbi.nlm.nih.gov/19562540/
  • 20. Kaasa S, Torvik K, Cherny N, Hanks G, de Conno F. Patient demographics and centre description in European palliative care units. Palliat Med. 2007;21(1):15-22. https://doi.org/10.1177/0269216306072086
  • 21. Murtagh FE, Bausewein C, Verne J, Groeneveld EI, Kaloki YE, Higginson IJ. How many people need palliative care? A study developing and comparing methods for population-based estimates. Palliat Med. 2014;28(1):49-58. https://doi.10.1177/0269216313489367
  • 22. Mulvey CL, Smith TJ, Gourin CG. Use of inpatient palliative care services in patients with metastatic incurable head and neck cancer. Head Neck. 2016;38(3):355-63. https://doi.org/10.1002/hed.23895
  • 23. Russell MS, Eisele D, Murr A. The otolaryngology hospitalist: a novel practice paradigm. Laryngoscope. 2013;123(6):1394-8. https://doi. 10.1002/lary.23834
  • 24. Garneau JC, Wasserman I, Konuthula N, Malkin BD. Referral patterns from emergency department to otolaryngology clinic. Laryngoscope. 2018;128(5):1062-7. https://doi.org/10.1002/lary.26868
  • 25. Kayabasi S, Gul F. Causes and consequences of consultation to ear nose throat physicians: a retrospective analysis. J Harran Uni Med Fac 2019;16(1):143-7.
  • 26. Aydin T, Aydin SA, Koksal O, Ozdemir F, Kulac S, Bulut M. Evaluation of features of patients attending the emergency department of Uludag University Medicine Faculty Hospital and emergency department practices. Eurasian J Emerg Med 2010;(9):163-8. https://doi:10.5152/jaem.2010.006

Otolaryngology consultations requested by palliative care services: a five-year analysis

Yıl 2023, Cilt: 8 Sayı: 4, 89 - 94, 28.07.2023

Nurullah Türe , Yasemin Kurtoğlu , Mehmet Varol

https://doi.org/10.22391/fppc.1245724

Öz

Introduction: Otolaryngologists are required to possess the knowledge, skills, and confidence necessary to manage consultations requested by palliative care services. However, the inclusion of palliative care needs in otolaryngology residency training is limited. The goal of this study was to enhance awareness of otolaryngologists' palliative care knowledge and skills by evaluating otolaryngology consultations requested by tertiary palliative care services between 2016 and 2021.

Methods: This retrospective cross-sectional study included patients who consulted the otolaryngology department from the palliative care service of Kutahya Health Sciences University between January 1, 2016 and September 31, 2021. A total of 80 otolaryngology consultations were requested between 2016 and 2021. Patients were evaluated for age, gender, diagnosis of palliative admission, reason for consultation, date of consultation, interventions, and additional investigations.

Results: There were 27 female patients (33.7%) and 53 male patients (66.2%). The mean age was 65.0 (range: 22-97) years. It was found that the volume of consultations did not increase significantly over a five-year period (p=0.502) and 78.8 % of consultations were requested during working hours (08:00-16:00). In addition, the response time (minutes) for consultations during working hours (08:00-16:00) was significantly lower than outside working hours (16:01-07:59) (p<0.001). The reasons for requesting a consultation and the procedures performed were significantly different between patients under and over 65 years of age (p=0.019 and p=0.008, respectively).

Conclusions: This is the first study to evaluate otolaryngology consultations requested by a tertiary palliative care service. Awareness of these consultations may provide guidance for the assessment and management of patients in palliative care services.

Keywords: consultation, otolaryngology, tracheotomy, palliative care

Anahtar Kelimeler

Consultation otolaryngology tracheotomy palliative care

Kaynakça

  • 1. Balbay EG, Sogukpinar O, Tanriverdi E, Suner KO. The results of bedside pulmonary consultations in a state hospital. Konuralp Med J. 2013;5(1):34-7.
  • 2. WHO. Palliative care. Available at: https://www.who.int/health-topics/palliative-care (Access Date: December 20, 2021)
  • 3. Connor SR. Global Atlas of Palliative Care at the End-of-Life. London, UK 2020: Worldwide Hospice Palliative Care Alliance and World Health Organization. 2nd edition. Available at: http://www.thewhpca.org/resources?task=callelement&format=raw&item_id=1735&element=f85c494b-2b32-4109-b8c1-083cca2b7db6&method=download&args[0]=d117d25f5cb911d459123492b2f42a35 (Access Date: December 20, 2021)
  • 4. Sleeman KE, de Brito M, Etkind S, Nkhoma K, Guo P, Higginson IJ, Gomes B, et al. The escalating global burden of serious health-related suffering: projections to 2060 by world regions, age groups, and health conditions. Lancet Glob Health. 2019;7(7):e883-92. https://doi.org/10.1016/S2214-109X(19)30172-X
  • 5. Lotfallah A, Al-Hity S, Limbrick J, Khan N, Darr A. Palliative care management of head and neck cancer patients among otolaryngology surgeons: a novel national survey assessing knowledge, decision making, perceived confidence and training in the UK. J Laryngol Otol. 2022;136(9):799-808. https://doi.10.1017/S0022215122001037
  • 6. Ballou JH, Brasel KJ. Surgical Palliative Care Education. Surg Clin North Am. 2019;99(5):1037-49. https://doi.10.1016/j.suc.2019.06.016
  • 7. Davis J, Spraggs P, Murray C, Bussey M. Otolaryngology Curriculum: The Intercollegiate Surgical Curriculum Programme. In: https://www.iscp.ac.uk/media/1106/otolaryngology-curriculum-aug-2021-approved-oct-20.pdf (Access Date: December 20, 2021)
  • 8. Hosokawa S, Takahashi G, Okamura J, Imai A, Mochizuki D, Ishikawa R, Takizawa Y, et al. Management of elderly patients with head and neck carcinoma: analysis of outcomes for radical versus palliative treatment. Int J Clin Oncol 2020;25(3):432-8. https://doi.org/10.1007/s10147-019-01531-w
  • 9. Shah UK, Miller EG, Levy C. Palliation in pediatric otorhinolaryngology. International Journal of Pediatric Otorhinolaryngology. 2018;113:22-5. https://doi.org/10.1016/j.ijporl.2018.07.016
  • 10. Sooby P, Tarmal A, Townsley R. Management of catastrophic haemorrhage in palliative head and neck cancer: Creation of a new protocol using simulation. BMJ Open Quality. 2020;9(4):e001003. https://doi.org/10.1136/bmjoq-2020-001003
  • 11. Kishino T, Mori T, Miyashita T, Ouchi Y, Samukawa Y, Fukumura T, Takahashi S, et al. The utility of Glasgow Prognostic Score and Palliative Prognostic Index in patients with head and neck squamous cell carcinoma under palliative care. Ear Nose Throat J. 22021;1455613211005114. https://doi.org/10.1177/01455613211005114
  • 12. IBM SPSS Statistics 25, "SPSS for windows, version 25.0." 2017
  • 13. Topuz MF. General characteristics of otorhinolaryngology consultations: 3-year analysis. J Surgery Med. 2020;4(10):865-9. https://doi.org/10.28982/josam.794291
  • 14. Sher E, Nicholas B. Trends in otolaryngology consult volume at an academic institution from 2014 to 2018. Laryngoscope Investig Otolaryngol. 2020;5(5):813-8. https://doi.10.1002/lio2.422
  • 15. Choi KJ, Kahmke RR, Crowson MG, Puscas L, Scher RL, Cohen SM. Trends in otolaryngology consultation patterns at an academic quaternary care center. JAMA Otolaryngol Head Neck Surg. 2017;143(5):472-7. https://doi.org/10.1001/jamaoto.2016.4056
  • 16. Kozlov E, Carpenter BD, Thorsten M, Heiland M, Agarwal A. Palliative care consultation trajectories. Am J Hosp Palliat Care. 2014;31(4):459-63. https://doi.org/10.1177/1049909113491455
  • 17. Snijders R, Raijmakers, Firouzian A, Kodde A, Kazimier H, Bols F, et al. Trends in palliative care telephone consultation support for health care professionals: a dutch nationwide registry between 2004 and 2019. J Palliat Med 2023;26(1):87-93. https://doi.10.1089/jpm.2022.0097
  • 18. Yuruyen M , Ozbas TI, Tekmen Y, Polat O , Arslan I, Okuturlar Y. Prognostic Factors and Clinical Features in Palliative Care Patients. Konuralp Med J. 2018;10(1):74-80. https://doi.org/10.18521/ktd.368570
  • 19. Karakaya Z, Gokel Y, Acikalin A, Karakaya O. Evaluation of the process and effectiveness of consultation system in the Department of Emergency Medicine. Turk J Trauma Emerg Surg 2009;15(3):210-6. https://pubmed.ncbi.nlm.nih.gov/19562540/
  • 20. Kaasa S, Torvik K, Cherny N, Hanks G, de Conno F. Patient demographics and centre description in European palliative care units. Palliat Med. 2007;21(1):15-22. https://doi.org/10.1177/0269216306072086
  • 21. Murtagh FE, Bausewein C, Verne J, Groeneveld EI, Kaloki YE, Higginson IJ. How many people need palliative care? A study developing and comparing methods for population-based estimates. Palliat Med. 2014;28(1):49-58. https://doi.10.1177/0269216313489367
  • 22. Mulvey CL, Smith TJ, Gourin CG. Use of inpatient palliative care services in patients with metastatic incurable head and neck cancer. Head Neck. 2016;38(3):355-63. https://doi.org/10.1002/hed.23895
  • 23. Russell MS, Eisele D, Murr A. The otolaryngology hospitalist: a novel practice paradigm. Laryngoscope. 2013;123(6):1394-8. https://doi. 10.1002/lary.23834
  • 24. Garneau JC, Wasserman I, Konuthula N, Malkin BD. Referral patterns from emergency department to otolaryngology clinic. Laryngoscope. 2018;128(5):1062-7. https://doi.org/10.1002/lary.26868
  • 25. Kayabasi S, Gul F. Causes and consequences of consultation to ear nose throat physicians: a retrospective analysis. J Harran Uni Med Fac 2019;16(1):143-7.
  • 26. Aydin T, Aydin SA, Koksal O, Ozdemir F, Kulac S, Bulut M. Evaluation of features of patients attending the emergency department of Uludag University Medicine Faculty Hospital and emergency department practices. Eurasian J Emerg Med 2010;(9):163-8. https://doi:10.5152/jaem.2010.006
Toplam 26 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Kulak Burun Boğaz
Bölüm Araştırma Makalesi (Original Article)
Yazarlar

Nurullah Türe 0000-0002-1664-5634

Yasemin Kurtoğlu 0000-0002-8293-8590

Mehmet Varol 0000-0003-2901-9445

Yayımlanma Tarihi 28 Temmuz 2023
Gönderilme Tarihi 1 Şubat 2023
Kabul Tarihi 3 Haziran 2023
Yayımlandığı Sayı Yıl 2023 Cilt: 8 Sayı: 4

Kaynak Göster

APA Türe, N., Kurtoğlu, Y., & Varol, M. (2023). Otolaryngology consultations requested by palliative care services: a five-year analysis. Family Practice and Palliative Care, 8(4), 89-94. https://doi.org/10.22391/fppc.1245724
AMA Türe N, Kurtoğlu Y, Varol M. Otolaryngology consultations requested by palliative care services: a five-year analysis. Fam Pract Palliat Care. Temmuz 2023;8(4):89-94. doi:10.22391/fppc.1245724
Chicago Türe, Nurullah, Yasemin Kurtoğlu, ve Mehmet Varol. “Otolaryngology consultations requested by palliative care services: a five-year analysis”. Family Practice and Palliative Care 8, sy. 4 (Temmuz 2023): 89-94. https://doi.org/10.22391/fppc.1245724.
EndNote Türe N, Kurtoğlu Y, Varol M (01 Temmuz 2023) Otolaryngology consultations requested by palliative care services: a five-year analysis. Family Practice and Palliative Care 8 4 89–94.
IEEE N. Türe, Y. Kurtoğlu, ve M. Varol, “Otolaryngology consultations requested by palliative care services: a five-year analysis”, Fam Pract Palliat Care, c. 8, sy. 4, ss. 89–94, 2023, doi: 10.22391/fppc.1245724.
ISNAD Türe, Nurullah vd. “Otolaryngology consultations requested by palliative care services: a five-year analysis”. Family Practice and Palliative Care 8/4 (Temmuz2023), 89-94. https://doi.org/10.22391/fppc.1245724.
JAMA Türe N, Kurtoğlu Y, Varol M. Otolaryngology consultations requested by palliative care services: a five-year analysis. Fam Pract Palliat Care. 2023;8:89–94.
MLA Türe, Nurullah vd. “Otolaryngology consultations requested by palliative care services: a five-year analysis”. Family Practice and Palliative Care, c. 8, sy. 4, 2023, ss. 89-94, doi:10.22391/fppc.1245724.
Vancouver Türe N, Kurtoğlu Y, Varol M. Otolaryngology consultations requested by palliative care services: a five-year analysis. Fam Pract Palliat Care. 2023;8(4):89-94.
 Kapak Resmi İndir

Family Practice and Palliative Care      ISSN 2458-8865       E-ISSN 2459-1505