||Uncertainties identified from clinicians' questions
||James Lind Alliance Palliative and end of life care Priority Setting Partnership
|Why is there uncertainty?
||Reliable up-to-date systematic reviews have revealed important continuing uncertainties about treatment effects
Ranked 24th in the PeolcPSP
This uncertainty was identified from three professionals' questions.
This is an indicative uncertainty and the following submissions were merged to form this one:
Anxiety is a problem on its own but also decreases ability to cope with pain
How does counselling and psychotherapy help? Which kind of counselling is most effective for people in end of life care? Should counseling be available to all patients or those who cross a clinical threshold of measured distress? What's the best way to evaluate effectiveness/outcomes of intervention (especially psychological spiritual care).
Is there a way to get emotional support? My father sank into depression as the treatment for his cancer stopped working. He was particularly difficult to live with, but there didn't seem to be any support for dealing with his depression, or maybe we didn't know where to turn to. The depression was as difficult to cope with (for all of us) as the cancer was.
References to reliable up-to-date systematic reviews:
Walker J, Sawhney A, Hansen CH, Symeonides S, Martin P, Murrey G, Sharpe M. Treatment of depression in people with lung cancer: a systematic review. Lung Cancer 2013; 79: 46-53
|What is needed?
|Systematic reviews that need updating or extending
|Systematic reviews in preparation
|Ongoing controlled trials
||Intervention for treating depression among palliative care patients and their families.
[See web page]
CanTalk: A trail into the benefits of a talking therapy called CBT for the treatment of depression in adults with advanced cancer.
|Which health conditions?
||Mental health | Service delivery, organisation and staffing | Palliative and end of life care
|What is person's age?
|Which types of treatments?
Patient Satisfaction; health related quality of life; health related cost;quality of care
||Publication date:08 Sep 2015
|Last reviewed date:08 Sep 2016
||Publication Type:Known Uncertainty
|The DUETs team endeavours to ensure that information is correct at the time of data entry