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Review
. 2021 Sep;5(9):1469-1480.
doi: 10.1002/hep4.1743. Epub 2021 Jun 16.

Developing Priorities for Palliative Care Research in Advanced Liver Disease: A Multidisciplinary Approach

Affiliations
Review

Developing Priorities for Palliative Care Research in Advanced Liver Disease: A Multidisciplinary Approach

Arpan A Patel et al. Hepatol Commun. 2021 Sep.

Abstract

Individuals with advanced liver disease (AdvLD), such as decompensated cirrhosis (DC) and hepatocellular carcinoma (HCC), have significant palliative needs. However, little research is available to guide health care providers on how to improve key domains related to palliative care (PC). We sought to identify priority areas for future research in PC by performing a comprehensive literature review and conducting iterative expert panel discussions. We conducted a literature review using search terms related to AdvLD and key PC domains. Individual reviews of these domains were performed, followed by iterative discussions by a panel consisting of experts from multiple disciplines, including hepatology, specialty PC, and nursing. Based on these discussions, priority areas for research were identified. We identified critical gaps in the available research related to PC and AdvLD. We developed and shared five key priority questions incorporating domains related to PC. Conclusion: Future research endeavors focused on improving PC in AdvLD should consider addressing the five key priorities areas identified from literature reviews and expert panel discussions.

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Figures

FIG. 1
FIG. 1
Palliative care domains of interest included in literature search.
FIG. 2
FIG. 2
Flow diagram for literature review.

References

    1. D'Amico G, Garcia‐Tsao G, Pagliaro L. Natural history and prognostic indicators of survival in cirrhosis: a systematic review of 118 studies. J Hepatol 2006;44:217‐231. - PubMed
    1. Kanwal F, Gralnek IM, Hays RD, Zeringue A, Durazo F, Han SB, et al. Health‐related quality of life predicts mortality in patients with advanced chronic liver disease. Clin Gastroenterol Hepatol 2009;7:793‐799. - PubMed
    1. Fan SY, Eiser C, Ho MC. Health‐related quality of life in patients with hepatocellular carcinoma: a systematic review. Clin Gastroenterol Hepatol 2010;8:559‐564.e1‐10. - PubMed
    1. Younossi ZM, Boparai N, Price LL, Kiwi ML, McCormick M, Guyatt G. Health‐related quality of life in chronic liver disease: the impact of type and severity of disease. Am J Gastroenterol 2001;96:2199‐2205. - PubMed
    1. Everhart JE, Ruhl CE. Burden of digestive diseases in the United States Part III: liver, biliary tract, and pancreas. Gastroenterology 2009;136:1134‐1144. - PubMed