The Management of Complex Chronic Patients: An Increasingly Topical Old Challenge

Authors

  • Natália Loureiro Equipa Intra-Hospitalar de Suporte em Cuidados Paliativos. Centro Hospitalar do Tâmega e Sousa. Penafiel. Serviço de Medicina Interna. Hospital S. Gonçalo. Centro Hospitalar do Tâmega e Sousa. Amarante. Equipa Domiciliária de Cuidados Paliativos. Hospital Senhora da Oliveira. Guimarães. https://orcid.org/0000-0003-2140-7208
  • Miguel Sousa Equipa Intra-Hospitalar de Suporte em Cuidados Paliativos. Centro Hospitalar do Tâmega e Sousa. Penafiel. https://orcid.org/0000-0002-8178-3814

DOI:

https://doi.org/10.20344/amp.18616

Keywords:

Aged, Chronic Disease, Disease Management

Abstract

N/a.

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References

Vargiu E, Fernàndez JM, Miralles F, Cano J, Gimeno-Santos E, Hernandez C, et al. Integrated care for complex chronic patients. Int J Integr Care. 2017;17:1-8.

Esteban-Burgos AA, Lozano-Terrón MJ, Puente-Fernandez D, Hueso-Montoro C, Montoya-Juárez R, García-Caro MP. A new approach to the Identification of palliative care needs and advanced chronic patients among nursing home residents. Int J Environ Res Public Health. 2021;18:3171-85.

The Gold Standards Framework. Proactive Identification Guidance - PIG. 2016 [consultado em 2022 Jan 08]. Disponível em: https://gpraj.com/palliative-and-end-of-life-care/2019/12/1/the-gold-standardsframework.

Iglesias FH, Celada CA, Navarro CB, Morales LP, Visus NA, Valverde CC, et al. Complex care needs in multiple chronic conditions: population prevalence and characterization in primary care. A study protocol. Int J Integr Care. 2018;18:1-8.

Amblàs-Novellas J, Espaulella J, Rexach L, Fontecha B, Inzitari M, Blay C, et al. Frailty, severity, progression and shared decision-making: a pragmatic ramework for the challenge of clinical complexity at the end of life. Eur Geriatr Med. 2015;6:189–94.

Doessing A, Burau V. Care coordination of multimorbidity: a scoping study. J Comorb. 2015;5:15-28.

Di Pollina L, Guessous I, Petoud V, Combescure C, Buchs B, Schaller P, et al. Integrated care at home reduces unnecessary hospitalizations of community dwelling frail older adults: a prospective controlled trial. BMC Geriatr. 2017;17:53-63.

Kavalieratos D, Corbelli J, Zhang D, Dionne-Odom JN, Ernecoff NC, Hanmer J, et al. Association between palliative care and patient and caregiver outcomes: a systematic review and meta-analysis. JAMA. 2016;316:2104–14.

Bakitas M, Lyons KD, Hegel MT, Balan S, Brokaw FC, Sevill J, et al. The project ENABLE II randomized controlled trial to improve palliative care for patients with advanced cancer. JAMA. 2009;302:741–9.

Bakitas MA, Tosteson TD, Li Z, Lyons KD, Hull JG, Li Z, et al. Early versus delayed initiation of concurrent palliative oncology care: patient outcomes in the ENABLE III randomized controlled trial. J Clin Oncol. 2015;33:1438–45.

Published

2022-09-30

How to Cite

1.
Loureiro N, Sousa M. The Management of Complex Chronic Patients: An Increasingly Topical Old Challenge. Acta Med Port [Internet]. 2022 Sep. 30 [cited 2022 Dec. 7];35(11):850-1. Available from: https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/18616

Issue

Section

Letters to the Editor