A 10-year service evaluation of a multidisciplinary neuro-palliative care model in motor neuron disease: Impact on palliative care service delivery & advance care planning.
Saved in:
| Title: | A 10-year service evaluation of a multidisciplinary neuro-palliative care model in motor neuron disease: Impact on palliative care service delivery & advance care planning. |
|---|---|
| Authors: | Chung, Wai Kei Vicky (AUTHOR), Chan, Ka Po (AUTHOR), Hsu, Dany Young (AUTHOR), Ma, Yi Ka Samantha (AUTHOR), Chan, Lok Yiu Eric (AUTHOR), Ng, Shi Hon (AUTHOR), Chow, Siu Lun Eddie (AUTHOR), Hong, Yeuk Fai (AUTHOR), Chan, Yu Hong John (AUTHOR), Ma, Yiu Keung (AUTHOR), Lee, Savio (AUTHOR), Lui, Wai Cheung Jennifer (AUTHOR), Cheng, Hon Wai Benjamin (AUTHOR) |
| Source: | Palliative Medicine. Feb2026, Vol. 40 Issue 2, p253-264. 12p. |
| Subjects: | Amyotrophic lateral sclerosis treatment, Public hospitals, Medical care use, Community support, Age of onset, Palliative treatment, Early medical intervention, Medical care, Fisher exact test, Evaluation of medical care, Retrospective studies, Multivariate analysis, Descriptive statistics, Chi-squared test, Mann Whitney U Test, Family history (Medicine), Decision making in clinical medicine, Age distribution, Bereavement, Kaplan-Meier estimator, Log-rank test, Enteral feeding, Medical records, Acquisition of data, Quality of life, Statistics, Social support, Survival analysis (Biometry), Confidence intervals, Data analysis software, Motor neuron diseases, Health care teams, Advance directives (Medical care), Proportional hazards models |
| Geographic Terms: | Hong Kong (China) |
| Abstract: | Background: Multidisciplinary neuro-palliative care has been increasingly recommended for the management of patients with motor neuron disease. While international guidelines have highlighted the importance of early palliative care referral, the best model of practice has not been well-defined. Aim: The objective of this study is to evaluate the outcomes of a structured multidisciplinary neuro-palliative care model developed in regional hospitals in Hong Kong. Design: A 10-year retrospective chart review. Setting/participants: Adult motor neuron disease patients under care of three regional hospitals in Hong Kong. Data of patients under the care of multidisciplinary neuro-palliative care taskforce and those who were not were analyzed. Results: There were 140 motor neuron disease patients included in study. Patients in multidisciplinary neuro-palliative care group received more healthcare intervention and palliative care services, including occupational therapist (92.86% vs 78.57%, p = 0.021), dietician (67.35% vs 42.86%, p = 0.007) and speech therapist (96.94% vs 76.19%, p = 0.000) services, community support by non-governmental organizations (74.49% vs 19.05%, p = 0.000) and formal bereavement support (78.26% vs 17.07%, p = 0.000). Significantly more patients in multidisciplinary neuro-palliative care group had completed Advance Medical Directives (46.94% vs 4.76%, p = 0.000). Patients under multidisciplinary care had longer survival compared to those who were not (HR 0.539, 95% CI 0.372–0.782, p = 0.001). This remains significant after adjusting for factors affecting survival in multivariate analysis. Conclusions: Multidisciplinary neuro-palliative care demonstrated benefits in motor neuron disease patients in terms of better care coordination and service delivery, higher rate of Advance Medical Directive completion, with possible better survival observed. Future prospective studies are warranted to assess the impact on patient-centered outcomes. [ABSTRACT FROM AUTHOR] |
| Copyright of Palliative Medicine is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
|
Full text is not displayed to guests.
Login for full access.
|
|
| Abstract: | Background: Multidisciplinary neuro-palliative care has been increasingly recommended for the management of patients with motor neuron disease. While international guidelines have highlighted the importance of early palliative care referral, the best model of practice has not been well-defined. Aim: The objective of this study is to evaluate the outcomes of a structured multidisciplinary neuro-palliative care model developed in regional hospitals in Hong Kong. Design: A 10-year retrospective chart review. Setting/participants: Adult motor neuron disease patients under care of three regional hospitals in Hong Kong. Data of patients under the care of multidisciplinary neuro-palliative care taskforce and those who were not were analyzed. Results: There were 140 motor neuron disease patients included in study. Patients in multidisciplinary neuro-palliative care group received more healthcare intervention and palliative care services, including occupational therapist (92.86% vs 78.57%, p = 0.021), dietician (67.35% vs 42.86%, p = 0.007) and speech therapist (96.94% vs 76.19%, p = 0.000) services, community support by non-governmental organizations (74.49% vs 19.05%, p = 0.000) and formal bereavement support (78.26% vs 17.07%, p = 0.000). Significantly more patients in multidisciplinary neuro-palliative care group had completed Advance Medical Directives (46.94% vs 4.76%, p = 0.000). Patients under multidisciplinary care had longer survival compared to those who were not (HR 0.539, 95% CI 0.372–0.782, p = 0.001). This remains significant after adjusting for factors affecting survival in multivariate analysis. Conclusions: Multidisciplinary neuro-palliative care demonstrated benefits in motor neuron disease patients in terms of better care coordination and service delivery, higher rate of Advance Medical Directive completion, with possible better survival observed. Future prospective studies are warranted to assess the impact on patient-centered outcomes. [ABSTRACT FROM AUTHOR] |
|---|---|
| ISSN: | 02692163 |
| DOI: | 10.1177/02692163251396020 |
