View in EDS HTML Full Text PDF Full Text

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:
Bibliographic Details
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.
FullText Links:
  – Type: pdflink
Text:
  Availability: 1
Header DbId: pbh
DbLabel: Psychology and Behavioral Sciences Collection
An: 191177805
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: 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.
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Chung%2C+Wai+Kei+Vicky%22">Chung, Wai Kei Vicky</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Chan%2C+Ka+Po%22">Chan, Ka Po</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Hsu%2C+Dany+Young%22">Hsu, Dany Young</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ma%2C+Yi+Ka+Samantha%22">Ma, Yi Ka Samantha</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Chan%2C+Lok+Yiu+Eric%22">Chan, Lok Yiu Eric</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ng%2C+Shi+Hon%22">Ng, Shi Hon</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Chow%2C+Siu+Lun+Eddie%22">Chow, Siu Lun Eddie</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Hong%2C+Yeuk+Fai%22">Hong, Yeuk Fai</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Chan%2C+Yu+Hong+John%22">Chan, Yu Hong John</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ma%2C+Yiu+Keung%22">Ma, Yiu Keung</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Lee%2C+Savio%22">Lee, Savio</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Lui%2C+Wai+Cheung+Jennifer%22">Lui, Wai Cheung Jennifer</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Cheng%2C+Hon+Wai+Benjamin%22">Cheng, Hon Wai Benjamin</searchLink> (AUTHOR)
– Name: TitleSource
  Label: Source
  Group: Src
  Data: <searchLink fieldCode="JN" term="%22Palliative+Medicine%22">Palliative Medicine</searchLink>. Feb2026, Vol. 40 Issue 2, p253-264. 12p.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Amyotrophic+lateral+sclerosis+treatment%22">Amyotrophic lateral sclerosis treatment</searchLink><br /><searchLink fieldCode="DE" term="%22Public+hospitals%22">Public hospitals</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+care+use%22">Medical care use</searchLink><br /><searchLink fieldCode="DE" term="%22Community+support%22">Community support</searchLink><br /><searchLink fieldCode="DE" term="%22Age+of+onset%22">Age of onset</searchLink><br /><searchLink fieldCode="DE" term="%22Palliative+treatment%22">Palliative treatment</searchLink><br /><searchLink fieldCode="DE" term="%22Early+medical+intervention%22">Early medical intervention</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+care%22">Medical care</searchLink><br /><searchLink fieldCode="DE" term="%22Fisher+exact+test%22">Fisher exact test</searchLink><br /><searchLink fieldCode="DE" term="%22Evaluation+of+medical+care%22">Evaluation of medical care</searchLink><br /><searchLink fieldCode="DE" term="%22Retrospective+studies%22">Retrospective studies</searchLink><br /><searchLink fieldCode="DE" term="%22Multivariate+analysis%22">Multivariate analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Chi-squared+test%22">Chi-squared test</searchLink><br /><searchLink fieldCode="DE" term="%22Mann+Whitney+U+Test%22">Mann Whitney U Test</searchLink><br /><searchLink fieldCode="DE" term="%22Family+history+%28Medicine%29%22">Family history (Medicine)</searchLink><br /><searchLink fieldCode="DE" term="%22Decision+making+in+clinical+medicine%22">Decision making in clinical medicine</searchLink><br /><searchLink fieldCode="DE" term="%22Age+distribution%22">Age distribution</searchLink><br /><searchLink fieldCode="DE" term="%22Bereavement%22">Bereavement</searchLink><br /><searchLink fieldCode="DE" term="%22Kaplan-Meier+estimator%22">Kaplan-Meier estimator</searchLink><br /><searchLink fieldCode="DE" term="%22Log-rank+test%22">Log-rank test</searchLink><br /><searchLink fieldCode="DE" term="%22Enteral+feeding%22">Enteral feeding</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+records%22">Medical records</searchLink><br /><searchLink fieldCode="DE" term="%22Acquisition+of+data%22">Acquisition of data</searchLink><br /><searchLink fieldCode="DE" term="%22Quality+of+life%22">Quality of life</searchLink><br /><searchLink fieldCode="DE" term="%22Statistics%22">Statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Social+support%22">Social support</searchLink><br /><searchLink fieldCode="DE" term="%22Survival+analysis+%28Biometry%29%22">Survival analysis (Biometry)</searchLink><br /><searchLink fieldCode="DE" term="%22Confidence+intervals%22">Confidence intervals</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22Motor+neuron+diseases%22">Motor neuron diseases</searchLink><br /><searchLink fieldCode="DE" term="%22Health+care+teams%22">Health care teams</searchLink><br /><searchLink fieldCode="DE" term="%22Advance+directives+%28Medical+care%29%22">Advance directives (Medical care)</searchLink><br /><searchLink fieldCode="DE" term="%22Proportional+hazards+models%22">Proportional hazards models</searchLink>
– Name: SubjectGeographic
  Label: Geographic Terms
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Hong+Kong+%28China%29%22">Hong Kong (China)</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: 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]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>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.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=191177805
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1177/02692163251396020
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 12
        StartPage: 253
    Subjects:
      – SubjectFull: Amyotrophic lateral sclerosis treatment
        Type: general
      – SubjectFull: Public hospitals
        Type: general
      – SubjectFull: Medical care use
        Type: general
      – SubjectFull: Community support
        Type: general
      – SubjectFull: Age of onset
        Type: general
      – SubjectFull: Palliative treatment
        Type: general
      – SubjectFull: Early medical intervention
        Type: general
      – SubjectFull: Medical care
        Type: general
      – SubjectFull: Fisher exact test
        Type: general
      – SubjectFull: Evaluation of medical care
        Type: general
      – SubjectFull: Retrospective studies
        Type: general
      – SubjectFull: Multivariate analysis
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Chi-squared test
        Type: general
      – SubjectFull: Mann Whitney U Test
        Type: general
      – SubjectFull: Family history (Medicine)
        Type: general
      – SubjectFull: Decision making in clinical medicine
        Type: general
      – SubjectFull: Age distribution
        Type: general
      – SubjectFull: Bereavement
        Type: general
      – SubjectFull: Kaplan-Meier estimator
        Type: general
      – SubjectFull: Log-rank test
        Type: general
      – SubjectFull: Enteral feeding
        Type: general
      – SubjectFull: Medical records
        Type: general
      – SubjectFull: Acquisition of data
        Type: general
      – SubjectFull: Quality of life
        Type: general
      – SubjectFull: Statistics
        Type: general
      – SubjectFull: Social support
        Type: general
      – SubjectFull: Survival analysis (Biometry)
        Type: general
      – SubjectFull: Confidence intervals
        Type: general
      – SubjectFull: Data analysis software
        Type: general
      – SubjectFull: Motor neuron diseases
        Type: general
      – SubjectFull: Health care teams
        Type: general
      – SubjectFull: Advance directives (Medical care)
        Type: general
      – SubjectFull: Proportional hazards models
        Type: general
      – SubjectFull: Hong Kong (China)
        Type: general
    Titles:
      – TitleFull: 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.
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Chung, Wai Kei Vicky
      – PersonEntity:
          Name:
            NameFull: Chan, Ka Po
      – PersonEntity:
          Name:
            NameFull: Hsu, Dany Young
      – PersonEntity:
          Name:
            NameFull: Ma, Yi Ka Samantha
      – PersonEntity:
          Name:
            NameFull: Chan, Lok Yiu Eric
      – PersonEntity:
          Name:
            NameFull: Ng, Shi Hon
      – PersonEntity:
          Name:
            NameFull: Chow, Siu Lun Eddie
      – PersonEntity:
          Name:
            NameFull: Hong, Yeuk Fai
      – PersonEntity:
          Name:
            NameFull: Chan, Yu Hong John
      – PersonEntity:
          Name:
            NameFull: Ma, Yiu Keung
      – PersonEntity:
          Name:
            NameFull: Lee, Savio
      – PersonEntity:
          Name:
            NameFull: Lui, Wai Cheung Jennifer
      – PersonEntity:
          Name:
            NameFull: Cheng, Hon Wai Benjamin
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 02
              Text: Feb2026
              Type: published
              Y: 2026
          Identifiers:
            – Type: issn-print
              Value: 02692163
          Numbering:
            – Type: volume
              Value: 40
            – Type: issue
              Value: 2
          Titles:
            – TitleFull: Palliative Medicine
              Type: main
ResultId 1