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updated:14 March 2007

EAPC publications

Clinical & Research


Patient demographics and centre description in European palliative care units
A cross sectional survey of the European Association for Palliative Care (EAPC) Research Network

Stein Kaasa Faculty of Medicine, Norwegian University of Science and Technology, Trondheim and Department
of Oncology, St. Olavs University Hospital, Trondheim, Karin Torvik Department of Nursing, College of Higher
Eduction, Oslo, Nathan Cherny Department of Oncology, Shaare Zedek Medical Center, Jerusalem,
Geoffrey Hanks Department of Palliative Medicine, Bristol Haematology and Oncology Centre, Bristol and
Franco de Conno
Rehabilitation and Palliative Care, Istituto Nazionale Dei Tumori, Milano. Palliative Medicine 2007; 21: 15-22

This paper is the result of a Cross-sectional survey, the first empirical multicentre study organised by the EAPC Research Network.

The study includes 21 countries, all the 15 member states of the European Union as well as Norway, Switzerland, Iceland, Israel, Romania and Cyprus. For each country, one national co–ordinator recruited five (if possible) to a maximum of 10 participating centres to the study. A network of 142 centres was set up.

The study was co–ordinated by a core group of four Steering Committee members: Stein Kaasa, Geoffrey Hanks, Nathan Cherny and Franco De Conno.

All the organisation, distribution of information, dispatching of documents, collecting data and drawing up of data bases was carried out by Karin Torvik, the data manager of the Unit for Applied Clinical Research, Faculty of Medicine, Trondheim, Norway. The entire study was carried out without any external financial support. The questionnaires were completed in all countries in the English language, and a French translation of the questionnaire was available.

Click here to download

This document can be downloaded as pdf files for personal academic use.
Anyone wishing to use it for commercial purposes or needing to make multiple copies must contact the publisher - SAGE Publications Ltd, Oliver’s Yard, 55 City Road, London EC1Y 1SP, United Kingdom
Email:

Prognostic Factors in Advanced Cancer Patients: Evidence-Based Clinical Recommendations—A Study by the Steering Committee of the European Association for Palliative Care

Marco Maltoni, Augusto Caraceni, Cinzia Brunelli, Bert Broeckaert, Nicholas Christakis,
Steffen Eychmueller, Paul Glare, Maria Nabal, Antonio Viganò, Philip Larkin, Franco De Conno,
Geoffrey Hanks, and Stein Kaasa

Prognostication of life expectancy is a significant clinical commitment for clinicians involved
in oncology and palliative care. More accurate prognostication is feasible and can be achieved
by combining clinical experience and evidence from the literature. Using and communicating
prognostic information should be part of a multidisciplinary palliative care approach.

J Clin Oncol 23:6240-6248. © 2005 by American Society of Clinical Oncology

EAPC will request to the publisher permission to publish the paper as download file


Pain and pain treatments in European palliative care units.
A cross sectional survey from the European Association for Palliative Care Research Network

Pa° l Klepstad, Department of Circulation and Medical Imaging, Norwegian University of Science and Technology, Stein Kaasa, Department of Clinical and Molecular Medicine, Norwegian University of Science and Technology, Trondheim, Norway, Nathan Cherny, Pain and Palliative Medicine, Shaare Zedek Medical Center, Jerusalem, Israel, Geoffrey Hanks, Department of Palliative Medicine, Bristol Oncology Centre, Bristol, UK, Franco de Conno, Istituto Nazionale dei Tumori, Milan, Italy and the Research Steering Committee of the EAPC. Palliative Medicine 19(6): 477-484

The Research Network of the European Association for Palliative Care (EAPC) performed a survey of 3030 cancer patients from 143 palliative care centres in 21 European countries. The survey addressed pain intensity and the use of non-opioid analgesics, adjuvant analgesics and opioids.

Click here to download

This document can be downloaded as pdf files for personal academic use.
Anyone wishing to use it for commercial purposes or needing to make multiple copies must contact the publisher - SAGE Publications Ltd, Oliver’s Yard, 55 City Road, London EC1Y 1SP, United Kingdom
Email:


Pain measurement tools and methods in clinical research
The paper has been published as a special Article:

Pain Measurement Tools and Methods in Clinic Research in Palliative Care: Recommendations of an Expert Working Group of the EAPC. Augusto Caraceni, Nathan Cherny, Robin Fainsinger, Stein Kaasa, Philippe Poulain, Lukas Radbruch, Franco De Conno and the Steering Comittee members of the EAPC Research Network. JPSM, Vol:23 No.3 March 2002; 239-255.

We have obtained permission from Elsevier to publish the article online.
Click here to download

This document can be downloaded as pdf files for personal academic use. Anyone wishing to use it for commercial purposes or needing to make multiple copies must contact the publisher Elsevier Science Inc. Permissions may be obtained via Elsevier's web site www.elsevier.com

Breakthrough pain state of the art and the need for structured research

Episodic (breakthrough) pain, Consensus conference of an expert working group of the European Association for Palliative Care
Sebastiano Mercadante, M.D. 1 *, Lukas Radbruch, M.D. 2, Augusto Caraceni, M.D. 3, Nathan Cherny, M.D. 4, Stein Kaasa, M.D., Ph.D. 5, Friedemann Nauck, M.D. 6, Carla Ripamonti, M.D. 3, Franco De Conno, M.D. 1 3, Steering Committee of the European Association for Palliative Care (EAPC) Research Network in Cancer 2002;94:832-9
Pdf file unfortunately not available.


Depression in palliative care: a pragmatic report of an expert working group of the European Association for Palliative Care

F Stiefel, M Die Trill, A Berney, JN Olarte, D Razavi and the members 
of the steering committee of the research network of the European Association for Palliative Care.
Supportive Care of Cancer 2001; 9: 477488.

We have obtained permission from Springer Verlag to publish this online.
Click here to download

We have purchased reprints and have distributed them to those EAPC members who do not have access to the Internet.


Clinical practice recommendations for the management of bowel obstruction in patients with end-stage cancer
Carla Ripamonti, Robert Trycross, Mary Baines, Stefano Capri, Franco De Conno, Brett Gemlo, Trevor M. Hunt, Hans B. Krebs. Sebastiano Mercadante, René Schaerer, Pauline Wilkinson: Expert working Group of the of the EAPC.
Supportive Care of Cancer 2001; 9: 223233.

We have obtained permission from Springer Verlag to publish this online.
Click here to download

We also have purchased reprints and distributed them to those EAPC members who do not have access to the Internet.


Strategies to manage the adverse effects of oral morphine.
An evidence-based report

N Cherny, C Ripamonti et al and the Expert working Group of the of the Research Network of the EAPC.
Journal of Clinical Oncology 2001; 19(9): 25422554.

Its importance is being highlighted and it is being published in a separate section of the journal as an 'ASCO Special article'.

Click here to download

The document can be downloaded as pdf files for personal academic use. Anyone wishing to use it for commercial purposes or needing to make multiple copies must contact the publisher - www.jco.org .

Morphine and alternative opioids in cancer pain: the EAPC recommendations
GW Hanks, F De Conno et al and the members of the steering committee of the research network of the European Association for Palliative Care:
Expert working Group of the Research Network of the European Association for Palliative Care. British Journal of Cancer 2001; 84: 587593. Published 6 March 2001.

This paper is a result of the Expert Working Group on Opioids which first met in Sicily in 1992 and produced an earlier publication: Morphine in cancer pain: modes of administration. BMJ 1996; 312: 823-826. Because of the success of that publication and its widespread distribution the Expert Working Group met again and up-dated it and extended its recommendations to cover the use of alternatives to morphine.

EAPC distributed reprints in English to the EAPC members and has obtained the right to publish the English, French, German, Italian and Swedish version on its website.

The documents can be downloaded as pdf files for personal academic use. Anyone wishing to use it for commercial purposes or needing to make multiple copies must contact the publisher - .

ENGLISH VERSION
Click to download the English version

VERSION FRANÇAISE
Philippe Poulain (EAPC RSC member) and Michele Salamagne (EAPC Board Member) have finalised the translation into French
Télècharger la version française

The ITALIAN VERSION - VERSIONE ITALIANA was realised thanks to the support of Molteni Farmaceutici and reviewed by Franco De Conno (Chair of the EAPC Research Network)
Click to download the Italian version - la Versione Italiana
GERMAN VERSION - DEUTSCHE VERSION
Lukas Radbruch (EAPC RSC member) and Friedeman Nauck (EAPC Board Member) have finalised the translation into German, which has been accepted for publication by the journal, Der Schmerz in agreement with the British Journal of Cancer.
Click to download the German version - die Deutsche version
SWEDISH VERSION - SVENSKA
Matthias Brian of the Swedish Association for Palliative Care - EAPC collective member has finalised the translation into Swedish of the statements.
Click to download the Swedish version
SPANISH VERSION - VERSION ESPAGNOLA
The Sociedad Española de Cuidados Paliativos
- EAPC collective member has finalised the translation into Spanish.
Click to download
the Spanish version

WHO guidelines on cancer pain management: report on international application and current appraisal
The purpose of this working group was to review the current application of the WHO guidelines on cancer pain management in various countries around the world. In association with Excerpta Medica, a report of the meeting has been produced.
The EAPC has received complementary copies for its individual members. It
was distributed to EAPC members at the last two EAPC Congresses. Members can request a copy, while stocks last.

Morphine in cancer pain: modes of administration
The findings of an EAPC expert working group of palliative care specialists and cancer experts on routes of administration of opioids were published as a review in the British Medical Journal 1996; 312: 823826. A reprint in French is available.


Barriers to controlling pain in patients with cancer 
A leading article commenting on the EAPC paper was published in the Lancet 1996; 347: 1278.


Guidelines on artificial nutrition versus hydration in terminal cancer patients 
This paper by an EAPC Expert Working Group of palliative care specialists and cancer experts was published in the journal Nutrition 1996; 12(3): 163167.



 

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