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P134 Inclusion of patients with severe or very severe COPD in a randomised controlled trial on early specialised palliative care: a difficult challenge

C. Weber; J. Stirnemann; F. Herrmann; C. Cantero; C. Matis; L. Boiche-Brouillard; R. Merlet-Viollet; S. Pautex; J.-P. Janssens
Author and Funding Information

1Primary Care Medicine

2General Internal Medicine

3Internal Medicine, Rehabilitation and Geriatrics

4Department of Medical Specialities, Geneva University Hospitals, Geneva, Switzerland


Copyright 2017, American College of Chest Physicians and Swiss Respiratory Society SGP. All Rights Reserved.


Chest. 2017;151(5_S):A31. doi:10.1016/j.chest.2017.04.034
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Introduction: Severe COPD is associated with a high morbidity/mortality, with a major impact on quality of life. Prognosis is similar to that of lung cancer. Symptom control is often poor. Randomized controlled trials (RCT) are necessary to analyse the benefit provided by early intervention of palliative care specialists in this setting. An RCT was initiated in a tertiary center experienced with severe COPD, to determine the effectiveness of introducing specialized palliative care on hospital, iICU and emergency admissions in patients with severe or very severe COPD. Important difficulties were encountered during the inclusion process.

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