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Palliative medicine and care

Oncogeriatrics (C. Delbaldo, C. Weber)
· Cancer prevalence and incidence with age.
· The role of telomeres in the ageing process and occurrence of cancer : (collaboration I. Irminger & K.-H. Krause).
· Age-adapted diagnostic and treatment of cancers : multidimensional evaluation.
· Cancer as a model of chronic evolving fatal disease ; rather live with than against according to existing adaptation models (breast cancer) and future ones (prostate cancer, GI cancers).
Palliative Medicine (P. Duong, K. Moynier, S. Pautex
· Internal and external competence networking.
· Symptoms at the end of life life : pain, delirium, depression, nutrition, dyspnoea are independent from a given disease.
· Anticipation of mourning through accompaniment measures for the dying and the family or the nearest.
· Anticipatory directives within the general ethical frame prevent abuse and neglect ; their application is well adapted to the end of life period ; suicide and euthanasia perspective may be approached in that context.
Quality of life of the ageing
· Quality of life and well-being are questions that have allowed many studies to emerge, although culturally poorly reproducible.
· In geriatrics, quality of life integrates life course itself and it must take into account cognitive decline (WHO collaboration Pr N von Steinbuchel).
· Delocalisation of the place of living from home to hospital, then convalescence house, long term care facility, nursing home and finally cemetery requires the mobilisation of sometimes frail reserves.
· Ethics and its many different fields offer the possibility to integrate in harmony the societal aspirations of efficiency and of individual happiness within the culturally robust base of our marching civilization.

Group's publications

Improving pain management in elderly patients with dementia: validation of the Doloshort observational pain assessment scale.
AGE AND AGEING
2009 vol. 38(6) pp. 754-757
PAUTEX S, HERRMANN FR, LE LOUS P, GOLD G

State of consciousness during the last days of life in patients receiving palliative care.
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT
2009 vol. 38(5) pp. 1-3
PAUTEX S, MOYNIER-VANTIEGHEM K, HERRMANN FR, ZULIAN GB

Difficulties of residents in training in end-of-life care. A qualitative study.
PALLIATIVE MEDICINE
2009 vol. 23(1) pp. 59-65
LUTHY C, CEDRASCHI C, PAUTEX S, RENTSCH D, PIGUET V, ALLAZ AF

Malignant irreversible intestinal obstruction: the powerful association of octreotide to corticosteroids, antiemetics, and analgesics.
THE AMERICAN JOURNAL OF HOSPICE & PALLIATIVE CARE
2009 vol. 26(2) pp. 84-88
WEBER C, ZULIAN G

Frail old patients as a target population for cancer trials.
THE JOURNAL OF NUTRITION, HEALTH & AGING
2009 vol. 13(1) pp. 31-33
MICHEL JP, PAUTEX S, AAPRO M, ZULIAN G

Utilisation of dental services in a university hospital palliative and long-term care unit in Geneva.
GERODONTOLOGY
2008 vol. 25(2) pp. 107-112
SCHIMMEL M, SCHOENI P, ZULIAN GB, MULLER F

Factors associated with falls in patients with cancer hospitalized for palliative care.
JOURNAL OF PALLIATIVE MEDICINE
2008 vol. 11(6) pp. 878-884
PAUTEX S, HERRMANN FR, ZULIAN G

Palliative care education in Swiss undergraduate medical curricula: a case of too little, too early.
PALLIATIVE MEDICINE
2008 vol. 22(6) pp. 730-735
PEREIRA J, PAUTEX S, CANTIN B, GUDAT H, ZAUGG K, EYCHMULLER S, ZULIAN G

Role of advance directives in palliative care units: a prospective study.
PALLIATIVE MEDICINE
2008 vol. 22(7) pp. 835-841
PAUTEX S, HERRMANN FR, ZULIAN G

Prophylactic anti-coagulation in cancer palliative care: a prospective randomised study.
SUPPORTIVE CARE IN CANCER
2008 vol. 16(7) pp. 847-852
WEBER C, MERMINOD T, HERRMANN FR, ZULIAN GB

The Multicenter Trial SAKK 37/95 of cladribine, cyclophosphamide and prednisone in the treatment of chronic lymphocytic leukemias and low-grade non-Hodgkin's lymphomas
ACTA HAEMATOLOGICA
2007 vol. 117 pp. 40-47
LAURENCET F, BALLABENI P, RUFENER B, HESS U, CERNY T, FEY M, LUTHI JM, PLANCHEREL C, ZULIAN G

Organization of the clinical activity of geriatric oncology: Report of a SIOG (International Society of Geriatric Oncology) task force
CRITICAL REVIEWS IN ONCOLOGY HEMATOLOGY
2007 vol. 62 pp. 62-73
MONFARDINI S, AAPRO MS, BENNETT JM, MORI M, REGENSTREIF D, RODIN M, STEIN B, ZULIAN GB, DROZ JP

Multidisciplinary approach to the geriatric oncology patient
JOURNAL OF CLINICAL ONCOLOGY
2007 vol. 25 pp. 1876-1881
TERRET C, ZULIAN GB, NAIEM A, ALBRAND G

To sedate or not to sedate?
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT
2007 vol. 34(1) pp. 105-107
PAUTEX S, ZULIAN G

Symptom relief in the last week of life: Is dementia always a limiting factor?
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
2007 vol. 55 pp. 1316-1317
PAUTEX S, HERRMANN FR, LE LOUS P, GHEDIRA M, ZULIAN GB, MICHON A, GOLD G

Disappearance of a stutter shortly before death.
THE AMERICAN JOURNAL OF HOSPICE & PALLIATIVE CARE
2007 vol. 24(2) pp. 141-143
DUONG PH, ZULIAN G

Psychometric properties of the Doloplus-2 observational pain assessment scale and comparison to self-assessment in hospitalized elderly.
THE CLINICAL JOURNAL OF PAIN
2007 vol. 23(9) pp. 774-779
PAUTEX S, HERRMANN FR, MICHON A, GIANNAKOPOULOS P, GOLD G

Pain in severe dementia: Self-assessment or observational scales?
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
2006 vol. 54 pp. 1040-1045
PAUTEX S, MICHON A, GUEDIRA M, EMOND H, LE LOUS PAULETTE, SAMARAS D, MICHEL JP, HERRMANN FR, GIANNAKOPOULOS P, GOLD G

Impact of a postgraduate six-month rotation in palliative care on knowledge and attitudes of junior residents
PALLIATIVE MEDICINE
2006 vol. 20 pp. 551-556
DUONG PH, ZULIAN GB

Symptom assessment in elderly cancer patients receiving palliative care
CRITICAL REVIEWS IN ONCOLOGY/HEMATOLOGY
2003 vol. pp. 281-286
PAUTEX S, BERGER A, CHATELAIN C, HERRMANN F, ZULIAN GB

Are older French patients as willing as older American patients to undertake chemotherapy
JOURNAL OF CLINICAL ONCOLOGY
2003 vol. 21(17) pp. 3214-3219
EXTERMANN M, ALBRAND GILLES, CHEN HONBGIN, ZANETTA SYLVIE, SCHONWETTER RONALD, ZULIAN GB, CANTOR ALAN, DROZ JEAN-PIERRE

Evaluation of a nystatin-containing mouth rinse for terminally ill patients in palliative care
JOURNAL OF PALLIATIVE CARE
2003 vol. 19(2) pp. 95-99
BUTTICAZ G, ZULIAN GB, PREUMONT MARIE, BUDTZ-JORGENSEN E

Reversal of refractory hypercalcemia using palliative radiotherapy in recurrent Pindborg's tumour
JOURNAL OF PALLIATIVE CARE
2003 vol. 19(2) pp. 140-141
BERGER A, ALLAL AS, GIANNELLI S, ZULIAN GB

Multiple malignant tumours in the elderly
CRITICAL REVIEWS IN ONCOLOGY/HEMATOLOGY
2002 vol. 43 pp. 227-230
MERMINOD T, ZULIAN G

End-of-life care of persons with dementia
JOURNAL OF GERONTOLOGY. SERIES A, BIOLOGICAL SCIENCES AND MEDICAL SCIENCES
2002 vol. 57 pp. 0-644
MICHEL JP, PAUTEX S, ZEKRY D, ZULIAN G, GOLD G

Geriatric medical oncology in the care of elderly cancer patients
CRITICAL REVIEWS IN ONCOLOGY/HEMATOLOGY
2001 vol. 41 pp. 343-347
ZULIAN GILBERT

Diagnosis of venous thromboembolism in cancer patients receiving palliative care [letter]
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT
2000 vol. 19 pp. 238-239
MERMINOD T, ZULIAN GILBERT

Retrospective evaluation of midazolam in a palliative care center
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT
1998 vol. 15 pp. 331-333
GREMAUD G, ZULIAN GILBERT

Research's domains




DATABASE-RESEARCH	GROUP OF CLINICAL PATIENT RESEARCH

Gilbert ZULIAN	Head of group CV	Research subject	Members of the group


	Links about the group Dr. G. ZULIAN HUG/ Dpt Réhab. Gériat CESCO Chemin de la Savonnière, 11 1245 Collonge-Bellerive gilbert.zulian@hcuge.ch Tel.: + 41 22 305 75 11 Fax: + 41 22 305 71 15 Comments Pages updated the 17.11.2015		Reseach's subject \| Group's publications \| Research's domains Palliative medicine and care Oncogeriatrics (C. Delbaldo, C. Weber) · Cancer prevalence and incidence with age. · The role of telomeres in the ageing process and occurrence of cancer : (collaboration I. Irminger & K.-H. Krause). · Age-adapted diagnostic and treatment of cancers : multidimensional evaluation. · Cancer as a model of chronic evolving fatal disease ; rather live with than against according to existing adaptation models (breast cancer) and future ones (prostate cancer, GI cancers). Palliative Medicine (P. Duong, K. Moynier, S. Pautex · Internal and external competence networking. · Symptoms at the end of life life : pain, delirium, depression, nutrition, dyspnoea are independent from a given disease. · Anticipation of mourning through accompaniment measures for the dying and the family or the nearest. · Anticipatory directives within the general ethical frame prevent abuse and neglect ; their application is well adapted to the end of life period ; suicide and euthanasia perspective may be approached in that context. Quality of life of the ageing · Quality of life and well-being are questions that have allowed many studies to emerge, although culturally poorly reproducible. · In geriatrics, quality of life integrates life course itself and it must take into account cognitive decline (WHO collaboration Pr N von Steinbuchel). · Delocalisation of the place of living from home to hospital, then convalescence house, long term care facility, nursing home and finally cemetery requires the mobilisation of sometimes frail reserves. · Ethics and its many different fields offer the possibility to integrate in harmony the societal aspirations of efficiency and of individual happiness within the culturally robust base of our marching civilization. Group's publications Improving pain management in elderly patients with dementia: validation of the Doloshort observational pain assessment scale. AGE AND AGEING 2009 vol. 38(6) pp. 754-757 PAUTEX S, HERRMANN FR, LE LOUS P, GOLD G State of consciousness during the last days of life in patients receiving palliative care. JOURNAL OF PAIN AND SYMPTOM MANAGEMENT 2009 vol. 38(5) pp. 1-3 PAUTEX S, MOYNIER-VANTIEGHEM K, HERRMANN FR, ZULIAN GB Difficulties of residents in training in end-of-life care. A qualitative study. PALLIATIVE MEDICINE 2009 vol. 23(1) pp. 59-65 LUTHY C, CEDRASCHI C, PAUTEX S, RENTSCH D, PIGUET V, ALLAZ AF Malignant irreversible intestinal obstruction: the powerful association of octreotide to corticosteroids, antiemetics, and analgesics. THE AMERICAN JOURNAL OF HOSPICE & PALLIATIVE CARE 2009 vol. 26(2) pp. 84-88 WEBER C, ZULIAN G Frail old patients as a target population for cancer trials. THE JOURNAL OF NUTRITION, HEALTH & AGING 2009 vol. 13(1) pp. 31-33 MICHEL JP, PAUTEX S, AAPRO M, ZULIAN G Utilisation of dental services in a university hospital palliative and long-term care unit in Geneva. GERODONTOLOGY 2008 vol. 25(2) pp. 107-112 SCHIMMEL M, SCHOENI P, ZULIAN GB, MULLER F Factors associated with falls in patients with cancer hospitalized for palliative care. JOURNAL OF PALLIATIVE MEDICINE 2008 vol. 11(6) pp. 878-884 PAUTEX S, HERRMANN FR, ZULIAN G Palliative care education in Swiss undergraduate medical curricula: a case of too little, too early. PALLIATIVE MEDICINE 2008 vol. 22(6) pp. 730-735 PEREIRA J, PAUTEX S, CANTIN B, GUDAT H, ZAUGG K, EYCHMULLER S, ZULIAN G Role of advance directives in palliative care units: a prospective study. PALLIATIVE MEDICINE 2008 vol. 22(7) pp. 835-841 PAUTEX S, HERRMANN FR, ZULIAN G Prophylactic anti-coagulation in cancer palliative care: a prospective randomised study. SUPPORTIVE CARE IN CANCER 2008 vol. 16(7) pp. 847-852 WEBER C, MERMINOD T, HERRMANN FR, ZULIAN GB The Multicenter Trial SAKK 37/95 of cladribine, cyclophosphamide and prednisone in the treatment of chronic lymphocytic leukemias and low-grade non-Hodgkin's lymphomas ACTA HAEMATOLOGICA 2007 vol. 117 pp. 40-47 LAURENCET F, BALLABENI P, RUFENER B, HESS U, CERNY T, FEY M, LUTHI JM, PLANCHEREL C, ZULIAN G Organization of the clinical activity of geriatric oncology: Report of a SIOG (International Society of Geriatric Oncology) task force CRITICAL REVIEWS IN ONCOLOGY HEMATOLOGY 2007 vol. 62 pp. 62-73 MONFARDINI S, AAPRO MS, BENNETT JM, MORI M, REGENSTREIF D, RODIN M, STEIN B, ZULIAN GB, DROZ JP Multidisciplinary approach to the geriatric oncology patient JOURNAL OF CLINICAL ONCOLOGY 2007 vol. 25 pp. 1876-1881 TERRET C, ZULIAN GB, NAIEM A, ALBRAND G To sedate or not to sedate? JOURNAL OF PAIN AND SYMPTOM MANAGEMENT 2007 vol. 34(1) pp. 105-107 PAUTEX S, ZULIAN G Symptom relief in the last week of life: Is dementia always a limiting factor? JOURNAL OF THE AMERICAN GERIATRICS SOCIETY 2007 vol. 55 pp. 1316-1317 PAUTEX S, HERRMANN FR, LE LOUS P, GHEDIRA M, ZULIAN GB, MICHON A, GOLD G Disappearance of a stutter shortly before death. THE AMERICAN JOURNAL OF HOSPICE & PALLIATIVE CARE 2007 vol. 24(2) pp. 141-143 DUONG PH, ZULIAN G Psychometric properties of the Doloplus-2 observational pain assessment scale and comparison to self-assessment in hospitalized elderly. THE CLINICAL JOURNAL OF PAIN 2007 vol. 23(9) pp. 774-779 PAUTEX S, HERRMANN FR, MICHON A, GIANNAKOPOULOS P, GOLD G Pain in severe dementia: Self-assessment or observational scales? JOURNAL OF THE AMERICAN GERIATRICS SOCIETY 2006 vol. 54 pp. 1040-1045 PAUTEX S, MICHON A, GUEDIRA M, EMOND H, LE LOUS PAULETTE, SAMARAS D, MICHEL JP, HERRMANN FR, GIANNAKOPOULOS P, GOLD G Impact of a postgraduate six-month rotation in palliative care on knowledge and attitudes of junior residents PALLIATIVE MEDICINE 2006 vol. 20 pp. 551-556 DUONG PH, ZULIAN GB Symptom assessment in elderly cancer patients receiving palliative care CRITICAL REVIEWS IN ONCOLOGY/HEMATOLOGY 2003 vol. pp. 281-286 PAUTEX S, BERGER A, CHATELAIN C, HERRMANN F, ZULIAN GB Are older French patients as willing as older American patients to undertake chemotherapy JOURNAL OF CLINICAL ONCOLOGY 2003 vol. 21(17) pp. 3214-3219 EXTERMANN M, ALBRAND GILLES, CHEN HONBGIN, ZANETTA SYLVIE, SCHONWETTER RONALD, ZULIAN GB, CANTOR ALAN, DROZ JEAN-PIERRE Evaluation of a nystatin-containing mouth rinse for terminally ill patients in palliative care JOURNAL OF PALLIATIVE CARE 2003 vol. 19(2) pp. 95-99 BUTTICAZ G, ZULIAN GB, PREUMONT MARIE, BUDTZ-JORGENSEN E Reversal of refractory hypercalcemia using palliative radiotherapy in recurrent Pindborg's tumour JOURNAL OF PALLIATIVE CARE 2003 vol. 19(2) pp. 140-141 BERGER A, ALLAL AS, GIANNELLI S, ZULIAN GB Multiple malignant tumours in the elderly CRITICAL REVIEWS IN ONCOLOGY/HEMATOLOGY 2002 vol. 43 pp. 227-230 MERMINOD T, ZULIAN G End-of-life care of persons with dementia JOURNAL OF GERONTOLOGY. SERIES A, BIOLOGICAL SCIENCES AND MEDICAL SCIENCES 2002 vol. 57 pp. 0-644 MICHEL JP, PAUTEX S, ZEKRY D, ZULIAN G, GOLD G Geriatric medical oncology in the care of elderly cancer patients CRITICAL REVIEWS IN ONCOLOGY/HEMATOLOGY 2001 vol. 41 pp. 343-347 ZULIAN GILBERT Diagnosis of venous thromboembolism in cancer patients receiving palliative care [letter] JOURNAL OF PAIN AND SYMPTOM MANAGEMENT 2000 vol. 19 pp. 238-239 MERMINOD T, ZULIAN GILBERT Retrospective evaluation of midazolam in a palliative care center JOURNAL OF PAIN AND SYMPTOM MANAGEMENT 1998 vol. 15 pp. 331-333 GREMAUD G, ZULIAN GILBERT Research's domains