Accuracy of the Surprise Question on Patients with Advanced Chronic Disease in the Primary Care Setting: preliminary results

Faria de Sousa, Paulo; Julião, Miguel; Rodrigues, Ana Paula; Nunes, Baltazar

http://hdl.handle.net/10400.18/6102

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Authors

Faria de Sousa, Paulo

Julião, Miguel

Rodrigues, Ana Paula

Nunes, Baltazar

Abstract(s)

The need to identify patients with palliative care needs has resulted in the development of many tools. The surprise question (SQ) ‘‘Would you be surprised if this patient were to die in the next year?’’ was tested in several contexts with good results. However, a systematic review and metaanalyses takes a less enthusiast conclusion. It states that the SQ performs poor to modestly and that other tools are warranted. Portugal’s reform and expansion of its palliative care network increase the need of simple and effective referral instruments. There are no studies in Portugal regarding the accuracy of the SQ and its Portuguese translation and validation have been reported elsewhere. (...)