Editorial
Palliative care for patients with non-malignant end stage respiratory disease
| The first 150 words of the full text of this article appear below. |
Chronic obstructive pulmonary disease (COPD) is a leading cause
of morbidity and mortality in the United Kingdom; 28 000 people in
England and Wales died of the disease in 1999, a figure comparable with
lung cancer which killed 29 000 people in the same year.1 Equal numbers of patients with COPD and lung cancer are therefore experiencing preterminal disease and are likely to require similar medical and social services. The UK Department of Health's expert report published in 19922 advocated the extension of
palliative care services to all who need them, whatever their
diagnosis. Since then, the availability and provision of holistic
supportive care to patients dying from non-malignant disease has become
a topical issue for palliative medicine.3 However, while
countries such as the USA admit a high proportion of non-cancer
patients to hospice inpatient units (30% in 1994-5),4
the UK lags far behind, concentrating these services mainly on cancer
patients with only
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