Palliative Oncologists: Specialists in the Science and Art of Patient Care

Hui, David; Finlay, Esmé; Buss, Mary K.; Prommer, Eric; Bruera, Éduardo

doi:10.1200/jco.2014.60.3274

Cited by 38 publications

(17 citation statements)

References 21 publications

(15 reference statements)

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“…Furthermore, they also reported that a larger proportion of their own patients with advanced cancer were referred to palliative care, with a gradient effect observed. Our findings are consistent with the observation that palliative oncologists who are dually trained in oncology and palliative care often refer a high proportion of their patients to palliative care when practicing oncology [18].This association could also help explain the steady growth of the palliative care program at our institution [6].…”

Section: Discussionsupporting

confidence: 79%

Impact of Oncologists’ Attitudes Toward End-of-Life Care on Patients’ Access to Palliative Care

et al. 2016

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Background. It is unclear how oncologists' attitudes toward end-of-life (EOL) care affect the delivery of care. The present study examined the association between oncologists' EOL care attitudes and (a) timely specialist palliative care referral, (b) provision of supportive care, and (c) EOL cancer treatment decisions. Methods. We randomly surveyed 240 oncology specialists at our tertiary care cancer center to assess their attitudes toward EOL care using a score derived from the Jackson et al. qualitative conceptual framework (0 5 uncomfortable and 8 5 highly comfortable with EOL care). We determined the association between this score and clinicians' report of specialist palliative care referral, provision of supportive care, and EOL cancer treatment decisions. Results. Of the 182 respondents (response rate of 76%), the median composite EOL care score was 6 (interquartile range,

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Section: Discussionsupporting

confidence: 79%

Impact of Oncologists’ Attitudes Toward End-of-Life Care on Patients’ Access to Palliative Care

et al. 2016

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“…115 Of note, individuals boarded in palliative care might be attractive candidates for oncology training programmes because of their unique specialist experience in an important aspect of oncology. In addition to clinical work in both specialties, palliative oncologists can take an active role in educating oncologists about palliative care, teaching palliative-care teams about oncology, conducting palliative-oncology research, and advocating for increased allocation of resources and greater awareness.…”

Section: Introductionmentioning

confidence: 99%

Integrating palliative care into the trajectory of cancer care

2015

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Over the past five decades, palliative care has evolved from serving patients at the end of life into a highly specialized discipline focused on delivering supportive care to patients with life-limiting illnesses throughout the disease trajectory. A growing body of evidence is now available to inform the key domains in the practice of palliative care, including symptom management, psychosocial care, communication, decision-making, and end-of-life care. Findings from multiple studies indicate that integrating palliative care early in the disease trajectory can result in improvements in quality of life, symptom control, patient and caregiver satisfaction, quality of end-of-life care, survival, and costs of care. In this narrative Review, we discuss various strategies to integrate oncology and palliative care by optimizing clinical infrastructures, processes, education, and research. The goal of integration is to maximize patient access to palliative care and, ultimately, to improve patient outcomes. We provide a conceptual model for the integration of supportive and/or palliative care with primary and oncological care. We end by discussing how health-care systems and institutions need to tailor integration based on their resources, size, and the level of primary palliative care available.

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“…This strategy would help to implement the integrated view of palliative treatment of cancer patients for which the INCan palliative care service has searched, as recently proposed by Hui and colleagues. 47 The integral vision of cancer patient management is consistent with the standards of other countries. Since 2003, the European Society for Medical Oncology (ESMO) has awarded recognition to oncology centers with integrated palliative care, based on 13 care, education and research criteria, 48 in 2015, the INCan received accreditation as a Designated Centre for Oncology-Palliative Integration.…”

Section: Palliative Care In the Clinical Practice Of Oncologymentioning

confidence: 65%

Integrated oncology and palliative care: five years experience at the National Cancer Institute of Mexico

Allende-Pérez¹,

Verástegui-Avilés²,

Mohar‐Betancourt³

et al. 2016

Salud Pública Mex

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Under the national plan for addressing cancer, prevention and detection play important roles. However, the cost of treatments and late diagnosis represent a significant burden on health services. At the National Cancer Institute, more than half of patients present with tumors in advanced stages, and approximately 10% of patients seen for the first time exhibit terminal-stage malignancies, where there are no feasible cancer treatment options, and the patients are instead admitted to the hospital exclusively for palliative symptomatic management. In 2010, the National Cancer Plan began implementing a model of integrative management of palliative care in oncology that has gradually come to include symptomatic palliative care, involving ambulatory, distant and hospitalized management of patients with cancer, in its final stages and, more recently, in earlier stages. ResumenEn el marco del plan nacional para abordar el cáncer, la prevención y la detección juegan un papel importante. Sin embargo, el costo de tratamientos y diagnóstico tardío representan una carga significativa en los servicios de salud. En el Instituto Nacional del Cáncer, más de la mitad de los pacientes presentan tumores en etapas avanzadas, y aproximadamente10% de los pacientes que acuden a consulta por primera vez presentan malignidades en etapa terminal, donde no hay opciones factibles para de tratamiento del cáncer; en su lugar, los pacientes son admitidos en el hospital exclusivamente para manejo sintomático paliativo. En 2010, el Plan Nacional del Cáncer comenzó a implementar un modelo de gestión integral de los cuidados paliativos en oncología que ha logrado gradualmente incluir cuidados sintomáticos paliativos, incluyendo manejo ambulatorio, distante y hospitalizado de los pacientes con cáncer en fase final y, más recientemente, en las primeras fases.Palabras clave: oncología integrada; cuidados paliativos; cuidado del cáncer terminal http://dx.doi.org/10.21149/spm.v58i2.7803

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Palliative Oncologists: Specialists in the Science and Art of Patient Care

Cited by 38 publications

References 21 publications

Impact of Oncologists’ Attitudes Toward End-of-Life Care on Patients’ Access to Palliative Care

Impact of Oncologists’ Attitudes Toward End-of-Life Care on Patients’ Access to Palliative Care

Integrating palliative care into the trajectory of cancer care

Integrated oncology and palliative care: five years experience at the National Cancer Institute of Mexico

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