Indicators of integration of oncology and palliative care programs: an international consensus

Hui, David; Bansal, Shruti; Strasser, Florian; Morita, Tatsuya; Caraceni, Augusto; Davis, Mellar P.; Cherny, Nathan I.; Kaasa, Stein; Currow, David C.; Abernethy, Amy Pickar; Nekolaichuk, Cheryl; Bruera, Éduardo

doi:10.1093/annonc/mdv269

Cited by 111 publications

(104 citation statements)

References 21 publications

(29 reference statements)

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“…Timing of concurrent SPC initiation It is unclear which circumstances are the best for initiating concurrent SPC [48] . Many of these "red flags" concern severe or ongoing symptoms, or others emergency admissions, while others support the integration of SPC to every patient with a specific disease (i.e.…”

Section: Fear Of Uncoordinated Carementioning

confidence: 99%

Early Palliative Care: Pro, but Please Be Precise!

Gärtner¹,

Daun

Wolf

et al. 2019

Oncol Res Treat

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Background: By definition, palliative care (PC) is applicable already in early stages of incurable and life-threatening diseases, in conjunction with therapies that are intended to prolong life, such as for example chemo- or radiotherapy. Many patients suffer from distressing symptoms or problems in early phases of such illness. Therefore, it is not a question of “if” PC should be integrated early into oncology, but “how.” General PC is defined as an approach that should be delivered by healthcare professionals regardless of their discipline. This is often referred to as “general” or “primary” PC. For this, routine symptom assessment, expertise concerning basic symptom management, and communication skills are basic requirements. Communication skills include the willingness to engage in discussions concerning patients' fears, worries and end-of-life issues without the fear of destroying hope. Specialist PC is provided by specialist teams regardless of the patients' disease, be it cancer or non-cancer. Such teams should be integrated in the care of PC patients depending on the availability of these services and the patients' needs. Key messages: “Early PC” must not be used synonymously with “early specialist PC” because much of the PC is delivered as basic oncology PC. For the integration of specialist PC, the identification of triggers is warranted in different institutions to facilitate a meaningful and effective cooperation. Such cooperations should be based on patients' needs, but must also account for questions of availability and resources.

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Section: Fear Of Uncoordinated Carementioning

confidence: 99%

Early Palliative Care: Pro, but Please Be Precise!

Gärtner¹,

Daun

Wolf

et al. 2019

Oncol Res Treat

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“…She dealt with that very well. P-221i on providing care for inpatients, with variable access to outpatient palliative care clinics [3,38,39]. In a recent survey, palliative care clinics were available at 59% of National Cancer Institute (NCI) centersand22%ofnon-NCIcenters [38].Evenatcenterswithaccess tosuchclinics,referralstendtooccurlateinthediseaseprocess [40], althoughoncologistswith palliativecaretrainingtendtoreferearlier in the course of illness [3].…”

Section: P-347cmentioning

confidence: 99%

Early Palliative Care and Its Role in Oncology: A Qualitative Study

et al. 2016

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Introduction. Early integration of palliative care alongside oncology is being increasingly recommended, although the strategies and models for integration remain poorly defined. We solicited the opinions of patients and caregivers who participated in a randomized trial of early palliative care versus standard oncology care, regarding the respective roles of their oncologist (both groups) and palliative care physician (early palliative care group). Materials and Methods. The study was performed at a comprehensive cancer center. Forty-eight patients (26 intervention, 22 control) and 23 caregivers (14 intervention, 9 control) were recruited purposefully at trial end. One-on-one, semistructured qualitative interviews were conducted and analyzed using grounded theory. Results. The themes resulting from the analysis fell into three categories: the focus of care, the model of care delivery, and the complementarity between teams. The focus of care in

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“…A consensus study was recently published which put forth indicators of integration [98]. Some of the 13 indicators do have evidence with improved outcomes as previously discussed.…”

Section: Indicators Of Integration Of Palliative Care Into Oncologymentioning

confidence: 97%

“…The 12th is combined palliative-care/oncology educational activities for palliative-care and oncology fellows. The last indicator involves palliative-care rotations for oncology trainees [98].…”

Section: Indicators Of Integration Of Palliative Care Into Oncologymentioning

confidence: 99%

Promoting further use of palliative care in cancer care centers

Davis

Carrino

2016

Expert Review of Quality of Life in Cancer Care

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Palliative care has changed since its inception with Dr Balfour Mount in 1976. It is moving slowly from the care of the dying (which is still an important part of palliative care) and crisis intervention to integrated care with oncology early in the course of advanced cancer. Several studies have demonstrated the advantages to this approach. In this review we will discuss indicators of structure process and outcomes, outcomes to integration, components to successful integration of care and barriers to integrated care. Family financial toxicity related to cancer care is a growing problem that will need to be measured as an outcome to integrated care ARTICLE HISTORY

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Indicators of integration of oncology and palliative care programs: an international consensus

Cited by 111 publications

References 21 publications

Early Palliative Care: Pro, but Please Be Precise!

Early Palliative Care: Pro, but Please Be Precise!

Early Palliative Care and Its Role in Oncology: A Qualitative Study

Promoting further use of palliative care in cancer care centers

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