Early integration of palliative care services with standard oncology care for patients with advanced cancer
2013/07/15 by Joseph A. Greer, Vicki A. Jackson, Diane E. Meier +1 · 356 citations
Medicine · Nursing · #Ambulatory care #Cancer #Cancer survivorship and care #Childhood Cancer Survivors' Quality of Life #Disease #Family medicine #Health care #Intensive care medicine #Internal medicine #Medicine #Nursing #Oncology #Palliative Care and End-of-Life Issues #Palliative care #Psychological intervention #Quality of life (healthcare)
paper · pdf · doi:10.3322/caac.21192
published in CA A Cancer Journal for Clinicians 63(5), 349-363 (Wiley)
openalex publication_date 2013/07/15 · openalex created_date 2016/06/24 · openalex updated_date 2026/07/25
Abstract
Scientific advances in novel cancer therapeutics have led to remarkable changes in oncology practice and longer lives for patients diagnosed with incurable malignancies. However, the myriad options for treatment have established a culture of cancer care that has not been matched with a similar availability of efficacious supportive care interventions aimed at relieving debilitating symptoms due to progressive disease and treatment side effects. Accumulating data show that the introduction of palliative care services at the time of diagnosis of advanced cancer leads to meaningful improvement in the experiences of patients and family caregivers by emphasizing symptom management, quality of life, and treatment planning. In this review article, the rationale and evidence base for this model of early palliative care services integrated into standard oncology care are presented. In addition, the implications and limitations of the existing data to 1) elucidate the mechanisms by which early palliative care benefits patients and families; 2) guide the dissemination and application of this model in outpatient settings; and 3) inform health care policy regarding the delivery of high-quality, cost-effective, and comprehensive cancer care are discussed.
Citations
Cited by
- Algorithm-Based Palliative Care in Patients With Cancer
- Early specialty palliative care--translating data in oncology into practice. [europepmc]
- Managing the changing burden of cancer in Asia. [europepmc]
- The sentinel hospitalization and the role of palliative care. [europepmc]
- Missed opportunities: Patterns of medical care and hospice utilization among ovarian cancer patients. [europepmc]
- Clinician roles in early integrated palliative care for patients with advanced cancer: a qualitative study. [europepmc]
- Experiences of patients, family and professional caregivers with Integrated Palliative Care in Europe: protocol for an international, multicenter, prospective, mixed method study. [europepmc]
- The integration of early palliative care with oncology care: the time has come for a new tradition. [europepmc]
- Evaluation of an Interdisciplinary Curriculum Teaching Team-Based Palliative Care Integration in Oncology. [europepmc]
- Perceptions of palliative care among hematologic malignancy specialists: a mixed-methods study. [europepmc]
- To what degree is palliative care integrated in guidelines and pathways for adult cancer patients in Europe: a systematic literature review. [europepmc]
- Early palliative care for adults with advanced cancer. [europepmc]
- A Novel Screening Method to Identify Late-Stage Dementia Patients for Palliative Care Research and Practice. [europepmc]
- Is palliative care support associated with better quality end-of-life care indicators for patients with advanced cancer? A retrospective cohort study. [europepmc]
- YAP and TAZ in Lung Cancer: Oncogenic Role and Clinical Targeting. [europepmc]
- Improving patient and caregiver outcomes in oncology: Team-based, timely, and targeted palliative care. [europepmc]
- Palliative care: needs of advanced breast cancer patients. [europepmc]
- International patterns of palliative care in neuro-oncology: a survey of physician members of the Asian Society for Neuro-Oncology, the European Association of Neuro-Oncology, and the Society for Neuro-Oncology. [europepmc]
- Lung cancer and end-of-life care: a systematic review and thematic synthesis of aggressive inpatient care. [europepmc]
- Limited knowledge and access to palliative care among women with cervical cancer: an opportunity for integrating oncology and palliative care in Zimbabwe. [europepmc]
- Perceptions of palliative care in a South Asian community: findings from an observational study. [europepmc]
- Second-line FOLFOX chemotherapy versus active symptom control for advanced biliary tract cancer (ABC-06): a phase 3, open-label, randomised, controlled trial. [europepmc]
- Patient-reported symptom burden in routine oncology care: Examining racial and ethnic disparities. [europepmc]
- NCCN Guidelines® Insights: Palliative Care, Version 2.2021. [europepmc]
- Survivorship for Individuals Living With Advanced and Metastatic Cancers: National Cancer Institute Meeting Report. [europepmc]
- Psychological interventions for women with non-metastatic breast cancer. [europepmc]
Related