Dissemination and Implementation of Palliative Care in Oncology

Overview

Journal J Clin Oncol

Specialty Oncology

Date 2020 Feb 6

PMID 32023151

Citations 13

Authors

Betty R Ferrell

Vincent Chung

Marianna Koczywas

Thomas J Smith

Affiliations

Soon will be listed here.

Abstract

Palliative care began in academic centers with specialty consultation services, and its value to patients, families, and health systems has been evident. The demand for palliative care to be integrated throughout the cancer trajectory, combined with a limited palliative care workforce, means that new models of care are needed. This review discusses evidence regarding the need for integration of palliative care into routine oncology care and describes best practices recognized for dissemination of palliative care. The available evidence suggests that palliative care be widely adopted by clinicians in all oncology settings to benefit patients with cancer and their families. Efforts are needed to adapt and integrate palliative care into community practice. Limitations of these models are discussed, as are future directions to continue implementation efforts. The benefits of palliative care can only be realized through effective dissemination of these principles of care, with more primary palliative care delivered by oncology clinicians.

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References

Grudzen C, Richardson L, Johnson P, Hu M, Wang B, Ortiz J . Emergency Department-Initiated Palliative Care in Advanced Cancer: A Randomized Clinical Trial. JAMA Oncol. 2016; 2(5):591-598. PMC: 9252442. DOI: 10.1001/jamaoncol.2015.5252. View

Adelson K, Paris J, Horton J, Hernandez-Tellez L, Ricks D, Morrison R . Standardized Criteria for Palliative Care Consultation on a Solid Tumor Oncology Service Reduces Downstream Health Care Use. J Oncol Pract. 2017; 13(5):e431-e440. DOI: 10.1200/JOP.2016.016808. View

Oczkowski S, Chung H, Hanvey L, Mbuagbaw L, You J . Communication tools for end-of-life decision-making in the intensive care unit: a systematic review and meta-analysis. Crit Care. 2016; 20:97. PMC: 4826553. DOI: 10.1186/s13054-016-1264-y. View

Riedel R, Slusser K, Power S, Jones C, LeBlanc T, Kamal A . Improvements in Patient and Health System Outcomes Using an Integrated Oncology and Palliative Medicine Approach on a Solid Tumor Inpatient Service. J Oncol Pract. 2017; 13(9):e738-e748. DOI: 10.1200/JOP.2017.022749. View

Kassianos A, Ioannou M, Koutsantoni M, Charalambous H . The impact of specialized palliative care on cancer patients' health-related quality of life: a systematic review and meta-analysis. Support Care Cancer. 2017; 26(1):61-79. DOI: 10.1007/s00520-017-3895-1. View

Ferrell B, Temel J, Temin S, Alesi E, Balboni T, Basch E . Integration of Palliative Care Into Standard Oncology Care: American Society of Clinical Oncology Clinical Practice Guideline Update. J Clin Oncol. 2016; 35(1):96-112. DOI: 10.1200/JCO.2016.70.1474. View

Leclerc B, Blanchard L, Cantinotti M, Couturier Y, Gervais D, Lessard S . The effectiveness of interdisciplinary teams in end-of-life palliative care: a systematic review of comparative studies. J Palliat Care. 2014; 30(1):44-54. View

Hui D, Park M, Liu D, Reddy A, Dalal S, Bruera E . Attitudes and Beliefs Toward Supportive and Palliative Care Referral Among Hematologic and Solid Tumor Oncology Specialists. Oncologist. 2015; 20(11):1326-32. PMC: 4718432. DOI: 10.1634/theoncologist.2015-0240. View

El-Jawahri A, Greer J, Pirl W, Park E, Jackson V, Back A . Effects of Early Integrated Palliative Care on Caregivers of Patients with Lung and Gastrointestinal Cancer: A Randomized Clinical Trial. Oncologist. 2017; 22(12):1528-1534. PMC: 5728034. DOI: 10.1634/theoncologist.2017-0227. View

10.

Lobb E, Lacey J, Kearsley J, Liauw W, White L, Hosie A . Living with advanced cancer and an uncertain disease trajectory: an emerging patient population in palliative care?. BMJ Support Palliat Care. 2014; 5(4):352-7. DOI: 10.1136/bmjspcare-2012-000381. View

11.

Gaertner J, Siemens W, Meerpohl J, Antes G, Meffert C, Xander C . Effect of specialist palliative care services on quality of life in adults with advanced incurable illness in hospital, hospice, or community settings: systematic review and meta-analysis. BMJ. 2017; 357:j2925. PMC: 5496011. DOI: 10.1136/bmj.j2925. View

12.

Bakitas M, Bishop M, Caron P, Stephens L . Developing successful models of cancer palliative care services. Semin Oncol Nurs. 2010; 26(4):266-84. PMC: 2976669. DOI: 10.1016/j.soncn.2010.08.006. View

13.

Siler S, Mamier I, Winslow B . The Perceived Facilitators and Challenges of Translating a Lung Cancer Palliative Care Intervention Into Community-Based Settings. J Hosp Palliat Nurs. 2018; 20(4):407-415. PMC: 6070356. DOI: 10.1097/NJH.0000000000000470. View

14.

Phongtankuel V, Meador L, Adelman R, Roberts J, Henderson Jr C, Mehta S . Multicomponent Palliative Care Interventions in Advanced Chronic Diseases: A Systematic Review. Am J Hosp Palliat Care. 2017; 35(1):173-183. PMC: 5879777. DOI: 10.1177/1049909116674669. View

15.

Ferrell B, Malloy P, Mazanec P, Virani R . CARES: AACN's New Competencies and Recommendations for Educating Undergraduate Nursing Students to Improve Palliative Care. J Prof Nurs. 2016; 32(5):327-33. DOI: 10.1016/j.profnurs.2016.07.002. View

16.

Ferrell B, Mazanec P, Malloy P, Virani R . An Innovative End-of-Life Nursing Education Consortium Curriculum That Prepares Nursing Students to Provide Primary Palliative Care. Nurse Educ. 2018; 43(5):242-246. DOI: 10.1097/NNE.0000000000000497. View

17.

Kavalieratos D, Corbelli J, Zhang D, Dionne-Odom J, Ernecoff N, Hanmer J . Association Between Palliative Care and Patient and Caregiver Outcomes: A Systematic Review and Meta-analysis. JAMA. 2016; 316(20):2104-2114. PMC: 5226373. DOI: 10.1001/jama.2016.16840. View

18.

Walczak A, Butow P, Bu S, Clayton J . A systematic review of evidence for end-of-life communication interventions: Who do they target, how are they structured and do they work?. Patient Educ Couns. 2015; 99(1):3-16. DOI: 10.1016/j.pec.2015.08.017. View

19.

Maltoni M, Scarpi E, DallAgata M, Zagonel V, Berte R, Ferrari D . Systematic versus on-demand early palliative care: results from a multicentre, randomised clinical trial. Eur J Cancer. 2016; 65:61-8. DOI: 10.1016/j.ejca.2016.06.007. View

20.

Aslakson R, Cheng J, Vollenweider D, Galusca D, Smith T, Pronovost P . Evidence-based palliative care in the intensive care unit: a systematic review of interventions. J Palliat Med. 2014; 17(2):219-35. PMC: 3924791. DOI: 10.1089/jpm.2013.0409. View