TY - JOUR
T1 - Dissemination and implementation of palliative care in oncology
AU - Ferrell, Betty R.
AU - Chung, Vincent
AU - Koczywas, Marianna
AU - Smith, Thomas J.
N1 - Funding Information:
A research project grant funded by the NCI and in progress (Grant No. R01CA177562; B.R.F., T.J.S.) is enabling a randomized trial of PC for patients entering phase I clinical trials.59 This study has accrued more than 450 patients who are beginning a phase I trial and randomly assigned to usual care or to a PC intervention. The intervention consists of comprehensive assessment by an advanced practice nurse, interdisciplinary care planning and collaboration between the medical oncologist and PC team, and patient teaching focused on goals of care, QOL, and management of symptoms of the disease and treatment. Outcomes will assess the ability of concurrent PC to support patients in trial participation and better address patient symptoms and QOL concerns.
Funding Information:
Supported by Grants No. R01 CA177562 and P30CA033572 from the National Cancer Institute, National Institutes of Health, and by the City of Hope Core.
Publisher Copyright:
© 2020 by American Society of Clinical Oncology
PY - 2020/3/20
Y1 - 2020/3/20
N2 - 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.
AB - 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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U2 - 10.1200/JCO.18.01766
DO - 10.1200/JCO.18.01766
M3 - Review article
C2 - 32023151
AN - SCOPUS:85082094765
SN - 0732-183X
VL - 38
SP - 995
EP - 1001
JO - Journal of Clinical Oncology
JF - Journal of Clinical Oncology
IS - 9
ER -