Early specialty palliative care--translating data in oncology into practice.

@article{Parikh2013EarlySP,
  title={Early specialty palliative care--translating data in oncology into practice.},
  author={Ravi B. Parikh and Rebecca A. Kirch and Thomas J. Smith and Jennifer S Temel},
  journal={The New England journal of medicine},
  year={2013},
  volume={369 24},
  pages={
          2347-51
        }
}
For most patients with serious illness, palliative care is provided only near the end of life. The authors review studies showing that earlier palliative care can improve quality of life and reduce health care costs and argue that such care should be standard in serious illness. 
The Evidence Behind Integrating Palliative Care Into Oncology Practice.
TLDR
A pathway to implementing palliative care services into currently established oncology programs, and a brief discussion of common barriers are provided.
Early palliative care and integration of palliative care models in modern oncology practices.
  • C. Simone
  • Medicine
    Annals of palliative medicine
  • 2015
TLDR
The guest editors for this focused issue, Jan Gaertner, Stephen Lutz and Edward Chow, have assembled articles from leading palliative medicine physician, nurses, and allied healthcare providers for this early palliatives care issue.
Evidence for integration of palliative care into surgical oncology practice and education
TLDR
Data from surgical oncology populations support similar associations between palliative care integration and improved clinical outcomes, all without compromise in survival.
Illness and end‐of‐life experiences of children with cancer who receive palliative care
The field of pediatric palliative oncology is newly emerging. Little is known about the characteristics and illness experiences of children with cancer who receive palliative care (PC).
Routine integration of palliative care: what will it take?
TLDR
Palliative care for patients with advanced disease is associated with cost savings with reduced hospitalisations and emergency department presentations, and greater likelihood of death at home.
Supportive/palliative care in cancer patients: quo vadis?
TLDR
The present paper focuses on the clinical experience of a group involved with supportive care in cancer patients for more than 25 years, and it is hoped that their considerations might be helpful for further developments in this concept.
Early integration of palliative care into oncology: evidence, challenges and barriers.
TLDR
In this review, the available data from multiple randomized clinical trials, encountered challenges, and potential strategies to overcome them are summarized.
Use of inpatient palliative care services in patients with metastatic incurable head and neck cancer
TLDR
This work examined the incidence of palliative care encounters in in‐patients with incurable head and neck cancer and associations with in‐hospital mortality, length of hospitalization, and costs.
Palliative Care in Cirrhosis
TLDR
This chapter reviews the application of palliative care principles to patients with ESLD and the management of specific complications in the terminally ill patient.
Integrating palliative care into active cancer treatment.
TLDR
Evidence that palliative care, provided concurrently with disease-modifying treatment early in the course of a cancer diagnosis, can improve quality of life, length of survival, symptom burden, mood, and utilization of health services is described.
...
1
2
3
4
5
...

References

SHOWING 1-10 OF 25 REFERENCES
Generalist plus specialist palliative care--creating a more sustainable model.
The U.S. palliative care model adds another layer of specialized care to a complex, expensive health care environment, and there are too few palliative care specialists to meet demand. Distinguishing
Cluster-randomized trial of early palliative care for patients with metastatic cancer.
TLDR
A cluster-randomized trial of early versus routi-guided chemotherapy for patients with metastatic cancer with compromised quality of life (QOL) finds that the former tends to worsen towards the end of life.
Increased Satisfaction with Care and Lower Costs: Results of a Randomized Trial of In‐Home Palliative Care
TLDR
To determine whether an in‐home palliative care intervention for terminally ill patients can improve patient satisfaction, reduce medical care costs, and increase the proportion of patients dying at home, a large number of patients are treated at home.
Increased access to palliative care and hospice services: opportunities to improve value in health care.
  • D. Meier
  • Medicine
    The Milbank quarterly
  • 2011
TLDR
By helping patients get the care they need to avoid unnecessary emergency department and hospital stays and shifting the locus of care to the home or community, palliative care and hospice reduce health care spending for America's sickest and most costly patient populations.
Integrating palliative care into heart failure care.
Heart failure is a condition for which both palliative care and hospice care can be appropriate. The disease's increasing prevalence and predilection for elderly patients with significant comorbidity
Opportunities to improve the quality of care for advanced illness.
TLDR
It is possible to assist Americans with advanced illness and remove barriers to selecting hospice care, if that is their choice, without adverse financial impact.
Effect of early palliative care on chemotherapy use and end-of-life care in patients with metastatic non-small-cell lung cancer.
  • J. Greer, W. Pirl, +5 authors J. Temel
  • Medicine
    Journal of clinical oncology : official journal of the American Society of Clinical Oncology
  • 2012
TLDR
Although patients with metastatic NSCLC received similar numbers of chemotherapy regimens in the sample, early palliative care optimized the timing of final chemotherapy administration and transition to hospice services, key measures of quality end-of-life care.
Impact of an inpatient palliative care team: a randomized control trial.
TLDR
IPCS patients reported greater satisfaction with their care experience and providers' communication, had fewer ICU admissions on readmission, and lower total health care costs following hospital discharge, compared with other palliative care services.
Effects of a palliative care intervention on clinical outcomes in patients with advanced cancer: the Project ENABLE II randomized controlled trial.
TLDR
Those receiving a nurse-led, palliative care-focused intervention addressing physical, psychosocial, and care coordination provided concurrently with oncology care had higher scores for quality of life and mood, but did not have improvements in symptom intensity scores or reduced days in the hospital or ICU or emergency department visits.
...
1
2
3
...