Palliative care in oncology : continuing to build the evidence base and disseminate effective care models

Article indépendant

TEMEL, Jennifer S. | JACOBSEN, Paul B.

Over the past decade, substantial progress has been made in building the evidence base for integrating palliative care with cancer care and increasing the availability of palliative care services for patients with cancer. Multiple clinical trials have evaluated proactive care models in which patients begin to receive palliative care services on the basis of an initial diagnosis of advanced cancer or disease progression. The goal of these delivery models is to improve patients’ experiences and outcomes throughout their illness course rather to wait to involve palliative care until they are struggling with uncontrolled symptoms. These studies have demonstrated that earlier and longitudinal involvement of palliative care improves patients’ quality of life, mood, and satisfaction with care. Several studies also have shown that earlier involvement of palliative care enhances the experience of patients’ caregivers and leads to improved communication and delivery of end-of-life care. As these data emerged, ASCO and several other national organizations endorsed the early involvement of palliative care for patients with advanced cancer, which has substantially transformed the practice of palliative care in oncology.

http://dx.doi.org/10.1200/JCO.19.01069

Voir la revue «Journal of clinical oncology»

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