Dissemination and Implementation of Palliative Care in Oncology.

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.

[1]  B. Ferrell,et al.  Preparing Oncology Advanced Practice RNs as Generalists in Palliative Care. , 2020, Oncology nursing forum.

[2]  Sangeeta C. Ahluwalia,et al.  A Systematic Review in Support of the National Consensus Project Clinical Practice Guidelines for Quality Palliative Care, Fourth Edition. , 2018, Journal of pain and symptom management.

[3]  Huong Q. Nguyen,et al.  Translation and Evaluation of a Lung Cancer, Palliative Care Intervention for Community Practice. , 2018, Journal of pain and symptom management.

[4]  B. Ferrell,et al.  An Innovative End-of-Life Nursing Education Consortium Curriculum That Prepares Nursing Students to Provide Primary Palliative Care , 2018, Nurse educator.

[5]  I. Mamier,et al.  The Perceived Facilitators and Challenges of Translating a Lung Cancer Palliative Care Intervention Into Community-Based Settings , 2018, Journal of hospice and palliative nursing : JHPN : the official journal of the Hospice and Palliative Nurses Association.

[6]  David C. Smith,et al.  Five-Year Follow-Up of Nivolumab in Previously Treated Advanced Non-Small-Cell Lung Cancer: Results From the CA209-003 Study. , 2018, Journal of clinical oncology : official journal of the American Society of Clinical Oncology.

[7]  A. Shuman,et al.  Revisiting Expectations in an Era of Precision Oncology. , 2018, The oncologist.

[8]  W. Wood,et al.  What do transplant physicians think about palliative care? A national survey study , 2017, Cancer.

[9]  Huong Q. Nguyen,et al.  Integration of a Palliative Care Intervention into Community Practice for Lung Cancer: A Study Protocol and Lessons Learned with Implementation. , 2017, Journal of palliative medicine.

[10]  M. Kamdar,et al.  Effects of Early Integrated Palliative Care on Caregivers of Patients with Lung and Gastrointestinal Cancer: A Randomized Clinical Trial , 2017, The oncologist.

[11]  K. Steinhauser,et al.  State of the Science of Spirituality and Palliative Care Research Part II: Screening, Assessment, and Interventions. , 2017, Journal of pain and symptom management.

[12]  Christopher A. Jones,et al.  Improvements in Patient and Health System Outcomes Using an Integrated Oncology and Palliative Medicine Approach on a Solid Tumor Inpatient Service. , 2017, Journal of oncology practice.

[13]  Katherine Daunov,et al.  Can the Early Introduction of Palliative Care Alleviate the Disease Burden in Adolescents and Young Adults With Cancer , 2017 .

[14]  C. Meffert,et al.  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 , 2017, British Medical Journal.

[15]  P. Sjøgren,et al.  Specialized palliative care in advanced cancer: What is the efficacy? A systematic review , 2017, Palliative and Supportive Care.

[16]  G. Rücker,et al.  Early palliative care for adults with advanced cancer. , 2017, The Cochrane database of systematic reviews.

[17]  R. Morrison,et al.  Standardized Criteria for Palliative Care Consultation on a Solid Tumor Oncology Service Reduces Downstream Health Care Use. , 2017, Journal of oncology practice.

[18]  J. Mack,et al.  Communication preferences of pediatric cancer patients: talking about prognosis and their future life , 2017, Supportive Care in Cancer.

[19]  G. Mitchell,et al.  Systematic review of the effectiveness, barriers and facilitators to general practitioner engagement with specialist secondary services in integrated palliative care , 2017, BMJ Supportive & Palliative Care.

[20]  V. Beesley,et al.  Beyond survivorship? A discursive analysis of how people with pancreatic cancer negotiate identity transitions in their health , 2016, Journal of health psychology.

[21]  S. Morton,et al.  Association Between Palliative Care and Patient and Caregiver Outcomes , 2016 .

[22]  P. Malani,et al.  The Promise of Palliative Care: Translating Clinical Trials to Clinical Care. , 2016, JAMA.

[23]  G. Yang,et al.  Effectiveness of Hospital Palliative Care Teams for Cancer Inpatients: A Systematic Review. , 2016, Journal of palliative medicine.

[24]  Sangeeta C. Ahluwalia,et al.  Populations and Interventions for Palliative and End-of-Life Care: A Systematic Review. , 2016, Journal of palliative medicine.

[25]  B. Ferrell,et al.  CARES: AACN's New Competencies and Recommendations for Educating Undergraduate Nursing Students to Improve Palliative Care. , 2016, Journal of professional nursing : official journal of the American Association of Colleges of Nursing.

[26]  M. Maltoni,et al.  Systematic versus on-demand early palliative care: results from a multicentre, randomised clinical trial. , 2016, European journal of cancer.

[27]  Binhuan Wang,et al.  Emergency Department-Initiated Palliative Care in Advanced Cancer: A Randomized Clinical Trial. , 2016, JAMA oncology.

[28]  L. Mbuagbaw,et al.  Communication tools for end-of-life decision-making in the intensive care unit: a systematic review and meta-analysis , 2016, Critical Care.

[29]  E. Bruera,et al.  Death in the Digital Age: A Systematic Review of Information and Communication Technologies in End-of-Life Care , 2016, Journal of palliative medicine.

[30]  P. Hinds,et al.  Establishing psychosocial palliative care standards for children and adolescents with cancer and their families: An integrative review , 2016, Palliative medicine.

[31]  B. Ferrell,et al.  Interdisciplinary Palliative Care for Patients With Lung Cancer. , 2015, Journal of pain and symptom management.

[32]  Diane D. Liu,et al.  Attitudes and Beliefs Toward Supportive and Palliative Care Referral Among Hematologic and Solid Tumor Oncology Specialists. , 2015, The oncologist.

[33]  B. Ferrell,et al.  Effectiveness of an interdisciplinary palliative care intervention for family caregivers in lung cancer , 2015, Cancer.

[34]  Thomas J. Smith,et al.  Systematic Review of Palliative Care in the Rural Setting. , 2015, Cancer control : journal of the Moffitt Cancer Center.

[35]  Mellar P. Davis,et al.  A review of the trials which examine early integration of outpatient and home palliative care for patients with serious illnesses. , 2015, Annals of palliative medicine.

[36]  Richard A. Field,et al.  Systematic review of interventions to improve appropriate use and outcomes associated with do-not-attempt-cardiopulmonary-resuscitation decisions. , 2014, Resuscitation.

[37]  A. van der Heide,et al.  The effects of advance care planning on end-of-life care: A systematic review , 2014, Palliative medicine.

[38]  Y. Couturier,et al.  The effectiveness of Interdisciplinary Teams in End-Of-Life Palliative Care: A Systematic review of Comparative Studies , 2014, Journal of palliative care.

[39]  Thomas J. Smith,et al.  Evidence-based palliative care in the intensive care unit: a systematic review of interventions. , 2014, Journal of palliative medicine.

[40]  Sharyl J. Nass,et al.  Delivering High-Quality Cancer Care: Charting a New Course for a System in Crisis , 2014 .

[41]  Jennifer Couzin-Frankel,et al.  Breakthrough of the year 2013. Cancer immunotherapy. , 2013, Science.

[42]  P. Brown,et al.  Considering a future which may not exist: the construction of time and expectations amidst advanced-stage cancer , 2013 .

[43]  Nigel R Armfield,et al.  The case for home based telehealth in pediatric palliative care: a systematic review , 2013, BMC Palliative Care.

[44]  J. Kearsley,et al.  Living with advanced cancer and an uncertain disease trajectory: an emerging patient population in palliative care? , 2013, BMJ Supportive & Palliative Care.

[45]  N. Weidner,et al.  End-Of-Life Care for the Dying Child: What Matters Most to Parents , 2011, Journal of palliative care.

[46]  M. Bakitas,et al.  Developing successful models of cancer palliative care services. , 2010, Seminars in oncology nursing.

[47]  B. Daly,et al.  A New Model of Palliative Care for Oncology Patients With Advanced Disease , 2009 .

[48]  Mark T Hegel,et al.  Effects of a palliative care intervention on clinical outcomes in patients with advanced cancer: the Project ENABLE II randomized controlled trial. , 2009, JAMA.

[49]  R. D. Della Penna,et al.  Impact of an inpatient palliative care team: a randomized control trial. , 2008, Journal of palliative medicine.

[50]  R. Rosenfeld,et al.  Decisions , 1955, Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery.

[51]  C. Henderson,et al.  Multicomponent Palliative Care Interventions in Advanced Chronic Diseases: A Systematic Review , 2018, The American journal of hospice & palliative care.

[52]  Thomas J. Smith,et al.  Integration of Palliative Care Into Standard Oncology Care: American Society of Clinical Oncology Clinical Practice Guideline Update. , 2017, Journal of clinical oncology : official journal of the American Society of Clinical Oncology.

[53]  H. Charalambous,et al.  The impact of specialized palliative care on cancer patients’ health-related quality of life: a systematic review and meta-analysis , 2017, Supportive Care in Cancer.

[54]  P. Butow,et al.  A systematic review of evidence for end-of-life communication interventions: Who do they target, how are they structured and do they work? , 2016, Patient education and counseling.

[55]  Team-Based Models for End-of-Life Care: An Evidence-Based Analysis. , 2014, Ontario health technology assessment series.