The impact of early palliative care: a medical oncologist's perspective

被引:2
|
作者
Raskin, William [1 ]
机构
[1] Sunnybrook Hlth Sci Ctr, Dept Med Oncol, Toronto, ON, Canada
关键词
Palliative care; supportive care; symptom management; END-OF-LIFE; ADVANCED CANCER; PROSPECTIVE COHORT; AGGRESSIVENESS; CHEMOTHERAPY; INTEGRATION; FAMILIES; OUTCOMES; DEATH; COST;
D O I
10.21037/apm.2019.10.02
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
The role of early palliative care involvement for patients with cancer is being increasingly recognized for patients with incurable cancer as more studies demonstrate that it is feasible, cost-effective and efficacious. Patients benefit from improved symptom control, better supported decision making and improved quality of life. It has been shown to be effective alongside disease-modifying treatment, and evidence supports the use of multidisciplinary care in a co-management role. It is also a cost-effective way to reduce unnecessary and overly-aggressive treatment at the end of life. Efforts are needed to alleviate persistent misconceptions and support program development in areas where access is limited.
引用
收藏
页码:1292 / 1295
页数:4
相关论文
共 50 条
  • [21] Integrating early palliative care (EPC) in the management of lung cancer: The role of the thoracic oncologist
    Janssens, A.
    Teugels, L.
    Kohl, S.
    Michielsen, T.
    van Meerbeeck, J. P.
    LUNG CANCER, 2015, 90 (02) : 135 - 138
  • [22] Impact of early palliative care on caregivers of patients with advanced cancer: cluster randomised trial
    McDonald, J.
    Swami, N.
    Hannon, B.
    Lo, C.
    Pope, A.
    Oza, A.
    Leighl, N.
    Krzyzanowska, M. K.
    Rodin, G.
    Le, L. W.
    Zimmermann, C.
    ANNALS OF ONCOLOGY, 2017, 28 (01) : 163 - 168
  • [23] How early should be "Early Integrated Palliative Care"?
    Chelazzi, Cosimo
    Ripamonti, Carla Ida
    SUPPORTIVE CARE IN CANCER, 2024, 32 (01)
  • [24] The Transplant Palliative Care Clinic: An early palliative care model for patients in a transplant program
    Wentlandt, Kirsten
    Dall'Osto, Angela
    Freeman, Nicole
    Le, Lisa W.
    Kaya, Ebru
    Ross, Heather
    Singer, Lianne G.
    Abbey, Susan
    Clarke, Hance
    Zimmermann, Camilla
    CLINICAL TRANSPLANTATION, 2016, 30 (12) : 1591 - 1596
  • [25] Randomised clinical trial of early specialist palliative care plus standard care versus standard care alone in patients with advanced cancer: The Danish Palliative Care Trial
    Groenvold, Mogens
    Petersen, Morten Aagaard
    Damkier, Anette
    Neergaard, Mette Asbjoern
    Nielsen, Jan Bjoern
    Pedersen, Lise
    Sjogren, Per
    Stromgren, Annette Sand
    Vejlgaard, Tove Bahn
    Gluud, Christian
    Lindschou, Jane
    Fayers, Peter
    Higginson, Irene J.
    Johnsen, Anna Thit
    PALLIATIVE MEDICINE, 2017, 31 (09) : 814 - 824
  • [26] Supportive Versus Palliative Care: What's in a Name?
    Fadul, Nada
    Elsayem, Ahmed
    Palmer, J. Lynn
    Del Fabbro, Egidio
    Swint, Kay
    Li, Zhijun
    Poulter, Valerie
    Bruera, Eduardo
    CANCER, 2009, 115 (09) : 2013 - 2021
  • [27] The Financial Impact of Palliative Care and Aggressive Cancer Care on End-of-Life Health Care Costs
    Davis, Mellar P.
    Vanenkevort, Erin A.
    Elder, Alexander
    Young, Amanda
    Ordonez, Irina D. Correa
    Wojtowicz, Mark J.
    Ellison, Halle
    Fernandez, Carlos
    Mehta, Zankhana
    Behm, Bertrand
    Digwood, Glen
    Panikkar, Rajiv
    AMERICAN JOURNAL OF HOSPICE & PALLIATIVE MEDICINE, 2023, 40 (01) : 52 - 60
  • [28] Early palliative care in cancer treatment: rationale, evidence and clinical implications
    Howie, Lynn
    Peppercorn, Jeffrey
    THERAPEUTIC ADVANCES IN MEDICAL ONCOLOGY, 2013, 5 (06) : 318 - 323
  • [29] Integration of primary palliative care into geriatric care from the Indian perspective
    Atreya, Shrikant
    Sinha, Abhik
    Kumar, Raman
    JOURNAL OF FAMILY MEDICINE AND PRIMARY CARE, 2022, 11 (09) : 4913 - 4918
  • [30] Early palliative care. Fourth modality in metastasic lung cancer
    Eschbach, C.
    Heigener, D.
    Nehls, W.
    Villalobos, M.
    van Oorschot, B.
    ONKOLOGE, 2014, 20 (10): : 998 - 1002