Acceptability of Early Integration of Palliative Care in Patients with Incurable Lung Cancer

Le, Brian; Mileshkin, Linda; Doan, Katie; Saward, Di; Spruyt, Odette; Yoong, Jaclyn; Gunawardana, Dishan H.; Conron, Matthew; Philip, Jennifer

doi:10.1089/jpm.2013.0473

Cited by 53 publications

(71 citation statements)

References 18 publications

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“…Most of the barriers found in this focus group study are confirmed by several previous studies executed in different countries such as England, Germany, Norway, Australia, the United States and Canada. For example, a lack of financial resources is defined in several studies as a major concern (Charalambous, Pallis, Hasan, & O'Brien, ; Johnson, Paul, Girgis, Adams, & Currow, ; vanRiet et al, ; Ward et al, ), as well as the fragmented structure of the healthcare society resulting in difficulties in the communication between professional caregivers (Le et al, ; Neergaard, Olesen, Jensen, & Sondergaard, ; vanRiet et al, ).…”

Section: Discussionmentioning

confidence: 99%

“…Recently, some international research has been conducted on barriers to early integration of palliative care into oncology care in a hospital setting, as perceived by oncologists and organ specialists. The most important barriers found were (a) the lack of knowledge of oncologists about the content of PC and what PC has to offer; (b) the existing societal perception of PC as terminal care resulting in resistance to involving it early from patients, caregivers and physicians in order to maintain hope; and (c) the lack of available financial resources for the integration of PC into oncology care (Aldridge et al, ; Le et al, ; vanRiet et al, ; Ward, Agar, & Koczwara, ). However, no studies have looked into barriers to the early integration of PHC into oncology care.…”

Section: Introductionmentioning

confidence: 99%

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Barriers to the early integration of palliative home care into the disease trajectory of advanced cancer patients: A focus group study with palliative home care teams

et al. 2019

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Objectives Palliative care is still often involved late in the disease trajectory. Recently, some studies have explored the barriers to early integration of PC in the hospital setting. Because palliative care home care (PHC) is organised differently compared with PC in a hospital setting, the identification of barriers to the early integration of PHC is needed. Methods Six focus groups were held with PHC teams in Flanders, Belgium. Discussions were transcribed verbatim and analysed using constant comparative analysis. Results Our findings confirm many barriers found in previous studies, such as the lack of financial resources and the perception of PC as terminal care. Oncologists' lack of knowledge about the content and role of PC is also confirmed. Furthermore, professional caregivers working in the home context are lacking information on oncology therapies necessary to provide optimal PC. A barrier for the home context is the discontinuity of care, as a result of a lack of communicational structure and a lack of central coordination. Conclusion The results contribute to a better understanding of the factors hindering the provision of PHC alongside oncology care. For the home context, transmural discontinuity of care seems to be an important additional barrier.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Barriers to the early integration of palliative home care into the disease trajectory of advanced cancer patients: A focus group study with palliative home care teams

et al. 2019

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“…Other clinician barriers to more widespread use of PC include a belief that they are responsible for providing all of the necessary care for patients with cancer, doubt of the benefit of PC, and previous negative experiences with PC. 11,12,39 These experiences with and misperceptions of the role of PC in combination with physicians’ perceptions of patients’ symptoms and experiences may prevent the wider acceptance of PC. 39 In addition, some evidence shows that patients may not want a PC referral even if offered, which could also further limit PC integration.…”

Section: Challenges and Barriers Of Early Integrated Pc Researchmentioning

confidence: 99%

“…11,12,39 These experiences with and misperceptions of the role of PC in combination with physicians’ perceptions of patients’ symptoms and experiences may prevent the wider acceptance of PC. 39 In addition, some evidence shows that patients may not want a PC referral even if offered, which could also further limit PC integration. 37 …”

Section: Challenges and Barriers Of Early Integrated Pc Researchmentioning

confidence: 99%

The Integration of Early Palliative Care With Oncology Care: The Time Has Come for a New Tradition

Bauman¹,

Temel²

2014

J Natl Compr Canc Netw

107

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The past decade has brought forth innovative research that questions the traditional oncology care model for patients with advanced cancer. Through integrating palliative care (PC) early into the disease course for patients with a poor-prognosis cancer, 3 seminal studies showed improvements in outcomes, ranging from quality of life, mood, patient satisfaction, prognostic understanding, health service use, and possibly survival. The results of these paradigm-changing studies generate questions about the mechanisms through which early PC improves patient outcomes and about how best to disseminate early PC models. This article reviews the 3 studies, examines challenges to conducting PC research, and considers future directions in the field.

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“…In summary, the evidence appears strong enough to favour an early intervention of palliative care for patients with lung cancer in all stages. In addition, clinicians seem to accept this integrated approach very well [175].…”

Section: Structure Processes and Time Of Integrationmentioning

confidence: 99%

The lung cancer patient, the pneumologist and palliative care: a developing alliance

Blum

Schönfeld

2014

Eur Respir J

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Considerable evidence is now available on the value of palliative care for lung cancer patients in all stages and at all times during the course of the disease. However, pneumologists and their institutions seem to be widely in arrears with the implementation of palliative care concepts and the development of integrated structures.This review focuses on the available evidence and experience of various frequently unmet needs of lung cancer patients, especially psychological, social, spiritual and cultural ones. A PubMed search for evidence on these aspects of palliative care as well as on barriers to the implementation, on outcome parameters and effectiveness, and on structure and process quality was performed with a special focus on lung cancer patients.As a consequence, this review particularly draws pneumologists' attention to improving their skills in communication with the patients, their relatives and among themselves, and to establish team structures with more far-reaching competences and continuity than existing multilateral cooperations and conferences can provide. Ideally, any process of structural and procedural improvement should be accompanied by scientific evaluation and measures for quality optimisation. @ERSpublications Pneumologists should get more widely involved in palliative care for lung cancer patients

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Acceptability of Early Integration of Palliative Care in Patients with Incurable Lung Cancer

Cited by 53 publications

References 18 publications

Barriers to the early integration of palliative home care into the disease trajectory of advanced cancer patients: A focus group study with palliative home care teams

Barriers to the early integration of palliative home care into the disease trajectory of advanced cancer patients: A focus group study with palliative home care teams

The Integration of Early Palliative Care With Oncology Care: The Time Has Come for a New Tradition

The lung cancer patient, the pneumologist and palliative care: a developing alliance

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