Lung cancer physicians’ referral practices for palliative care consultation

Smith, Cardinale B.; Nelson, Judith E.; Berman, Andrew; Powell, Charles A.; Fleischman, Jean K.; Salazar-Schicchi, John; Wisnivesky, Juan P.

doi:10.1093/annonc/mdr345

Cited by 67 publications

(53 citation statements)

References 21 publications

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“…[6][7][8][9][10][11] In our study, lack of physician knowledge about palliative care was not viewed as an important barrier. This may be because most lung transplant physicians are experienced in dealing with patients with advanced lung disease, among whom symptom distress is common.…”

Section: Barriers To Palliative Carementioning

confidence: 99%

Barriers to Optimal Palliative Care of Lung Transplant Candidates

Colman

Curtis

Nelson³

et al. 2013

Chest

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Section: Barriers To Palliative Carementioning

confidence: 99%

Barriers to Optimal Palliative Care of Lung Transplant Candidates

Colman

Curtis

Nelson³

et al. 2013

Chest

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“…29 Even when available, many patients and oncologists are reluctant to utilize specialty palliative care services-either because of practical concerns (e.g., additional travel time or costs), or because they equate palliative care with death and dying. [30][31][32][33][34][35] Furthermore, without better coordination, cancer care provided by multiple clinicians across settings can lead to treatment and communication errors. 36 In light of these constraints, interventions that address deficient palliative care processes within oncology clinics are needed, while preserving use of specialty palliative care for patients with the greatest needs.…”

mentioning

confidence: 99%

Care Management by Oncology Nurses To Address Palliative Care Needs: A Pilot Trial To Assess Feasibility, Acceptability, and Perceived Effectiveness of the CONNECT Intervention

Schenker

White

Rosenzweig

et al. 2015

Journal of Palliative Medicine

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Background: Specialty palliative care is not accessible for many patients with advanced cancer. There is a need to find alternative palliative care strategies in oncology clinics. Objective: The objective of the study was to assess the feasibility, acceptability, and perceived effectiveness of an oncology nurse-led care management approach to improve primary palliative care. Methods: The study design was a single-arm pilot trial of the Care Management by Oncology Nurses (CONNECT) intervention, in which registered oncology nurses receive specialized training and work closely with oncologists to (1) address symptom needs; (2) engage patients and caregivers in advance care planning; (3) provide emotional support; and (4) coordinate care. The subjects were 23 patients with advanced cancer, 19 caregivers, and 5 oncologists from a community oncology clinic in western Pennsylvania. Feasibility was assessed through enrollment rates, outcome assessment rates, and visit checklists. Patients, caregivers, and oncologists completed three-month assessments of acceptability and perceived effectiveness. Results: The consent-to-approach rate was 86% and enrolled-to-consent rate, 77%. CONNECT was implemented according to protocol for all participants. No participants withdrew after enrollment. Four patients died during the study; three-month outcome assessments were completed with all remaining participants (83%). Patients and caregivers reported high satisfaction with CONNECT and perceived the intervention as helpful in addressing symptoms (85%), coping (91%), and planning for the future (82%). Oncologists unanimously agreed that CONNECT improved the quality of care provided for patients with advanced cancer. Conclusion: An oncology nurse-led care management intervention is feasible, acceptable, and was perceived to be effective for improving provision of primary palliative care. A randomized trial of CONNECT is warranted.

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“…Patients often fail to report burdensome symptoms and as a second barrier prefer oncologists to discuss the management of their cancer. Oncologists tend to delay referring patients to palliative specialists in hopes of diminishing symptoms through anticancer therapies [73].…”

Section: Triggers Versus Automatic Referral For Palliative Carementioning

confidence: 99%

Promoting further use of palliative care in cancer care centers

Davis

Carrino

2016

Expert Review of Quality of Life in Cancer Care

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Palliative care has changed since its inception with Dr Balfour Mount in 1976. It is moving slowly from the care of the dying (which is still an important part of palliative care) and crisis intervention to integrated care with oncology early in the course of advanced cancer. Several studies have demonstrated the advantages to this approach. In this review we will discuss indicators of structure process and outcomes, outcomes to integration, components to successful integration of care and barriers to integrated care. Family financial toxicity related to cancer care is a growing problem that will need to be measured as an outcome to integrated care ARTICLE HISTORY

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Lung cancer physicians’ referral practices for palliative care consultation

Cited by 67 publications

References 21 publications

Barriers to Optimal Palliative Care of Lung Transplant Candidates

Barriers to Optimal Palliative Care of Lung Transplant Candidates

Care Management by Oncology Nurses To Address Palliative Care Needs: A Pilot Trial To Assess Feasibility, Acceptability, and Perceived Effectiveness of the CONNECT Intervention

Promoting further use of palliative care in cancer care centers

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