The Importance of Being Early

Abstract

Early integration of oncological treatment, which is directed against the cancer itself, with palliative care, which is oriented to the cancer patient [1] is the antithesis of the common idea that palliative care only concerns the end of life. In a practical way this wrong concept prevents effective communication between oncologist and patients who both cannot feel comfortable with the term 'palliative'. The very evidence of different terminologies between specifically oncological and palliative care journals is clear proof of this, [2] so it is appropriate that knowledge of the benefits of EPC and its interprofessional teamwork be brought to the center of medical doctors [3] and oncologists [4,5] training. The international oncology scientific societies have drawn up guidelines as well as position papers on supportive therapies, management of toxicities due to oncological therapies and on palliative care [6][7][8][9]. It turns out that palliative care and above all early intervention of its interprofessional team (Early Palliative Care -EPC) improves tolerance to oncological therapies and provides more adequate supports for symptoms induced by tumor and treatments. Interprofessional palliative care team is also able to participate in prognosis and end-of-life discussions thanks to psychiatrist or psychologist, so the oncologist is not left alone [10] in addressing topics that are the pivotal correct communication doctor -oncological patient.