Trends in palliative care interventions among patients with advanced bladder, prostate, or kidney cancer: A retrospective cohort study

Primary Palliative Care in Urology: Quality Improvement Summit 2021-2022

“…A man with advanced stage prostate cancer, for instance, has known his urologist for an average of 13 years; a woman with advanced voiding dysfunction has likely been cared for by her urologist for several decades. 21 However, rates of palliative care utilization within urology are low, < 20% for individuals with advanced malignancy. 21 Against this backdrop of palliative care needs and challenges, the AUA convened a Quality Improvement (QI) Summit to bring together clinicians from various urological subspecialties, including general urology, oncology, stone disease, and female pelvic medicine and reconstructive surgery (FPMRS), along with specialty palliative care providers, nurses, chaplains, patient advocates, social workers, and geriatricians, to inform the current state and to discuss potential strategies for integrating primary palliative care into urology practice.…”

“…21 However, rates of palliative care utilization within urology are low, < 20% for individuals with advanced malignancy. 21 Against this backdrop of palliative care needs and challenges, the AUA convened a Quality Improvement (QI) Summit to bring together clinicians from various urological subspecialties, including general urology, oncology, stone disease, and female pelvic medicine and reconstructive surgery (FPMRS), along with specialty palliative care providers, nurses, chaplains, patient advocates, social workers, and geriatricians, to inform the current state and to discuss potential strategies for integrating primary palliative care into urology practice. The Summit on palliative care in urology comprised 3 sessions: two 2-hour webinars and a 4-hour in-person meeting at the 2022 AUA Annual Meeting in New Orleans, Louisiana.…”

“…Palliative care provision by providers other than palliative care clinicians is broadly designated “primary palliative care.” However, primary palliative care models have yet to be broadly developed, and tools needed for systematic knowledge transfer of palliative care principles and practices through education and training of interdisciplinary advanced disease care teams require further investment and research to clarify their effectiveness and guide further implementation. 8,19-21 Research is particularly needed to understand the integration of palliative approaches and services in surgery. As a clinical specialty, urology is well positioned to lead efforts in improving palliative care use among patients with advanced urologic health conditions.…”

Cuidados paliativos en adultos mayores con cáncer de próstata

“…Las intervenciones paliativas se utilizan con menos frecuencia en los pacientes de mayor edad y en las razas minoritarias. Se justifica la realización de más estudios para definir el papel de las intervenciones paliativas en las neoplasias urológicas avanzadas y orientar su utilización (Lec et al, 2020).…”

The role of surgery for loco-regional and advanced urological cancers

“…The Center to Advance Palliative Care defines palliative care as specialized medical care for people living with a serious illness, focused on relieving the symptoms and stress of that illness [1]. There is a general misconception amongst physicians that palliation is pharmacocentric and surgery is the antithesis [2][3][4], causing high morbidity and mortality without conferring significant benefits. However, symptom mitigation, which is the basic tenet of palliative intervention, can also be achieved by invasive procedures.…”