Planning the Transition to End-of-Life Care in Advanced Cancer–for health professionals (PDQ®)
SECTIONS
- Overview
- Quality of End-of-Life Care in Patients With Advanced Cancer
- Factors That Influence End-of-Life Care Decisions and Outcomes
- Potential Barriers to Planning the Transition to End-of-Life Care
- Supportive Care, Palliative Care, and Hospice in Advanced Cancer
- Strategies to Improve Patient-Oncologist Communication and Decision Making in Advanced Cancer
- The Oncology Clinician’s Role in Planning the Transition to End-of-Life Care
- Changes to This Summary (11/24/2015)
- Questions or Comments About This Summary
- About This PDQ Summary
- Get More Information From NCI
- View All Sections
Changes to This Summary (11/24/2015)
The PDQ cancer information summaries are reviewed regularly and updated as new information becomes available. This section describes the latest changes made to this summary as of the date above.
Added text about preparation for the end of life (cited Zimmermann et al. as reference 19 and Wentlandt et al. as reference 20).
Added text about the influence of physicians’ attitudes toward prognostic communication on patients’ prognostic awareness (cited Liu et al. as reference 21).
Added text to state that two additional randomized trials comparing outcomes between cohorts of patients who received conventional oncology care and a concurrent palliative care intervention or conventional oncology care at different times have been reported (cited Zimmermann et al. as reference 46 and Bakitas et al. as reference 47).
Added Cluster-randomized trial of early palliative care for patients with advanced cancer as a new subsection.
Added ENABLE III: Early versus delayed initiation of concurrent palliative oncology care as a new subsection.
Added text about training oncologists in the skills of primary palliative care (cited Quill et al. as reference 58).
Added text about unanswered questions that might diminish the enthusiasm for the systematic integration of palliative care into conventional cancer care (cited Parikh et al. as reference 60 and Gomes as reference 61).
Added table on the characteristics of subjects in randomized trials of concurrent palliative care in advanced cancer.
Added table on endpoints and measures from randomized trials of concurrent palliative care in advanced cancer.
Added table on studies on the timing of oncology care and palliative care.
This summary is written and maintained by the PDQ Supportive and Palliative Care Editorial Board, which is editorially independent of NCI. The summary reflects an independent review of the literature and does not represent a policy statement of NCI or NIH. More information about summary policies and the role of the PDQ Editorial Boards in maintaining the PDQ summaries can be found on the About This PDQ Summary and PDQ® - NCI's Comprehensive Cancer Database pages.
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