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Toward Palliative Care for All Patients With Advanced Cancer
Abstract
This Viewpoint examines possible unintended harms of the new American Society of Clinical Oncology guidelines that state that all patients with advanced cancer receive palliative care from interdisciplinary specialty palliative care teams.
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There is a nationwide shortage of palliative care specialists.
“given the nationwide shortage of palliative care specialists [35, 36]”
Community-based oncology clinics often lack access to palliative care specialists.
“These clinics often lack access to palliative care specialists [35, 36]”
There is a high level of unmet palliative care needs in cancer and beyond.
“Given the high level of unmet palliative care needs in cancer and beyond [35, 36] and the broader need for palliative care interventions that do not require palliative care specialists and address multiple unmet needs in a single intervention, this study has the potential to advance the field while providing enduring benefits to adults with cancer.”
Citations
Cites
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Self-citationEstimate of Current Hospice and Palliative Medicine Physician Workforce Shortage
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Delivering more, earlier, and better goals-of-care conversations to seriously ill oncology patients.
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“These clinics often lack access to palliative care specialists [35, 36], which presents barriers to addressing patients’ palliative care needs [37].”
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Metadata
- Authors
- Schenker, Y., & Arnold, R.
- Affiliations
- University of Pittsburgh (US)
- Venue
- JAMA Oncology
- Publisher
- American Medical Association (AMA)
- Published
- 2017-11-01
- Volume
- 3
- Issue
- 11
- Pages
- 1459
- ISSN
- 2374-2437 (ISSN-L)
- OpenAlex
- W2615402056
- Cited by
- 55
- References
- 7
- Citations by year
- 2026: 5 · 2025: 4 · 2024: 5 · 2023: 6 · 2022: 10 · 2021: 4 · 2020: 4 · 2019: 3 · 2018: 12 · 2017: 2
- FWCI
- 5.38
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- JAMA Oncology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative and Oncologic Care
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Opioid Use
- Keywords
- palliative care, advanced cancer, multidisciplinary care, ASCO guidelines, guideline implementation, unintended harm, access to palliative care
- MeSH terms
- Combined Modality Therapy, Humans, Neoplasms, Palliative Care, Physician's Role, Quality of Life, Practice Guidelines as Topic, Patient Selection, Evidence-Based Medicine, Standard of Care
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