Early Specialty Palliative Care — Translating Data in Oncology into Practice
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For most patients with serious illness, palliative care is provided only near the end of life. The authors review studies showing that earlier palliative care can improve quality of life and reduce health care costs and argue that such care should be standard in serious illness.
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Palliative care has been associated with equal or longer survival in randomized and nonrandomized trials of patients with advanced cancer.
“In distinction from chemotherapy after the second-line setting, palliative care has been associated with equal103–106 or longer107–109 survival in randomized and nonrandomized110 trials of patients with advanced cancer.”
From Systemic Therapy for Stage IV Non–Small-Cell Lung Cancer: American Society of Clinical Oncology Clinical Practice Guideline Update (2015) · cites this paper as [110]
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Cites
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Research works printed but not linked: 1
- [25]The IHI Triple Aim initiative 2013 Cambridge, MA Institute for Healthcare Improvement (http://www.ihi.org/offerings/Initiatives/TripleAim/Pages/default.aspx).
Cited by
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- Authors
- Parikh, R. B., Kirch, R. A., Smith, T. J., & Temel, J. S.
- Affiliations
- Harvard University (US)
- American Cancer Society (US)
- Johns Hopkins University (US)
- Massachusetts General Hospital (US)
- Venue
- New England Journal of Medicine
- Publisher
- Massachusetts Medical Society
- Published
- 2013-12-12
- Volume
- 369
- Issue
- 24
- Pages
- 2347-2351
- ISSN
- 0028-4793 (ISSN-L)
- 1533-4406
- PMC
- PMC3991113
- OpenAlex
- W2004099959
- Cited by
- 279
- References
- 26
- Citations by year
- 2026: 5 · 2025: 17 · 2024: 11 · 2023: 12 · 2022: 21 · 2021: 18 · 2020: 27 · 2019: 16 · 2018: 24 · 2017: 29 · 2016: 37 · 2015: 34 · 2014: 27
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- New England Journal of Medicine (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Cancer Institute (P30CA006973)
- 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
- early palliative care, specialist palliative care, oncology, serious illness, quality of life, health care costs, end-of-life care
- MeSH terms
- Health Policy, Humans, Neoplasms, Palliative Care, Quality of Life, Time Factors, United States, Cost Savings
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