Utilization of Supportive and Palliative Care Services among Oncology Outpatients at One Academic Cancer Center: Determinants of Use and Barriers to Access
Open accessAbstract
UNLABELLED: Abstract Background: Cancer causes significant symptom burden and diminished quality of life. Despite the expansion of supportive and palliative care services (SPCS), little is known about rates of utilization and barriers to access to these services among oncology outpatients. METHODS: We performed a cross-sectional survey in three outpatient medical oncology clinics. Patients with a diagnosis of breast, lung, or gastrointestinal (GI) cancer and a Karnofsky score of ≥60 were included. Patients reported their use of SPCS and any perceived barriers. Multivariable logistic regression was used to identify factors associated with SPCS use. RESULTS: Among 313 participants, (50.5%) had not used SPCS since cancer diagnosis. The most common services used were nutrition (26.5%), psychiatric/psychological counseling (29.7%), and physical therapy (15.1%). Pain/palliative care and cancer rehabilitation consultations were used by 8.5% and 4.1% of participants, respectively. In multivariate analysis, graduate education was associated with greater SPCS use (adjusted odds ratio [AOR] 2.14, 95% confidence interval [CI] 1.08-4.26) compared with those with high school or less, whereas having lung cancer was associated with less SPCS use (AOR 0.48, 95% CI 0.24-0.96) when compared with those having breast cancer. The biggest reported barriers to using SPCS were a lack of awareness (22.4%) and lack of physician referral (23%). CONCLUSIONS: Approximately half of these patients had not accessed SPCS since cancer diagnosis and cite lack of awareness and physician nonreferral as barriers. Further research is needed to understand patients' needs and beliefs regarding SPCS, and how to integrate SPCS into conventional treatments to improve cancer care.
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Men undergoing cancer treatment have significantly lower participation in supportive care than women with cancer.
“whose participation in supportive care is significantly lower than women with cancer. 28”
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Gaertner, J., Weingärtner, V., Wolf, J., & Voltz, R. (2013) · Current Opinion in Oncology · doi:10.1097/cco.0b013e3283622c5e · Cited by 42 · see citing works
Making consignment- and vendor-managed inventory work for you.
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Barriers to accessing palliative care: A review of the literature
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“(27,28) Despite their gate-keeping role, 78% of doctors in one US study felt that palliative care services were underutilised.”
BackgroundPalliative Care Use Among Patients With Solid Cancer Tumors
Osagiede, O., Colibaseanu, D., Spaulding, A., Frank, R. D., Merchea, A., Kelley, S. R., Uitti, R. J., & Ailawadhi, S. (2018) · Journal of Palliative Care · doi:10.1177/0825859718777320 · Cited by 35 · see citing works
Springer, F., Maier, A., Friedrich, M., Raue, J. S., Finke, G. R., Lordick, F., Montgomery, G. H., Esser, P., Brock, H., & Mehnert, A. (2024) · Journal of Medical Internet Research · doi:10.2196/51949 · Cited by 35 · see citing works
“However, access to supportive care is often limited by a lack of specialist staff, organizational deficiencies, and barriers that cause patients to avoid or delay their treatment [8-10].”
Keim‐Malpass, J., Mitchell, E. M., Blackhall, L. J., & DeGuzman, P. B. (2015) · Journal of Palliative Medicine · doi:10.1089/jpm.2015.0032 · Cited by 31 · see citing works
Perry, L. M., Hoerger, M. P., Malhotra, S., Gerhart, J. I., Mohile, S. G., & Duberstein, P. R. (2019) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2019.09.008 · Cited by 30 · see citing works
Matsui, T., & Taku, K. (2016) · Japanese Psychological Research · doi:10.1111/jpr.12105 · Cited by 29 · see citing works
Wong, A. N., Reddy, A. S., Williams, J. L., Wu, J., Liu, D., & Bruera, E. D. (2016) · Journal of Oncology Practice · doi:10.1200/jop.2015.006619 · Cited by 28 · see citing works
Holistic Total Pain Management in Palliative Care: Cultural and Global Considerations
Brant, J. M. (2017) · Palliative Medicine and Hospice Care - Open Journal · doi:10.17140/pmhcoj-se-1-108 · Cited by 26 · see citing works
Koper, I., Pasman, H. R. W., & Onwuteaka-Philipsen, B. D. (2018) · BMC Health Services Research · doi:10.1186/s12913-018-3644-2 · Cited by 26 · see citing works
Tapera, O., & Nyakabau, A. M. (2020) · BMC Palliative Care · doi:10.1186/s12904-020-0523-5 · Cited by 26 · see citing works
Shin, J. A., & Temel, J. S. (2013) · Current Opinion in Pulmonary Medicine · doi:10.1097/mcp.0b013e3283620e76 · Cited by 25 · see citing works
“Other studies also indicate that the majority of patients with cancer do not access supportive and palliative care services [34,35], with notable barriers being the lack of patient awareness of these services and the lack of physician referral [35].”
BackgroundGagnon, B., Nadeau, L., Scott, S. C., Dumont, S., Macdonald, N., Aubin, M., & Mayo, N. E. (2015) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2014.12.012 · Cited by 22 · see citing works
Hoerger, M. P., Perry, L. M., Korotkin, B. D., Walsh, L. E., Kazan, A. S., Rogers, J. L., Atiya, W., Malhotra, S., & Gerhart, J. I. (2019) · Journal of Palliative Medicine · doi:10.1089/jpm.2018.0206 · Cited by 21 · see citing works
Palliative Care Awareness Among Advanced Cancer Patients and Their Family Caregivers in Singapore
Özdemir, S., Malhotra, C., Teo, I., Yang, G. M., Kanesvaran, R., Yee, A. C., & Finkelstein, E. A. (2019) · Annals of the Academy of Medicine Singapore · doi:10.47102/annals-acadmedsg.v48n8p241 · Cited by 20 · see citing works
Integrating Oncology Massage Into Chemoinfusion Suites: A Program Evaluation
Mao, J. J. J., Wagner, K. E., Seluzicki, C. M., Hugo, A., Galindez, L. K., Sheaffer, H., & Fox, K. R. (2017) · Journal of Oncology Practice · doi:10.1200/jop.2016.015081 · Cited by 20 · see citing works
Self-citationIlea, P., & Ilea, I. (2024) · Social Science & Medicine · doi:10.1016/j.socscimed.2024.116686 · Cited by 24 · see citing works
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“29,30 Recent developments in cancer treatment have introduced a multitude of therapeutic options, including chemotherapy, endocrine or hormonal agents, targeted or biologic agents, and immune checkpoint inhibitors.”
BackgroundOoko, F. O., Mothiba, T. M., Bogaert, P. V., & Wens, J. (2023) · BMC Palliative Care · doi:10.1186/s12904-023-01263-9 · Cited by 18 · see citing works
“Lack of knowledge has been reported to hinder the use of PC services in developed countries also [56].”
BackgroundFactors Associated With Palliative Intervention Utilization for Metastatic Renal Cell Carcinoma
Patel, H. V., Kim, S., Srivastava, A., Shinder, B. M., Sterling, J., Saraiya, B., Mayer, T. M., Ghodoussipour, S. B., Jang, T. L., & Singer, E. A. (2022) · Clinical Genitourinary Cancer · doi:10.1016/j.clgc.2022.01.001 · Cited by 18 · see citing works
Vaccaro, L., Shaw, J., Sethi, S., Kirsten, L., Beatty, L., Mitchell, G., Kissane, D., Kelly, B., & Turner, J. (2019) · Psycho-Oncology · doi:10.1002/pon.5165 · Cited by 17 · see citing works
Rose, S., Boyes, A., Kelly, B. J., Cox, M., Palazzi, K. L., & Paul, C. L. (2018) · Psycho-Oncology · doi:10.1002/pon.4779 · Cited by 18 · see citing works
“This finding is similar to that of previous studies.(23,24) Participants mostly endorsed interest in assistance from health professionals (eg, Cancer Care Coordinator or Cancer Nurse).”
ResultGraul, A., Haggerty, A. F., Stickley, C., Kumar, P. P., Morales, K. H., Bogner, H. R., Burger, R. A., Morgan, M. A., & Ko, E. M. (2019) · Gynecologic Oncology · doi:10.1016/j.ygyno.2019.11.023 · Cited by 17 · see citing works
Self-citationRafn, B. S., Midtgaard, J., Camp, P. G., & Campbell, K. L. (2020) · BMJ Open · doi:10.1136/bmjopen-2020-037280 · Cited by 17 · see citing works
Utilizing a Palliative Care Screening Tool in Patients With Glioblastoma
Kim, J. Y., Peters, K. B., Herndon, J. E., & Affronti, M. L. (2020) · Journal of the Advanced Practitioner in Oncology · doi:10.6004/jadpro.2020.11.7.3 · Cited by 17 · see citing works
“Lack of health-care provider referral is the main barrier to the use of palliative care (Kumar et al., 2012).”
BackgroundSupport Service Use and Interest in Support Services among Lung Cancer Patients
Mosher, C. E., Hanna, N., Jalal, S., Fakiris, A., Einhorn, L., Birdas, T., Kesler, K., & Champion, V. (2013) · Lung Cancer · doi:10.1016/j.lungcan.2013.06.020 · Cited by 17 · see citing works
Systematic Review of Research Literature on African Americans’ End-of-Life Healthcare Preferences
Ladd, C. (2014) · Journal of African American Studies · doi:10.1007/s12111-013-9276-z · Cited by 17 · see citing works
“In one prospective study of healthcare surrogates of incapacitated patients on mechanical ventilation and at high risk of death, researchers found that race, religiosity, and health literacy were each very poor predictors of choices for EOL care (Kumar et al. 2012).”
BackgroundInfluentialRammant, E., Hecke, A. V., Decaestecker, K., Albersen, M., Joniau, S., Everaerts, W., Jansen, F., Mohamed, N., Colman, R., Hemelrijck, M. V., et al. (2021) · Psycho-Oncology · doi:10.1002/pon.5795 · Cited by 16 · see citing works
“A previous study showed that lower educated patients or patients with lower health literacy levels are less likely to use SC services because they need more information about the benefits and availability of SC services as part of their cancer care.(10) Other possible explanations for not using SC services are the fol…”
BackgroundInfluentialRegal, R. A., Wheeler, N. J., Daire, A. P., & Spears, N. (2020) · Journal of Mental Health Counseling · doi:10.17744/mehc.42.1.02 · Cited by 15 · see citing works
Palliative versus hospice care in patients with cancer: a systematic review
Frasca, M., Galvin, A., Rahérison, C., Soubeyran, P., Burucoa, B., Bellera, C. A., & Mathoulin‐Pélissier, S. (2020) · BMJ Supportive & Palliative Care · doi:10.1136/bmjspcare-2020-002195 · Cited by 15 · see citing works
Awareness and Utilization of Palliative Care Among Advanced Cancer Patients in Asia
Özdemir, S., Lee, J. J., Yang, G. M., Malhotra, C., Teo, I., Pham, N. T., Manalo, M. F., Hapuarachchi, T., Mariam, L., Rahman, R., et al. (2022) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2022.06.001 · Cited by 15 · see citing works
Schuurhuizen, C. S. E. W., Braamse, A. M. J., Konings, I. R. H. M., Verheul, H. M. W., & Dekker, J. (2019) · BMC Cancer · doi:10.1186/s12885-019-5318-9 · Cited by 15 · see citing works
“A knowledge gap may exist between patients with different education levels, those with less education may have greater information needs regarding the benefits and availability of psychosocial services [32].”
BackgroundResultKnowledge, beliefs, and misconceptions about palliative care among older adults with cancer
Parajuli, J., Chen, Z. J., Walsh, A., Williams, G. R., Sun, V. C.-Y., & Bakitas, M. A. (2022) · Journal of Geriatric Oncology · doi:10.1016/j.jgo.2022.09.007 · Cited by 14 · see citing works
Marshall, T. F., Alfano, C. M., Sleight, A. G., Moser, R. P., Zucker, D. S., Rice, E. L., Silver, J. K., Raj, V. S., Fu, J. B., Padgett, L. S., et al. (2019) · Disability and Rehabilitation · doi:10.1080/09638288.2018.1555621 · Cited by 14 · see citing works
“There is a considerable gap between the need for supportive services and their availability and utilization [17].”
BackgroundPinkham, E. P., Teleni, L., Nixon, J. L., McKinnell, E., Brown, B., Joseph, R., Wishart, L. R., Miller, E. P., Ward, E. C., Hart, N. H., et al. (2021) · Asia-Pacific Journal of Clinical Oncology · doi:10.1111/ajco.13575 · Cited by 14 · see citing works
Dietitian encounters after treatment for ovarian cancer
Johnston, E. A., Ibiebele, T. I., van der Pols, J. C., Webb, P. M., & the OPAL Study Group (2021) · Journal of Human Nutrition and Dietetics · doi:10.1111/jhn.12898 · Cited by 14 · see citing works
Bainbridge, D., Seow, H., Sussman, J., Pond, G., & Barbera, L. (2015) · Health Policy · doi:10.1016/j.healthpol.2014.11.019 · Cited by 18 · see citing works
McLouth, L. E. S., Borger, T. N., Bursac, V., Hoerger, M. P., McFarlin, J. M., Shelton, S., Shelton, B. J., Shearer, A. J., Kiviniemi, M. T., Stapleton, J. L., et al. (2023) · Supportive Care in Cancer · doi:10.1007/s00520-023-07649-y · Cited by 13 · see citing works
Alcalde-Castro, J., Soto‐Pérez‐de‐Celis, E., Covarrubias‐Gómez, A., Sánchez-Román, S., Quiróz-Friedman, P., Navarro-Lara, Á., Ramos-López, W. A., Moreno-García, M. L., Contreras‐Garduño, S., Pérez-Montessoro, V., et al. (2019) · Journal of Palliative Care · doi:10.1177/0825859719834920 · Cited by 12 · see citing works
“7% to psychiatric/psychological counseling.(16) However, the World Health Organization estimates that only about 14% of patients in need of palliative care globally are able to access subspecialty palliative care.”
BackgroundLooking back: a review of policy implications for exercise oncology
Kennedy, M. A., Potiaumpai, M., Maitin‐Shepard, M., Wilson, C. M., Campbell, A., Schwartz, A. L., Gorzelitz, J., Caru, M., Grimmett, C., & Schmitz, K. H. (2023) · JNCI Monographs · doi:10.1093/jncimonographs/lgad002 · Cited by 11 · see citing works
Maheta, B. J., Singh, N. K., Lorenz, K., Fereydooni, S., Dy, S. M., Wong, H.-N., Bergman, J., Leppert, J. T., & Giannitrapani, K. F. (2023) · PLoS ONE · doi:10.1371/journal.pone.0294599 · Cited by 11 · see citing works
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Falcicchio, C., Lallo, D. D., Fabi, A., Bonucci, A., Perrone, M., Pace, A., Corti, A., Giacomelli, L., & Pugliese, P. (2021) · BMC Cancer · doi:10.1186/s12885-021-07927-0 · Cited by 12 · see citing works
“Although only few studies have specifically evaluated the barriers to rehabilitation in women with BC [21, 22], literature data in the cancer population suggest that lack of awareness and lack of physician referral are the main causes that restrict the use of rehabilitation services [31].”
BackgroundSurvivorship in Advanced Lung Cancer: Understanding a New Landscape and Opportunities
Presley, C. J., Dalal, N., Davenport, A. P., Gounden, A., Ramchandran, K. J., & Tonorezos, E. S. (2024) · American Society of Clinical Oncology Educational Book · doi:10.1200/edbk_433298 · Cited by 10 · see citing works
Palliative care utilisation globally by cancer patients: systematic review and meta-analysis
Getie, ፟., Yilak, G., Ayenew, T., & Amlak, B. T. (2025) · BMJ Supportive & Palliative Care · doi:10.1136/spcare-2024-005000 · Cited by 10 · see citing works
Jiang, C., Larbi, O., Feyes, D. K., Wang, G.-M., Momotaz, H., Li, M., Daunov, K., Daly, B. J., Mazanec, S. R., Rodgers‐Melnick, S. N., et al. (2021) · Supportive Care in Cancer · doi:10.1007/s00520-021-06081-4 · Cited by 10 · see citing works
Training Mid-level Providers on Palliative Care
Lesperance, M., Shannon, R. P., Pumphrey, P. K., Dunbar, E. M., Genther, R., Coleman, C. L., Tabano, M., Maurer, J. L., Vazquez, A. M., Capp, E., et al. (2013) · American Journal of Hospice and Palliative Medicine® · doi:10.1177/1049909113486335 · Cited by 10 · see citing works
“These 2 barriers have also been reported by Kumar et al(11)and are consistent with the barriers identified for hospice consultations.(8,11,12)”
ResultThe use of psychosocial support services among Japanese breast cancer survivors
Matsui, T., & Tanimukai, H. (2017) · Japanese Journal of Clinical Oncology · doi:10.1093/jjco/hyx058 · Cited by 10 · see citing works
Oswalt, C. J., Nakatani, M. M., Troy, J. D., Wolf, S. P., Locke, S. C., & LeBlanc, T. W. (2024) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2024.07.008 · Cited by 9 · see citing works
Fleege, N. M. G., Pierce-Gjeldum, D., Swartz, L. K., Verbal, K., Merajver, S. D., Friese, C. R., Kiyota, A., Heth, J., Leung, D., Smith, S. R., et al. (2022) · JCO Oncology Practice · doi:10.1200/op.22.00291 · Cited by 11 · see citing works
“Average distance from home to medical center, miles (range) 54 (4-182)”
BackgroundPalliative care among adult cancer survivors: Knowledge, attitudes, and correlates
Stal, J., Nelson, M. B., Mobley, E. M., Ochoa, C. Y., Milam, J. E., Freyer, D. R., & Miller, K. A. (2021) · Palliative & Supportive Care · doi:10.1017/s1478951521000961 · Cited by 9 · see citing works
“, 2013) which may lead to the underutilization of PC by males (Kumar et al., 2012).”
BackgroundPhysical Therapy in Patients with Cancer
Morishita, S., & Tsubaki, A. (2017) · InTech eBooks · doi:10.5772/67286 · Cited by 9 · see citing works
Navntoft, S., Andreasen, J., Petersen, K. S., Rossau, H. K., & Jørgensen, L. (2023) · Disability and Rehabilitation · doi:10.1080/09638288.2023.2280073 · Cited by 8 · see citing works
“This may be due to time constraints of survivors, high out-of-pocket payment, and long transportation to rehabilitation services [9–12].”
Bae, C. R., Gelvosa, M. N., & Jeon, J. Y. (2022) · Current Oncology Reports · doi:10.1007/s11912-022-01229-9 · Cited by 8 · see citing works
Allende‐Pérez, S., Peña‐Nieves, A., Gómez, M. Á. H., Nicolau, E. D. L. P., & Verástegui-Avilés, E. L. (2021) · American Journal of Hospice and Palliative Medicine® · doi:10.1177/10499091211034772 · Cited by 8 · see citing works
“This 7-year retrospective study included 5,631 oncological patients referred to the PCS, which represents a large population compared to that in other published studies.(8,9) This study allowed the identification of opportunities to improve the management of these patients at the INCan, given their poor prognosis and…”
ResultPalliative Care Physicians’ Perceptions of Conditions Required to Provide Early Palliative Care
Sue-A-Quan, R., Sorensen, A. M., Lo, S., Pope, A. J., Swami, N., Rodin, G., Hannon, B. L., Wentlandt, K., & Zimmermann, C. (2023) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2023.04.008 · Cited by 8 · see citing works
Meghani, S. H., Levoy, K. N., Magan, K. C., Starr, L. T., Yocavitch, L., & Barg, F. K. (2020) · American Journal of Hospice and Palliative Medicine® · doi:10.1177/1049909120969121 · Cited by 8 · see citing works
“Variable Total (N 1⁄4 32) African Americans (n 1⁄4 16) Whites (n 1⁄4 16) Median age in years (Range) 53 (24-76) 53 (24-74) 54.”
Trends in symptom severity and complexity in patients undergoing radiation therapy
Yannitsos, D., Qi, S., Davies, O., Watson, L. C., & Barbera, L. C. (2025) · BMC Cancer · doi:10.1186/s12885-025-13587-1 · Cited by 7 · see citing works
“The most cited barrier to oncology patients accessing supportive services is a lack of awareness of available supports, and a lack of referrals from their physicians [22]; however, patients are often overwhelmed at consultation.”
Gonçalves, B. A., Radojičić, T., Centeno, C., Garralda, E., Martínez, M., Preston, N. J., Hasselaar, J. G. J., & Arantzamendi, M. (2025) · BMC Palliative Care · doi:10.1186/s12904-025-01819-x · Cited by 7 · see citing works
“Several studies found that having palliative care services in different locations or physically distant areas has a negative impact on the transition process [42, 53, 57, 63], as patients often face travel-related challenges when accessing palliative care services [58].”
InfluentialFilippou, P. L., Hugar, L. A., Louwers, R. K., Pomper, A., Chisolm, S., Smith, A. B., Gore, J. L., & Gilbert, S. M. (2022) · Urologic Oncology Seminars and Original Investigations · doi:10.1016/j.urolonc.2022.10.013 · Cited by 7 · see citing works
Price, S. N. (2022) · Oncology nursing forum · doi:10.1188/22.onf.553-563 · Cited by 6 · see citing works
Impact of an Inpatient Palliative Care Consultation in Terminally Ill Cancer Patients
Blue, B. J., Vegunta, R., Rodin, M. B., Patolia, S., & Poddar, N. (2018) · Cureus · doi:10.7759/cureus.3016 · Cited by 6 · see citing works
“While the latter data have helped to drive the earlier initiation of palliative care, in recent years, limited studies speak to the appropriate timing for the initiation of palliative care in the treatment of terminally ill cancer patients [5].”
BackgroundBandini, J. I., Schulson, L., Setodji, C. M., Williams, J. A., Ast, K., & Ahluwalia, S. C. (2022) · Journal of Palliative Medicine · doi:10.1089/jpm.2022.0237 · Cited by 6 · see citing works
“Much of the evidence is mixed; for example, some studies find no differences by race/ethnicity in palliative care access and utilization, 13–16 while other studies have noted receipt of more 17,18 or fewer inpatient palliative care services among racial and ethnic minorities.”
Assessment of Elderly Patient Satisfaction about Palliative Care Services for Cancer
Kamel, A., El-Guindy, H. A., Mohamed, A., & Saleh, A. (2022) · NILES Journal forGeriatric and Gerontology/NILES Journal for Geriatric and Gerontology · doi:10.21608/niles.2023.270601 · Cited by 6 · see citing works
Supportive care for patient with respiratory diseases: an umbrella review
on behalf of COVID-19 Evidence and Recommendations Working Group, Luo, X., Lv, M., Wang, X., Long, X., Ren, M., Zhang, X., Liu, Y., Li, W., Zhou, Q. X., et al. (2020) · Annals of Translational Medicine · doi:10.21037/atm-20-3298 · Cited by 6 · see citing works
Palliative care use among bladder cancer patients treated with radical cystectomy
Ismaeel, N., Patil, D. H., Mehrdad Alemozaffar, A., Filson, C. P., Master, V. A., & Lay, A. H. Q. (2021) · Urologic Oncology Seminars and Original Investigations · doi:10.1016/j.urolonc.2021.04.029 · Cited by 6 · see citing works
The Evidence Behind Integrating Palliative Care Into Oncology Practice
Dailey, E. (2016) · Clinical journal of oncology nursing · doi:10.1188/16.cjon.368-370 · Cited by 6 · see citing works
“Kumar et al. (2012) noted that a significant percentage of patients self-reported lack of knowledge about available services and lack of physician referral as barriers to obtaining palliative care services at one outpatient treatment facility.”
Victorson, D., Mishra, K. K., Sauer, J., Langford, G., Maletich, C., Horowitz, B., Sauer, C., Sejpal, S. V., & Kalapurakal, J. (2024) · Global Advances in Integrative Medicine and Health · doi:10.1177/27536130241249140 · Cited by 5 · see citing works
“28 Audio-based mindfulness programs may be a reasonable alternative, however only 2 studies using guided audios have been conducted with cancer patient groups.”
BackgroundBetker, L., Buch, K., Berlin, P., Carrasco, A. J. P., Knorrenschild, J. R., Seifart, C., & von Blanckenburg, P. (2025) · BMC Health Services Research · doi:10.1186/s12913-025-13053-5 · Cited by 5 · see citing works
- Authors
- Kumar, P., Casarett, D., Corcoran, A., Desai, K., Li, Q., Chen, J., Langer, C., & Mao, J. J.
- Affiliations
- University of Pennsylvania (US)
- Abramson Cancer Center (US)
- Corresponding author
- Mao, Jun J.
- Venue
- Journal of Palliative Medicine
- Publisher
- SAGE Publications
- Published
- 2012-08
- Volume
- 15
- Issue
- 8
- Pages
- 923-930
- ISSN
- 1096-6218 (ISSN-L)
- 1557-7740
- PMC
- PMC3396135
- OpenAlex
- W2004736792
- Cited by
- 141
- References
- 58
- Citations by year
- 2026: 3 · 2025: 11 · 2024: 12 · 2023: 9 · 2022: 15 · 2021: 14 · 2020: 13 · 2019: 15 · 2018: 11 · 2017: 8 · 2016: 7 · 2015: 4 · 2014: 10 · 2013: 7 · 2012: 1
- FWCI
- 6.80
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Journal of Palliative Medicine (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- University of Pennsylvania
- National Institutes of Health
- National Center for Complementary and Integrative Health (K23AT004112)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative and Oncologic Care
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
- Keywords
- cancer outpatients, service utilization, access barriers, physician referral, lack of awareness, educational attainment, lung cancer, breast cancer, gastrointestinal cancer, nutrition services, psychological counseling, cancer rehabilitation, symptom management
- MeSH terms
- Adult, Aged, Aged, 80 and over, Cross-Sectional Studies, Educational Status, Female, Health Services Accessibility, Humans, Health Knowledge, Attitudes, Practice, Male, Middle Aged, Neoplasms, Outpatients, Palliative Care, Pennsylvania, Quality of Life, Patient Satisfaction, Karnofsky Performance Status, Young Adult
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