The DOI matches its Crossref record; 37 of the 37 references it cites were found in a registry or an index.
Access to Palliative Care Among Patients Treated at a Comprehensive Cancer Center
Open accessAbstract
Background.: Palliative care (PC) is a critical component of comprehensive cancer care. Previous studies on PC access have mostly examined the timing of PC referral. The proportion of patients who actually receive PC is unclear. We determined the proportion of cancer patients who received PC at our comprehensive cancer center and the predictors of PC referral. Methods.: We reviewed the charts of consecutive patients with advanced cancer from the Houston region seen at MD Anderson Cancer Center who died between September 2009 and February 2010. We compared patients who received PC services with those who did not receive PC services before death. Results.: In total, 366 of 816 (45%) decedents had a PC consultation. The median interval between PC consultation and death was 1.4 months (interquartile range, 0.5–4.2 months) and the median number of medical team encounters before PC was 20 (interquartile range, 6–45). On multivariate analysis, older age, being married, and specific cancer types (gynecologic, lung, and head and neck) were significantly associated with a PC referral. Patients with hematologic malignancies had significantly fewer PC referrals (33%), the longest interval between an advanced cancer diagnosis and PC consultation (median, 16 months), the shortest interval between PC consultation and death (median, 0.4 months), and one of the largest numbers of medical team encounters (median, 38) before PC. Conclusions.: We found that a majority of cancer patients at our cancer center did not access PC before they died. PC referral occurs late in the disease process with many missed opportunities for referral.
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“However, patients continue to receive late referrals to PC even in comprehensive cancer centers.”
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Early Palliative Care for Patients with Metastatic Non–Small-Cell Lung Cancer
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Self-citationSeow, H. Y., Barbera, L. C., Sutradhar, R., Howell, D., Dudgeon, D. J., Atzema, C. L., Liu, Y., Husain, A. F., SUSSMAN, J. S., & Earle, C. C. (2011) · Journal of Clinical Oncology · doi:10.1200/jco.2010.30.7173 · Cited by 456
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Self-citationSupportive versus palliative care: What's in a name?
Fadul, N. A., Elsayem, A. F., Palmer, J. L., Fabbro, E. D., Swint, K., Li, Z., Poulter, V. A., & Bruera, E. D. (2009) · Cancer · doi:10.1002/cncr.24206 · Cited by 382
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Research works printed but not linked: 1
- National Hospice and Palliative Care Organization (NHPCO), 2011, Facts and Figures on Hospice, 1
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Delivering High-Quality Cancer Care: Charting a New Course for a System in Crisis
Levit, L. A., Balogh, E. P., Nass, S. J., & Ganz, P. A. (2014) · Cited by 956
Dionne-Odom, J. N., Azuero, A., Lyons, K. D., Hull, J. G., Tosteson, T. D., Li, Z., Li, Z., Frost, J., Dragnev, K. H., Akyar, İ., et al. (2015) · Journal of Clinical Oncology · doi:10.1200/jco.2014.58.7824 · Cited by 500
Hui, D., Kim, S., Roquemore, J., Dev, R., Chisholm, G. B., & Bruera, E. D. (2014) · Cancer · doi:10.1002/cncr.28628 · Cited by 451
Self-citationHui, D., Hannon, B. L., Zimmermann, C., & Bruera, E. D. (2018) · CA A Cancer Journal for Clinicians · doi:10.3322/caac.21490 · Cited by 443
Self-citationIntegrating palliative care into the trajectory of cancer care
Hui, D., & Bruera, E. D. (2015) · Nature Reviews Clinical Oncology · doi:10.1038/nrclinonc.2015.201 · Cited by 425
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Metadata
- Authors
- Hui, D., Kim, S.-H., Kwon, J. H., Tanco, K. C., Zhang, T., Kang, J. H., Rhondali, W., Chisholm, G., & Bruera, E.
- Affiliations
- The University of Texas MD Anderson Cancer Center (US)
- Corresponding author
- Hui, David
- ORCID
- Venue
- The Oncologist
- Publisher
- Oxford University Press (OUP)
- Published
- 2012-12-01
- Volume
- 17
- Issue
- 12
- Pages
- 1574-1580
- ISSN
- 1083-7159 (ISSN-L)
- 1549-490X
- PMC
- PMC3528390
- OpenAlex
- W2149149861
- Cited by
- 218
- References
- 37
- Citations by year
- 2026: 2 · 2025: 12 · 2024: 20 · 2023: 10 · 2022: 18 · 2021: 11 · 2020: 24 · 2019: 25 · 2018: 23 · 2017: 15 · 2016: 15 · 2015: 19 · 2014: 15 · 2013: 7 · 2012: 1
- FWCI
- 12.98
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model (vor)
- Locations
- The Oncologist (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- University of Texas MD Anderson Cancer Center
- National Cancer Institute (P30CA016672)
- 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
- access to palliative care, palliative care referral, advanced cancer, comprehensive cancer center, hematologic malignancies, predictors of referral, referral timing
- MeSH terms
- Adult, Aged, Aged, 80 and over, Comprehensive Health Care, Female, Humans, Male, Middle Aged, Neoplasms, Palliative Care, Referral and Consultation, Retrospective Studies, Multivariate Analysis, Logistic Models, Young Adult
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