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Early Referral to Outpatient Palliative Care Improved End-of-Life Care

Early Referral to Outpatient Palliative Care Improved End-of-Life Care | Lung Cancer Dispatch | Scoop.it

"Adult patients with advanced cancer who were referred early to outpatient palliative care experienced better end-of-life care compared with patients who received inpatient palliative care, according to study results.


"David Hui, MD, MSc, of the department of palliative care and rehabilitation medicine at The University of Texas MD Anderson Cancer Center, and colleagues evaluated data from 366 patients who died of advanced cancer from 2009 to 2010.


"All patients received a palliative care consultation, and 120 (33%) had an early referral, defined as longer than 3 months before death. Nearly half of the patients (n=169; 46%) first received outpatient palliative care."

Cancer Commons's insight:

Healio  |  Mar 12, 2014

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Cancer Commons's curator insight, March 14, 2014 1:34 PM

Healio  |  Mar 12, 2014

Cancer Commons's curator insight, March 14, 2014 1:34 PM

Healio  |  Mar 12, 2014

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Cancer Doctors Have Opportunities to Cut Costs Without Risk to Patients, Experts Say

Cancer Doctors Have Opportunities to Cut Costs Without Risk to Patients, Experts Say | Lung Cancer Dispatch | Scoop.it

"In a review article published Feb. 14 in The Lancet Oncology, Johns Hopkins experts identify three major sources of high cancer costs and argue that cancer doctors can likely reduce them without harm to patients. The cost-cutting proposals call for changes in routine clinical practice involved in end-of-life care, medical imaging and drug pricing.


" 'We need to find the best ways to manage costs effectively while maintaining the same, if not better, quality of life among our patients,' says Thomas Smith, M.D., The Harry J. Duffey Family Professor of Palliative Medicine and professor of oncology at Johns Hopkins."

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Medical Xpress  |  Feb 14, 2014

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Cancer Commons's curator insight, February 14, 2014 1:29 PM

Medical Xpress  |  Feb 14, 2014

Cancer Commons's curator insight, February 14, 2014 1:29 PM

Medical Xpress  |  Feb 14, 2014

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More Americans Support Prolonging Patients’ Lives by Any Means Possible

More Americans Support Prolonging Patients’ Lives by Any Means Possible | Lung Cancer Dispatch | Scoop.it

More Americans today support prolonging patients’ lives as much as possible no matter what, a survey showed. Thirty-one percent of those polled agreed with the statement “in all circumstances, doctors and nurses should do everything possible to save the life of a patient,” up from 15% in 1990 and 22% in 2005. Significantly fewer people are undecided on the issue (3%, down from 12% in 1990). The number of people agreeing with the alternate statement, “sometimes there are circumstances where a patient should be allowed to die,” dropped only slightly (from 73% in 1990 to 66% in 2013). For themselves, 35% would want providers to do “everything possible,” even if they had an incurable disease and were in severe pain. However, 78% would let a close relative decide whether to continue treatment for patients unable to communicate their wishes.

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MedPage Today  |  Nov 24, 2013

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Cancer Commons's curator insight, November 26, 2013 2:23 PM

MedPage Today | Nov 24, 2013

Cancer Commons's curator insight, November 26, 2013 2:23 PM

MedPage Today  |  Nov 24, 2013

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Palliative Chemotherapy: Harms and Benefits Weighed in New Study

"Palliative chemotherapy is treatment designed for terminal cancer patients to prolong survival and ease symptoms but not cure disease. Now, researchers have found that the therapy comes with certain harms, which they say need to be addressed...


"Overall, the team found that terminal cancer patients who receive chemotherapy during the last months of their lives are less likely to die where they wish and are more likely to undergo invasive medical procedures - including CPR and mechanical ventilation - than patients who did not receive the therapy."

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Medical News Today  |  Mar 5, 2014

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Cancer Commons's curator insight, March 5, 2014 2:21 PM

Medical News Today  |  Mar 5, 2014

Cancer Commons's curator insight, March 5, 2014 2:21 PM

Medical News Today  |  Mar 5, 2014

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Realizing the Full Benefits of Palliative Care

Realizing the Full Benefits of Palliative Care | Lung Cancer Dispatch | Scoop.it

Evidence is mounting for the manifold benefits of palliative care–which is focused on alleviating symptoms–for cancer patients. Studies have shown that cancer patients who receive palliative care experience higher quality of life, less depression, and are better functioning. They also live longer, even though fewer of them undergo aggressive end-of-life care. Thanks to fewer hospitalizations, greater use of palliative care also actually decreases health care costs. Nonetheless, both physicians and patients often shy away from palliative care, as it is frequently–though falsely–associated with death and dying. Unlike hospice care, however, palliative care is intended and appropriate for all patients, regardless of stage or prognosis. Advocates recommend that palliative care should be offered widely and early on in cancer treatment.

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Healio  |  Nov 10, 2013

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Cancer Commons's curator insight, December 3, 2013 6:21 PM

Healio  |  Nov 10, 2013

Cancer Commons's curator insight, December 3, 2013 6:22 PM

Healio  |  Nov 10, 2013