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Oncologists' perspectives on concurrent palliative care in a National Cancer Institute-designated comprehensive cancer center.
MedLine Citation:
PMID:  23040412     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Objective: The purpose of this study was to understand oncology clinicians' perspectives about the care of advanced cancer patients following the completion of the ENABLE II (Educate, Nurture, Advise, Before Life Ends) randomized clinical trial (RCT) of a concurrent oncology palliative care model. Method: This was a qualitative interview study of 35 oncology clinicians about their approach to patients with advanced cancer and the effect of the ENABLE II RCT. Results: Oncologists believed that integrating palliative care at the time of an advanced cancer diagnosis enhanced patient care and complemented their practice. Self-assessment of their practice with advanced cancer patients comprised four themes: (1) treating the whole patient, (2) focusing on quality versus quantity of life, (3) "some patients just want to fight," and (4) helping with transitions; timing is everything. Five themes comprised oncologists' views on the complementary role of palliative care: (1) "refer early and often," (2) referral challenges: "Palliative" equals "hospice"; "Heme patients are different," (3) palliative care as consultants or co-managers, (4) palliative care "shares the load," and (5) ENABLE II facilitated palliative care integration. Significance of results: Oncologists described the RCT as holistic and complementary, and as a significant factor in adopting concurrent care as a standard of care.
Authors:
Marie Bakitas; Kathleen Doyle Lyons; Mark T Hegel; Tim Ahles
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-10-8
Journal Detail:
Title:  Palliative & supportive care     Volume:  -     ISSN:  1478-9523     ISO Abbreviation:  Palliat Support Care     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-10-8     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101232529     Medline TA:  Palliat Support Care     Country:  -    
Other Details:
Languages:  ENG     Pagination:  1-9     Citation Subset:  -    
Affiliation:
Department of Anesthesiology, Section of Palliative Medicine, Geisel School of Medicine at Dartmouth, Hanover, New Hampshire.
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