Integration of Palliative Care Into Standard Oncology Care: American Society of Clinical Oncology Clinical Practice Guideline Update

被引：1447

作者：

Ferrell, Betty R. ^{[2
]}

Temel, Jennifer S. ^{[3
]}

Temin, Sarah ^{[1
]}

Alesi, Erin R. ^{[5
]}

Balboni, Tracy A. ^{[4
]}

Basch, Ethan M. ^{[6
]}

Firn, Janice I. ^{[7
]}

Paice, Judith A. ^{[8
]}

Peppercorn, Jeffrey M. ^{[3
]}

Phillips, Tanyanika ^{[9
]}

Stovall, Ellen L. ^{[10
]}

Zimmermann, Camilla ^{[12
]}

Smith, Thomas J. ^{[11
]}

机构：

[1] Amer Soc Clin Oncol, 2318 Mill Rd,Suite 800, Alexandria, VA 22314 USA

[2] City Hope Med Ctr, Duarte, CA USA

[3] Massachusetts Gen Hosp, Boston, MA 02114 USA

[4] Dana Farber Canc Inst, Boston, MA 02115 USA

[5] Virginia Commonwealth Univ Hlth Syst, Richmond, VA USA

[6] Univ North Carolina Chapel Hill, Chapel Hill, NC USA

[7] Univ Michigan Hlth Syst, Ann Arbor, MI USA

[8] Northwestern Univ, Evanston, IL USA

[9] CHRISTUS St Frances Cabrini Hosp, Alexandria, LA USA

[10] Natl Coalit Canc Survivorship, Silver Spring, MD USA

[11] Johns Hopkins Univ, Sidney Kimmel Comprehens Canc Ctr, Baltimore, MD USA

[12] Princess Margaret Canc Ctr, Toronto, ON, Canada

来源：

JOURNAL OF CLINICAL ONCOLOGY | 2017年 / 35卷 / 01期

关键词：

OF-LIFE CARE; ADVANCED CANCER; LUNG-CANCER; FAMILY CAREGIVERS; 30-DAY READMISSIONS; HOSPICE ENROLLMENT; RANDOMIZED-TRIAL; HEALTH-CARE; CONSULTATION; COSTS;

D O I：

10.1200/JCO.2016.70.1474

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Purpose To provide evidence-based recommendations to oncology clinicians, patients, family and friend caregivers, and palliative care specialists to update the 2012 American Society of Clinical Oncology (ASCO) provisional clinical opinion (PCO) on the integration of palliative care into standard oncology care for all patients diagnosed with cancer. Methods ASCO convened an Expert Panel of members of the ASCO Ad Hoc Palliative Care Expert Panel to develop an update. The 2012 PCO was based on a review of a randomized controlled trial (RCT) by the National Cancer Institute Physicians Data Query and additional trials. The panel conducted an updated systematic review seeking randomized clinical trials, systematic reviews, and meta-analyses, as well as secondary analyses of RCTs in the 2012 PCO, published from March 2010 to January 2016. Results The guideline update reflects changes in evidence since the previous guideline. Nine RCTs, one quasiexperimental trial, and five secondary analyses from RCTs in the 2012 PCO on providing palliative care services to patients with cancer and/or their caregivers, including family caregivers, were found to inform the update. Recommendations Inpatients and outpatients with advanced cancer should receive dedicated palliative care services, early in the disease course, concurrent with active treatment. Referral of patients to interdisciplinary palliative care teams is optimal, and services may complement existing programs. Providers may refer family and friend caregivers of patients with early or advanced cancer to palliative care services. (C) 2016 by American Society of Clinical Oncology

引用

页码：96 / +

页数：19

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