ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2016
Impact of early palliative interventions on the outcomes of care for patients with non-small cell lung cancer.
Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed.
- At the End of Life: The Impact and Disparities of Palliative Care Utilization Among Deceased Gastric Cancer Patients in US Hospitals.Journal of racial and ethnic health disparities · 2026Article
- Defining "early palliative care" for adults diagnosed with a life-limiting illness: a scoping review.BMC palliative care · 2025Article
- Palliative and supportive care underutilization for patients with locally advanced pancreatic cancer: review of the NCDB.ESMO gastrointestinal oncology · 2024Article
- Palliative Care Interventions and End-of-Life Care for Patients with Metastatic Breast Cancer: A Multicentre Analysis.The oncologist · 2024Article
- Deterioration of Performance Status during Palliative Radiotherapy Suggests a Significant Short Survival Duration: Indicating the Necessities for Considering Radiotherapy Discontinuation.Current oncology (Toronto, Ont.) · 2024Article
- Involvement of Palliative Care in Malignant Pleural Mesothelioma Patients and Associations with Survival and End-of-Life Outcomes.Current oncology (Toronto, Ont.) · 2024Article
- [Survey on the presence of palliative care knowledge and palliative care structures in German emergency departments].Die Anaesthesiologie · 2023Article
- Assessing the implementation and effectiveness of early integrated palliative care in long-term care facilities in France: an interventional mixed-methods study protocol.BMC palliative care · 2023Article
- Palliative care on the radiation oncology ward-improvements in clinical care through interdisciplinary ward rounds.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2023Article
- Days at home in the last three months of life: patterns-of-care analysis in patients with non-small cell lung cancer.Contemporary oncology (Poznan, Poland) · 2023Article
- Palliative non-small cell lung cancer treatment and end-of-life care stratified by sex and childlessness: an important interplay in unmarried patients?Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022Article
- Multidisciplinary team care in advanced lung cancer.Translational lung cancer research · 2020Review
- The impact of the duration of the palliative care period on cancer patients with regard to the use of hospital services and the place of death: a retrospective cohort study.BMC palliative care · 2020Article
- Article
- How Effective Is Palliative Care in Improving Patient Outcomes?Current treatment options in oncology · 2020Review
- Predictors of Location of Death for Children with Cancer Enrolled on a Palliative Care Service.The oncologist · 2018Article
- Can early palliative care with anticancer treatment improve overall survival and patient-related outcomes in advanced lung cancer patients? A review of the literature.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2018Review
- Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe aim of this study is to address the question "does early palliative care in addition to standard oncology care or late additional palliative care improve patterns of terminal care in patients who died from non-small cell lung cancer (NSCLC)?"
methodsWe performed retrospective single-institution study of 286 patients. Palliative care was provided by a dedicated multidisciplinary palliative care team (PCT). An arbitrarily defined cutoff of 3 months before death was chosen to distinguish between early and late additional palliative care. Referral was at the discretion of the treating physicians who provided standard anticancer treatments.
resultsPatients who received early (8 %) or late (27 %) additional palliative care were significantly younger than those who did not receive additional palliative care. The likelihood of active anticancer treatment in the last month of life was lowest in the early additional palliative care group, p = 0.03. Patients who received early or late additional palliative care were significantly less likely to lack a documented resuscitation preference, p = 0.0001. Patients who received early additional palliative care were significantly less likely to become hospitalized in the last 3 months of life, p = 0.003. Place of death was also numerically different, with hospital death occurring in 33 % of patients who received early additional palliative care, as compared to 48 % in the late and 50 % in the no PCT group, p = 0.35. Anticancer treatment intensity was not reduced if the PCT contributed to the overall management.
conclusionEarly additional palliative care resulted in relevant improvements. The optimal timing of this intervention should be examined prospectively.
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