ArticleJournal of palliative medicine2017
Integrating Palliative and Oncology Care for Patients with Advanced Cancer: A Quality Improvement Intervention.
Article in Journal of palliative medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Enhancing goals of care discussions: a systematic review and meta-analysis of clinician-directed behavioural nudges.Age and ageing · 2026Pooled it
- Factors related to implementation of outpatient palliative care for advanced cancer patients in a safety-net health system: a qualitative study using the theoretical domains framework.BMC palliative care · 2026Article
- Individualized approach to palliative care integration for patients with metastatic non-small cell lung cancer.Frontiers in medicine · 2026Review
- Factors associated with avoidable 30-day readmissions in patients with cancer: a single institution study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025Article
- Serious Illness Conversation Training for Inpatient Medical Oncology Advanced Practice Providers: A Quality Improvement Project.Journal of the advanced practitioner in oncology · 2023Article
- Identification of Uncontrolled Symptoms in Cancer Patients Using Natural Language Processing.Journal of pain and symptom management · 2022Article
- Goals of care discussions: perceptions of radiation and medical oncologists.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021Article
- A hybrid model of acute unscheduled cancer care provided by a hospital-based acute care clinic and the emergency department: a descriptive study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021Article
- Article
- Pre-Post Evaluation of Collaborative Oncology Palliative Care for Patients With Stage IV Cancer.Journal of pain and symptom management · 2021Article
- Palliative Care Consultation for Hospitalized Patients with Primary and Secondary Brain Tumors at a Single Academic Center.Journal of palliative medicine · 2021Article
- Mortality Risk for Patients With Stage IV Cancer and Acute Illness Hospitalization.Journal of pain and symptom management · 2021Article
- Time to add screening for financial hardship as a quality measure?CA: a cancer journal for clinicians · 2021Article
- Terminological Usage Related to Dyspnea by Nursing Staff: A Cross-Sectional Questionnaire Survey.Asian/Pacific Island nursing journal · 2020Article
- Electronic Health Record Phenotypes for Identifying Patients with Late-Stage Disease: a Method for Research and Clinical Application.Journal of general internal medicine · 2019Article
- [Analysis of non-scheduled consultations in patients with digestive neoplasms].Revista espanola de salud publica · 2019Article
- Pragmatic methods to avoid intensive care unit admission when it does not align with patient and family goals.The Lancet. Respiratory medicine · 2019Review
- The impact of two triggered palliative care consultation approaches on consult implementation in oncology.Healthcare (Amsterdam, Netherlands) · 2019Article
Corrections and comments
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Authors and funding
12 authors.
Funding
Abstract
backgroundPractice guidelines recommend palliative care for patients with advanced cancer, but gaps in access and quality of care persist.
objectiveTo increase goals-of-care (GOC) communication for hospitalized patients with Stage IV cancer.
methodsAn interdisciplinary team designed a quality improvement intervention to enhance oncology palliative care, including training in communication skills and triggers for palliative care consults. SETTING/SUBJECTS: All adult inpatients with Stage IV cancer and unplanned admission at an 804-bed hospital affiliated with a National Cancer Institute (NCI) Comprehensive Cancer Center. MEASUREMENTS: The primary quality measure was the percentage of patients with Stage IV cancer who had a GOC discussion during hospitalization; secondary measures included screening for pain, dyspnea, spiritual needs, and outcomes of intensive care, hospice, and 30-day readmission.
resultsIn the 11-month study period, n = 330, Stage IV cancer patients were hospitalized. Comparing the first three months with the final three months, rates of GOC discussion increased from 29% to 48% (p = 0.013), and specialty palliative care consultation increased from 18% to 33%, (p = 0.026). Rates of symptom screening, intensive care unit transfer, hospice, and 30-day re-admission did not change overall. However, patients with specialty palliative care more frequently had pain screening (91% vs. 81%, p = 0.020), spiritual assessment (48% vs. 10%, p < 0.001), and hospice referral (39% vs. 9%, p < 0.001), and they were less likely to be re-admitted within 30 days (12% vs. 21%, p = 0.059). DISCUSSION: Interdisciplinary quality improvement was effective to increase GOC discussions and palliative care consults for patients with Stage IV cancer.
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