ArticleAnnals of oncology : official journal of the European Society for Medical Oncology2017
The 'critical mass' survey of palliative care programme at ESMO designated centres of integrated oncology and palliative care.
Article in Annals of oncology : official journal of the European Society for Medical Oncology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed.
- Parenteral Nutrition in Palliative Cancer Care: Detrimental, Futile, or Beneficial?Current oncology (Toronto, Ont.) · 2024Article
- Development and validation of impact of early integration of palliative care and oncology(IEI PCO) questionnaire: a survey for medical oncologists and nurses.BMC palliative care · 2024Article
- Symptom burden and relief in palliative care units of German Comprehensive Cancer Center and other hospitals.Journal of cancer research and clinical oncology · 2024Article
- National survey on the availability of oncology palliative care services at tertiary general and cancer hospitals in China.BMC palliative care · 2023Article
- Palliative medicine integration in the USA: cancer centre executives' attitudes.BMJ supportive & palliative care · 2023Article
- Personalizing the Setting of Palliative Care Delivery for Patients with Advanced Cancer: "Care Anywhere, Anytime".Current treatment options in oncology · 2023Review
- ESMO Designated Centres of Integrated Oncology and Palliative Care (ESMO DCs): education, research and programme development survey.ESMO open · 2022Article
- Development of a national health policy logic model to accelerate the integration of oncology and palliative care: a nationwide Delphi survey in Japan.International journal of clinical oncology · 2022Article
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- Review
- Specialist palliative care teams and characteristics related to referral rate: a national cross-sectional survey among hospitals in the Netherlands.BMC palliative care · 2021Article
- Interventions and symptom relief in hospital palliative cancer care: results from a prospective longitudinal study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021Article
- Incorporating palliative care principles to improve patient care and quality of life in urologic oncology.Nature reviews. Urology · 2021Review
- Palliative care in day-hospital for advanced cancer patients: a study protocol for a multicentre randomized controlled trial.BMC palliative care · 2021Article
- Pediatric Palliative Care for Children with Cancer in a Children's Tertiary Hospital in China: Six-Year Experience of a Pediatric Palliative Care Service.Palliative medicine reports · 2021Article
- Calling for advocacy, education and public policy actions on pain control for patients with cancer in Africa.ESMO open · 2020Article
- Models of Palliative Care Delivery for Patients With Cancer.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2020Review
- Current status of integrating oncology and palliative care in Japan: a nationwide survey.BMC palliative care · 2020Article
- Examination of referral criteria for outpatient palliative care among patients with advanced cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2020Article
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Authors and funding
4 authors.
Funding
Abstract
backgroundThe ESMO Designated Centres (ESMO-DCs) of Integrated Oncology and Palliative Care (PC) Incentive Programme has grown steadily. We aimed to characterise the level of PC clinical services, education and research at ESMO-DCs.
methodsWe sent all 184 ESMO-DCs an electronic survey consisting of 78 questions examining the DC characteristics, palliative care clinical programme (structure, processes, and outcomes), primary PC delivery by oncologists, education, research and attitudes and beliefs towards the ESMO-DC programme.
resultsThe response rate was 83% (152/184). 115 (76%) ESMO-DCs were from Europe, 87 (57%) were tertiary care centres. 136 (90%) had inpatient consultation teams, 135 (89%) had outpatient PC clinics, 107 (71%) had dedicated acute care beds, and 75 (50%) offered community-based PC. An estimated 70% (interquartile range [IQR] 28-80%) of patients with advanced cancer had a PC consultation before death, occurring 90 days before death (median, IQR 40-150 days) for outpatients and 21 days (IQR 14-45 days) for inpatients. 59 (39%) offered PC fellowship programme; 47 (32%) had mandatory PC rotations for oncology fellows. Ninety-nine (65%) had double-boarded palliative oncologists. 118 (78%) of the ESMO-DCs reported that routine symptom screening was offered in the oncology clinic and 30% of patients had documented end-of-life discussions by their oncologists. Most centres (>80%) perceived the ESMO-DC programme to increase their status.
conclusionsThe ESMO-DCs had a high level of PC infrastructure and provided access to a large proportion of patients with advanced cancer. The survey supports that the 13 criteria required for ESMO designation set a robust framework for integration, stimulated investment of resources into some palliative care programmes prior to accreditation, and raised the interest about palliative care among clinicians, trainees and patients.
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