ArticleESMO open2018
Indicators of integration at ESMO Designated Centres of Integrated Oncology and Palliative Care.
Article in ESMO open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 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
29 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Early and simultaneous palliative care in cancer patients: an overview.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025Pooled it
- Australian Pathways for Specialist Pain Management and Early Palliative Care for People With Pancreatic Cancer: Developed Using a Community Consensus Approach.The Medical journal of Australia · 2026Article
- Establishment of Integrated Hospital-Based Supportive and Palliative Services: An Experience from Iran.International journal of hematology-oncology and stem cell research · 2026Review
- First unscheduled hospitalization in advanced cancer as a prognostic indicator of poor survival and trigger for palliative care referral.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026Article
- Timely integration of palliative care into oncology in hospitals in the Netherlands: a feasibility study.BMC health services research · 2025Article
- Timely integration of palliative care into standard oncology care: An interview study with clinicians and patients with incurable cancer.Palliative & supportive care · 2025Article
- Palliative and supportive care in patients with hepatocellular carcinoma: a qualitative study on attitudes and perceptions of health professionals.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025Article
- Constricting Gaps: Protocol development, implementation challenges and lessons learned for theContemporary clinical trials communications · 2024Article
- Integration of palliative rehabilitation in cancer care: a multinational mixed method study.BMC palliative care · 2024Article
- A multicentre survey on the perception of palliative care among health professionals working in haematology.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024Article
- What do cancer patients experience of the simultaneous care clinic? Results of a cross-sectional study on patient care satisfaction.Cancer medicine · 2024Article
- Psychological assessment and the role of the psychologist in early palliative care.Frontiers in psychology · 2024Article
- Palliative medicine integration in the USA: cancer centre executives' attitudes.BMJ supportive & palliative care · 2023Article
- ESMO Designated Centres of Integrated Oncology and Palliative Care (ESMO DCs): education, research and programme development survey.ESMO open · 2022Article
- Palliative Care Outcome Scale Assessment for Cancer Patients Eligible for Palliative Care: Perspectives on the Relationship between Patient-Reported Outcome and Objective Assessments.Current oncology (Toronto, Ont.) · 2022Article
- Contribution of Synthetic Data Generation towards an Improved Patient Stratification in Palliative Care.Journal of personalized medicine · 2022Review
- Simultaneous Care in Oncology: A 7-Year Experience at ESMO Designated Centre at Veneto Institute of Oncology, Italy.Cancers · 2022Article
- Simultaneous care in oncology: Assessment of benefit in relation to symptoms, sex, and age in 753 patients.Frontiers in oncology · 2022Article
- 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
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundA recent international consensus panel identified 13 major indicators to assess the level of integration between oncology and palliative care. We examined these indicators among European Society for Medical Oncology (ESMO) Designated Centres (ESMO-DCs) of Integrated Oncology and Palliative Care (PC) and determined the centre characteristics associated with greater integration.
methodsThis is a preplanned secondary analysis of a recent survey to characterise the structure, processes and outcomes of the palliative care programmes at ESMO-DCs. We assessed the level of integration using 13 major indicators. We calculated two Palliative Care and Oncology Integration Indexes consisting of all 13 indicators (PCOI-13, range 0-13) and 9 of the 13 indicators (PCOI-9, range 0-9), with a higher index indicating greater integration.
resultsThe survey response rate was 152/184 (83%). Among the 13 major indicators, interdisciplinary team was most likely to be achieved (95%), while early referral to palliative care (median time from referral to death >6 months before death) was only present in 24 (20%) of ESMO-DCs. The median PCOI-13 was 7.8 (IQR 6.4-9.6) and the median PCOI-9 was 6 (IQR 5-7). The presence of dually trained palliative oncologists was associated with higher PCOI-13 (median 8.4 vs 7.0; p=0.01) and PCOI-9 (median 6 vs 5; p=0.03). Non-tertiary hospitals generally had higher PCOI-13 (median 8.6 vs 7.2; p=0.01) and ESMO-DCs outside of Europe had higher PCOI-9 (median 7 vs 6; p=0.03).
conclusionsAssessment of the level of integration at ESMO-DCs with PCOIs highlighted strengths, areas for further development and how double-boarded palliative oncologists may promote integration.
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