ArticleJournal of pain and symptom management2021
Initiating Palliative Care Referrals in Pediatric Oncology.
Article in Journal of pain and symptom management, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
What it found
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The trial behind it
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.
- Ethical dilemmas and intervention strategies in doctor-patient-family communication in end-of-life pediatric oncology: a narrative review.Translational pediatrics · 2026Review
- Communication Barriers and Facilitators to Specialist Pediatric Palliative Care Involvement in Pediatric Oncology Settings Across Canada.Psycho-oncology · 2026Article
- Enhancing Early Integration of Pediatric Palliative Care: Evaluating a Clinician-Based Versus Criteria-Based Referral Process in Pediatric Oncology.Children (Basel, Switzerland) · 2026Article
- A qualitative study exploring the pros and cons of universal pediatric palliative care referral at diagnosis for children with cancer.Palliative & supportive care · 2026Article
- Beyond the Label: How Naming and Framing Impact Pediatric Palliative Care Acceptance.Journal of pain and symptom management · 2026Article
- Advance Care Planning Conversations in Pediatric Patients with Refractory Oncologic Disease.Children (Basel, Switzerland) · 2025Review
- Symptom Documentation in Unstructured Palliative Care Notes of Children and Adolescents With Cancer.Journal of pain and symptom management · 2025Article
- Barriers and facilitators influencing referral and access to palliative care for children and young people with life-limiting and life-threatening conditions: a scoping review of the evidence.Palliative medicine · 2024Article
- Illness cognition and associated socio-demographic and clinical factors in parents of children with leukemia.BMC psychology · 2024Article
- Paediatric oncologists' perspectives on Strategic solutions to develop Integrated Cancer Palliative Care: feedback intervention theory as an explanatory Framework.BMC palliative care · 2024Article
- When to initiate early palliative care? Challenges faced by healthcare providers.Frontiers in medicine · 2023Article
- Physicians' Knowledge, Attitudes, and Perception Toward Pediatric Palliative Care in Saudi Arabia: A National Exploratory Survey.Palliative medicine reports · 2023Article
- Regional blocks for pain control at the end of life in pediatric oncology.Frontiers in pain research (Lausanne, Switzerland) · 2023Article
- Presuppositions, cost-benefit, collaboration, and competency impacts palliative care referral in paediatric oncology: a qualitative study.BMC palliative care · 2022Article
- Palliative Care in Pediatric Oncology and Hematopoietic Stem Cell Transplantation.Current oncology reports · 2022Review
- Compassionate de-escalation of life-sustaining treatments in pediatric oncology: An opportunity for palliative care and intensive care collaboration.Frontiers in oncology · 2022Article
- Article
- Optimising Palliative Care for Children with Metastatic Neuroblastoma and the Paediatrician's Role in a Shared Care Model - Proposal from a Regional Cancer Centre in India.Indian journal of palliative careArticle
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
contextEarly palliative care (PC) has been shown to improve the quality of life of children with cancer, yet referral practices by pediatric oncology providers remains inconsistent and few patients receive a formal PC consult.
objectivesWe sought to describe patient characteristics used by oncologists for PC referral and identify ways to improve PC integration into the care for children with cancer.
methodsThis mixed-methods study used semistructured audiotaped interviews to explore the patient or disease characteristics used by pediatric oncology providers to trigger PC referral. Conventional content analysis was applied to interview transcripts.
resultsAbout 77 participants with diverse experience were interviewed. More than 75% of participants reported that PC was consulted too late and cited communication and systems issues as the top barriers. Most participants (85%) stated that a screening tool would be helpful to standardize referral practices to PC. Characteristics such as poor prognosis (88%), symptom management (86%), comorbidities (65%), and psychosocial needs (65%) were commonly reported triggers that should initiate PC consultation. However, when presented with case scenarios that included these characteristics, participants did not consistently identify the PC triggers. Nearly 50% of participants stated they had received some formalized PC training; however, only one-third of these participants noted completing a PC rotation.
conclusionOur findings suggest that pediatric oncologists are committed to improving the integration of PC for their patients and that standardization of referral practices, through the use of a screening tool, would be of benefit. Additional PC education might reinforce pediatric oncologists' recognition of PC triggers.
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