ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2023
Palliative care use and utilization determinants among patients treated for advanced stage lung cancer care in the community and academic medical setting.
Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
What it found
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.
- Decision-making factors related to palliative care and hospice use in the community: a systematic review based on Andersen's behavioural model of health services use.BMC palliative care · 2025Pooled it
- Patient Experiences With a Symptom Monitoring and Self-Referral Program for Specialty Palliative Care After Lung Cancer Diagnosis: Qualitative Study.JMIR formative research · 2026Article
- Nursing Roles in Early Integration of Palliative and Supportive Care for Adults with Advanced Cancer: A Scoping Review.Current oncology (Toronto, Ont.) · 2026Article
- Palliative care in rural, remote, and northern communities: a scoping review.BMC palliative care · 2026Article
- The inverse palliative care law in advanced lung disease: a mixed-methods systematic review and meta-analysis.EClinicalMedicine · 2026Article
- The transition from oncology to palliative care: barriers and facilitators explored through an integrative review.BMC palliative care · 2025Review
- PTSD Symptoms and their Relationship with Depression, Anxiety, and Physical Health in Patients undergoing Treatment for Advanced Stage Lung Cancer.Research square · 2025Article
- Advanced practice nurse-led early palliative care: a novel model for improved access to care.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025Article
- The Paradox of Choice in Palliative Care Decision-Making in Managed Long-Term Care: A Qualitative Study.Home health care management & practice · 2025Article
- The Association Between an Electronic Health Record (EHR)-Embedded Frailty Index and Patient-Reported Outcomes Among Patients with Metastatic Non-Small-Cell Lung Cancer on Immunotherapy: A Brief Report.The American journal of hospice & palliative care · 2024Article
- Clinician perspectives on delivering primary and specialty palliative care in community oncology practices.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024Article
- Association of patient socioeconomic status with outcomes after palliative treatment for disseminated cancer.Cancer medicine · 2024Article
- Piloting a Patient Tool to Aid Palliative Care Referrals during Advanced Lung Cancer Treatment.Journal of pain and symptom management · 2024Article
Corrections and comments
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Authors and funding
16 authors at 6 institutions in 1 country.
Funding
Abstract
purposeDespite clinical guidelines, palliative care is underutilized during advanced stage lung cancer treatment. To inform interventions to increase its use, patient-level barriers and facilitators (i.e., determinants) need to be characterized, especially among patients living in rural areas or those receiving treatment outside academic medical centers.
methodsBetween 2020 and 2021, advanced stage lung cancer patients (n = 77; 62% rural; 58% receiving care in the community) completed a one-time survey assessing palliative care use and its determinants. Univariate and bivariate analyses described palliative care use and determinants and compared scores by patient demographic (e.g., rural vs. urban) and treatment setting (e.g., community vs. academic medical center) factors.
resultsRoughly half said they had never met with a palliative care doctor (49.4%) or nurse (58.4%) as part of cancer care. Only 18% said they knew what palliative care was and could explain it; 17% thought it was the same as hospice. After palliative care was distinguished from hospice, the most frequently cited reasons patients stated they would not seek palliative care were uncertainty about what it would offer (65%), concerns about insurance coverage (63%), difficulty attending multiple appointments (60%), and lack of discussion with an oncologist (59%). The most common reasons patients stated they would seek palliative care were a desire to control pain (62%), oncologist recommendation (58%), and coping support for family and friends (55%).
conclusionInterventions should address knowledge and misconceptions, assess care needs, and facilitate communication between patients and oncologists about palliative care.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.