ArticlePalliative care and social practice2025
Palliative care in surgery: Where are we at?
Article in Palliative care and social practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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
1 citing paper in PubMed.
- Challenges, care gaps, and coping mechanisms in patients with advanced cancer and their caregivers following palliative gastrointestinal surgery.Palliative care and social practice · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
15 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Palliative care should be delivered alongside surgical care for adults with serious illness. Yet, most do not routinely integrate palliative principles in their surgical practices. Objectives: This study aims to examine barriers to integration of palliative care in surgery using a socio-ecological framework. Design: A qualitative study using semi-structured, video-based interviews was conducted. Methods: Qualitative interviews were conducted between April and July 2023 in a tertiary academic center in Singapore. Surgeons were purposively sampled across various surgical subspecialty teams. The interview guide was informed by the socio-ecological model (SEM), exploring individual, interpersonal, community, organizational, and policy level barriers to surgical palliative care, that is, the integration of palliative care principles in surgical care. Reflexive thematic analysis was used to analyze the data. Results: Fourteen surgeons (50% male, with an average of 12 years of practice) participated in this study. Three themes were constructed, based on the SEM framework. At the individual level, inadequate palliative care training and a misalignment between the surgeon's professional identity and their understanding of palliative care impede the delivery of surgical palliative care. At the interpersonal and community level, poor intra- and inter-teamwork act as barriers. At the organizational and policy level, subspecialization, lack of incentives, and organizational support further inhibit the practice of surgical palliative care. Conclusion: Barriers to the integration of palliative care in surgery exist at multiple levels of the SEM. Our findings highlight opportunities for targeted interventions to improve the delivery of palliative care for adults with serious illness in surgery.
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Registered trials
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