Practices and opinions of specialized palliative care physicians regarding early palliative care in oncology.

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2019
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Ranked #20 of 77 articles by views in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer

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Abstract
To describe the practices and opinions of specialized palliative care (SPC) physicians regarding early palliative care for patients with cancer, determine characteristics associated with receiving early referrals; and solicit opinions regarding renaming the specialty "supportive care."The survey was distributed by mail and e-mail to physicians who had previously self-identified as providing palliative care. SPC physicians were defined as receiving palliative care referrals from other physicians and not providing palliative care only for their own patients.The response rate was 71% (531/746), of whom 257 (48.4%) practiced SPC. Of these SPC physicians, 84% provided mainly cancer care; > 90% supported early palliative care referral in oncology and had referral criteria facilitating this, but only 20% received early referrals (> 6-month prognosis). There was ambivalence regarding caring for patients with full resuscitation status and responsibility for managing cancer treatment-related complications. SPC physicians receiving early referrals were more likely to be female (p = 0.02) and have a postgraduate degree (p = 0.02), and less likely to provide mainly cancer care (p = 0.03) and to agree that patients should stop chemotherapy before referral (p = 0.009). Although 60% agreed that patients perceive the term "palliative care" negatively and 39% believed a name change to supportive care would encourage early referral, only 21% supported renaming the specialty.Although most SPC physicians supported early palliative care in oncology, the timing of referrals was often late, and was associated with characteristics of SPC physicians. Few SPC physicians supported renaming palliative care.
Reference Key
sorensen2019practicessupportive Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Sorensen, Anna;Wentlandt, Kirsten;Le, Lisa W;Swami, Nadia;Hannon, Breffni;Rodin, Gary;Krzyzanowska, Monika K;Zimmermann, Camilla;
Journal Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer
Year 2019
DOI
10.1007/s00520-019-04876-0
URL
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