Literature DB >> 25480826

Integration of oncology and palliative care: a systematic review.

David Hui1, Yu Jung Kim2, Ji Chan Park2, Yi Zhang2, Florian Strasser2, Nathan Cherny2, Stein Kaasa2, Mellar P Davis2, Eduardo Bruera2.   

Abstract

BACKGROUND: Both the American Society of Clinical Oncology and the European Society for Medical Oncology strongly endorse integrating oncology and palliative care (PC); however, a global consensus on what constitutes integration is currently lacking. To better understand what integration entails, we conducted a systematic review to identify articles addressing the clinical, educational, research, and administrative indicators of integration.
MATERIALS AND METHODS: We searched Ovid MEDLINE and Ovid EMBase between 1948 and 2013. Two researchers independently reviewed each citation for inclusion and extracted the indicators related to integration. The inter-rater agreement was high (κ = 0.96, p < .001).
RESULTS: Of the 431 publications in our initial search, 101 were included. A majority were review articles (58%) published in oncology journals (59%) and in or after 2010 (64%, p < .001). A total of 55 articles (54%), 33 articles (32%), 24 articles (24%), and 14 articles (14%) discussed the role of outpatient clinics, community-based care, PC units, and inpatient consultation teams in integration, respectively. Process indicators of integration include interdisciplinary PC teams (n = 72), simultaneous care approach (n = 71), routine symptom screening (n = 25), PC guidelines (n = 33), care pathways (n = 11), and combined tumor boards (n = 10). A total of 66 articles (65%) mentioned early involvement of PC, 18 (18%) provided a specific timing, and 28 (28%) discussed referral criteria. A total of 45 articles (45%), 20 articles (20%), and 66 articles (65%) discussed 8, 4, and 9 indicators related to the educational, research, and administrative aspects of integration, respectively.
CONCLUSION: Integration was a heterogeneously defined concept. Our systematic review highlighted 38 clinical, educational, research, and administrative indicators. With further refinement, these indicators may facilitate assessment of the level of integration of oncology and PC. ©AlphaMed Press.

Entities:  

Keywords:  Access; Health systems; Indicators; Integration; Neoplasms; Palliative care; Referral

Mesh:

Year:  2014        PMID: 25480826      PMCID: PMC4294615          DOI: 10.1634/theoncologist.2014-0312

Source DB:  PubMed          Journal:  Oncologist        ISSN: 1083-7159


  39 in total

1.  Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement.

Authors:  David Moher; Alessandro Liberati; Jennifer Tetzlaff; Douglas G Altman
Journal:  J Clin Epidemiol       Date:  2009-07-23       Impact factor: 6.437

2.  European Society for Medical Oncology (ESMO) Program for the integration of oncology and Palliative Care: a 5-year review of the Designated Centers' incentive program.

Authors:  N Cherny; R Catane; D Schrijvers; M Kloke; F Strasser
Journal:  Ann Oncol       Date:  2009-08-04       Impact factor: 32.976

3.  Facilitating Early Integration of Palliative Care into Breast Cancer Therapy. Promoting Disease-Specific Guidelines.

Authors:  Jan Gaertner; Rachel Wuerstlein; Christoph Ostgathe; Peter Mallmann; Nadia Harbeck; Raymond Voltz
Journal:  Breast Care (Basel)       Date:  2011-06-03       Impact factor: 2.860

4.  Integrating palliative care into comprehensive cancer care.

Authors:  Janet L Abrahm
Journal:  J Natl Compr Canc Netw       Date:  2012-10-01       Impact factor: 11.908

Review 5.  Supportive care in cancer unit at the National Cancer Institute of Milan: a new integrated model of medicine in oncology.

Authors:  Ripamonti Carla Ida; Pessi Maria Adelaide; Boldini Stefania
Journal:  Curr Opin Oncol       Date:  2012-07       Impact factor: 3.645

Review 6.  Concepts and definitions for "supportive care," "best supportive care," "palliative care," and "hospice care" in the published literature, dictionaries, and textbooks.

Authors:  David Hui; Maxine De La Cruz; Masanori Mori; Henrique A Parsons; Jung Hye Kwon; Isabel Torres-Vigil; Sun Hyun Kim; Rony Dev; Ronald Hutchins; Christiana Liem; Duck-Hee Kang; Eduardo Bruera
Journal:  Support Care Cancer       Date:  2012-08-31       Impact factor: 3.603

7.  Availability and integration of palliative care at US cancer centers.

Authors:  David Hui; Ahmed Elsayem; Maxine De la Cruz; Ann Berger; Donna S Zhukovsky; Shana Palla; Avery Evans; Nada Fadul; J Lynn Palmer; Eduardo Bruera
Journal:  JAMA       Date:  2010-03-17       Impact factor: 56.272

8.  Timing of palliative care referral and symptom burden in phase 1 cancer patients: a retrospective cohort study.

Authors:  David Hui; Henrique Parsons; Linh Nguyen; Shana L Palla; Sriram Yennurajalingam; Razelle Kurzrock; Eduardo Bruera
Journal:  Cancer       Date:  2010-09-15       Impact factor: 6.860

9.  Simultaneous care: a model approach to the perceived conflict between investigational therapy and palliative care.

Authors:  Frederick J Meyers; John Linder; Laurel Beckett; Scott Christensen; Joan Blais; David R Gandara
Journal:  J Pain Symptom Manage       Date:  2004-12       Impact factor: 3.612

10.  American Society of Clinical Oncology provisional clinical opinion: the integration of palliative care into standard oncology care.

Authors:  Thomas J Smith; Sarah Temin; Erin R Alesi; Amy P Abernethy; Tracy A Balboni; Ethan M Basch; Betty R Ferrell; Matt Loscalzo; Diane E Meier; Judith A Paice; Jeffrey M Peppercorn; Mark Somerfield; Ellen Stovall; Jamie H Von Roenn
Journal:  J Clin Oncol       Date:  2012-02-06       Impact factor: 44.544

View more
  42 in total

1.  In Reply.

Authors:  David Hui; Eduardo Bruera
Journal:  Oncologist       Date:  2015-08-07

2.  Integration of Oncology and Palliative Care, a Forgotten Indicator: Shared Decision-Making.

Authors:  Olivier Huillard; Isabelle Colombet; Vincent Montheil; Fabienne Weiler; Pascaline Boudou-Rouquette; Jennifer Arrondeau; Camille Tlemsani; Anatole Cessot; Julie Giroux; Jerome Alexandre; François Goldwasser; Pascale Vinant
Journal:  Oncologist       Date:  2015-08-07

3.  Integration of oncology and palliative care: setting a benchmark.

Authors:  P Vayne-Bossert; E Richard; P Good; K Sullivan; J R Hardy
Journal:  Support Care Cancer       Date:  2017-05-03       Impact factor: 3.603

4.  Preparing Oncology Advanced Practice RNs as Generalists in Palliative Care.

Authors:  Betty Ferrell; Pamela Malloy; Rose Virani; Denice Economou; Polly Mazanec
Journal:  Oncol Nurs Forum       Date:  2020-03-01       Impact factor: 2.172

5.  Palliative Oncologists: Specialists in the Science and Art of Patient Care.

Authors:  David Hui; Esmé Finlay; Mary K Buss; Eric E Prommer; Eduardo Bruera
Journal:  J Clin Oncol       Date:  2015-04-27       Impact factor: 44.544

6.  Indicators of integration of oncology and palliative care programs: an international consensus.

Authors:  D Hui; S Bansal; F Strasser; T Morita; A Caraceni; M Davis; N Cherny; S Kaasa; D Currow; A Abernethy; C Nekolaichuk; E Bruera
Journal:  Ann Oncol       Date:  2015-06-18       Impact factor: 32.976

7.  A cross-sectional study examining the prevalence of cachexia and areas of unmet need in patients with cancer.

Authors:  Ola Magne Vagnildhaug; Trude Rakel Balstad; Sigrun Saur Almberg; Cinzia Brunelli; Anne Kari Knudsen; Stein Kaasa; Morten Thronæs; Barry Laird; Tora Skeidsvoll Solheim
Journal:  Support Care Cancer       Date:  2017-12-22       Impact factor: 3.603

8.  Palliative Care's Role Managing Cancer Pain During the Opioid Crisis: A Qualitative Study of Patients, Caregivers, and Clinicians.

Authors:  Joanna Veazey Brooks; Claire Poague; Taynara Formagini; Andrew W Roberts; Christian T Sinclair; Carla C Keirns
Journal:  J Pain Symptom Manage       Date:  2020-07-06       Impact factor: 3.612

9.  Integrated outpatient palliative care for patients with advanced cancer: A systematic review and meta-analysis.

Authors:  Jessica J Fulton; Thomas W LeBlanc; Toni M Cutson; Kathryn N Porter Starr; Arif Kamal; Katherine Ramos; Caroline E Freiermuth; Jennifer R McDuffie; Andrzej Kosinski; Soheir Adam; Avishek Nagi; John W Williams
Journal:  Palliat Med       Date:  2018-11-29       Impact factor: 4.762

10.  Early Palliative Care and Its Role in Oncology: A Qualitative Study.

Authors:  Breffni Hannon; Nadia Swami; Ashley Pope; Natasha Leighl; Gary Rodin; Monika Krzyzanowska; Camilla Zimmermann
Journal:  Oncologist       Date:  2016-07-22
View more

北京卡尤迪生物科技股份有限公司 © 2022-2023.