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Standards for palliative care delivery in oncology settings
S Yousuf Zafar1, David C Currow, Christopher K Daugherty
1Division of Medical Oncology, Department of Medicine, Duke University Medical Center, Durham, NC 27701, USA. yousuf.zafar@duke.edu
Cancer Journal (Sudbury, Mass.)
|October 5, 2010
Summary
Available palliative care guidelines for cancer patients exist but have poor dissemination and limited evaluation. Implementing these standards could improve patient outcomes, yet their uptake in routine care remains a challenge.
Area of Science:
- Oncology
- Palliative Care
- Healthcare Standards
Background:
- Palliative and supportive care are crucial for cancer patients.
- Existing guidelines address symptom management and frameworks for care delivery.
Purpose of the Study:
- To review standards for palliative care delivery in cancer patients.
- To assess the evaluation and dissemination of these guidelines into standard care.
Main Methods:
- Conducted Ovid searches for guidelines, comparative studies, and implementation articles.
- Focused on symptom management, care frameworks, and guideline-based vs. usual care.
Main Results:
- Published guidelines exist for symptom management and care frameworks.
- Dissemination and evaluation of these guidelines into standard care are limited.
- Data suggest potential for improved patient outcomes with guideline implementation.
Conclusions:
- Despite available guidelines, their integration into routine cancer care is poor.
- Further research and conceptual frameworks are needed for better guideline implementation.
- Enhanced implementation may improve patient outcomes in palliative cancer care.
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