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Palliative care, Version 1.2014. Featured updates to the NCCN Guidelines.
Michael H Levy1, Thomas Smith1, Amy Alvarez-Perez1
1From Fox Chase Cancer Center; The Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins; Roswell Park Cancer Institute; Fred Hutchinson Cancer Research Center/Seattle Cancer Care Alliance; St. Jude Children's Research Hospital/The University of Tennessee Health Science Center; Dana-Farber/Brigham and Women's Cancer Center; Moffitt Cancer Center; The University of Texas MD Anderson Cancer Center; Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine; University of Colorado Cancer Center; University of Alabama at Birmingham Comprehensive Cancer Center; Vanderbilt-Ingram Cancer Center; UC San Diego Moores Cancer Center; Fred & Pamela Buffett Cancer Center at The Nebraska Medical Center; Stanford Cancer Institute; Duke Cancer Institute; The Ohio State University Comprehensive Cancer Center - James Cancer Hospital and Solove Research Institute; Massachusetts General Hospital Cancer Center; Memorial Sloan Kettering Cancer Center; University of Michigan Comprehensive Cancer Center; City of Hope Comprehensive Cancer Center; Huntsman Cancer Institute at the University of Utah; and National Comprehensive Cancer Network.
The National Comprehensive Cancer Network (NCCN) updated its palliative care guidelines for cancer patients. These updates emphasize earlier integration of palliative care and advance care planning for improved patient-centered outcomes.
Area of Science:
- Oncology
- Palliative Care Medicine
Background:
- The National Comprehensive Cancer Network (NCCN) offers guidelines for palliative care in cancer patients.
- Previous guidelines provided a framework for interdisciplinary palliative care recommendations.
Purpose of the Study:
- To summarize key updates and discussions from the NCCN panel regarding palliative care guidelines between 2013 and 2014.
- To highlight modifications in screening, assessment, therapy discussions, and advance care planning.
Main Methods:
- Review of NCCN panel discussions and guideline updates from 2013-2014.
- Analysis of modifications to palliative care screening, assessment, and advance care planning protocols.
Main Results:
- Incorporation of updated palliative care screening and assessment protocols.
- New considerations for discussing the benefits and risks of anticancer therapies.
- Enhanced approaches to advance care planning.
Conclusions:
- Recent NCCN guideline updates focus on patient-centered care.
- Promotes earlier integration of palliative care and advance care planning in oncology settings.
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