Developing a model for embedded palliative care in a cancer clinic

Area of Science:

• Oncology
• Palliative Care
• Cancer Treatment

Background:

• Palliative care (PC) integration is crucial for patients with advanced cancers.
• Models for embedded PC in oncology clinics require development and evaluation.

Purpose of the Study:

• To describe the development and features of an embedded PC model for advanced kidney cancer and melanoma patients.
• To assess the feasibility and acceptability of this embedded PC model.

Main Methods:

• Retrospective chart review of patients during an initial phase.
• Prospective review of patients after implementing the embedded PC model.
• Analysis of visit content, including symptom management, psychosocial support, and advance care planning.

Main Results:

• The model phase saw increased patient encounters (163 visits across 46 patients) compared to the initial phase (53 visits across 18 patients).
• High rates of repeat visits were observed in both phases (78% and 74%).
• Symptom management was the primary focus in initial PC visits (61% and 57%), followed by psychosocial support and advance care planning.

Conclusions:

• The embedded PC model proved acceptable and feasible for patients and the oncology team.
• Implementing eligibility criteria and screening enhanced PC uptake for advanced kidney cancer and melanoma patients.
• This model facilitates comprehensive care within a cancer clinic setting.