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Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
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Palliative Care for Patients With Cancer: ASCO Guideline Update.

Justin J Sanders1, Sarah Temin2, Arun Ghoshal3

  • 1McGill University, Montreal, Canada.

Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology
|May 15, 2024
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Summary
This summary is machine-generated.

This updated guideline emphasizes early integration of palliative care for all cancer patients. It recommends specialized palliative care teams for those with advanced cancers and distress, improving quality of life.

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Area of Science:

  • Oncology
  • Palliative Care
  • Evidence-Based Medicine

Background:

  • The 2016 ASCO guideline on palliative care integration in oncology requires updating.
  • Palliative care aims to improve quality of life for patients with cancer and their families.

Purpose of the Study:

  • To provide updated, evidence-based guidance on integrating palliative care into standard oncology care.
  • To inform oncology clinicians, patients, caregivers, and palliative care specialists.

Main Methods:

  • An Expert Panel reviewed literature from 2015-2023, including systematic reviews, meta-analyses, and RCTs.
  • Outcomes assessed included quality of life, symptom burden, and caregiver well-being.
  • Recommendations were developed using available evidence and expert consensus.

Main Results:

  • 52 relevant studies were identified to form the evidence base for the updated guideline.
  • The guideline provides recommendations for integrating palliative care across various cancer types and care settings.

Conclusions:

  • Oncology clinicians should refer patients with advanced cancers to specialized palliative care teams early in treatment.
  • Cancer programs should offer dedicated palliative care services for patients with physical, psychosocial, or spiritual distress.
  • Caregivers of patients with cancer can also benefit from palliative care support.