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Related Experiment Video

Updated: Jan 16, 2026

Minimally Invasive Isolated Limb Perfusion (MI-ILP) for Locally Advanced Melanomas and Sarcomas of the Extremity
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Navigating the Border - How Swedish Physicians Approach Palliative Care Referrals in Oncology.

Karin Adolfsson1,2, Ulrika Kreicbergs3, Jan Mårtensson4

  • 1Department of Oncology, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.

Cancer Control : Journal of the Moffitt Cancer Center
|October 3, 2025
PubMed
Summary

Swedish physicians find early palliative care (PC) integration beneficial, experiencing relief and confidence. However, organizational barriers hinder equal patient access to PC services, requiring improved communication and reduced geographical restrictions.

Keywords:
canceroncologyorganisationspalliative carepatientsphysiciansreferral and consultation

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Area of Science:

  • Oncology
  • Palliative Care
  • Healthcare Management

Background:

  • Early integration of palliative care (PC) with oncology improves patient and family outcomes.
  • Physician attitudes towards early PC integration are positive, but implementation rates remain low.
  • Understanding physician experiences is crucial for facilitating PC referral.

Purpose of the Study:

  • To explore Swedish physicians' personal experiences with referring cancer patients to PC.
  • To investigate physicians' views on the organizational role in PC referral.
  • To identify barriers and facilitators in the PC referral process.

Main Methods:

  • Cross-sectional online survey using a study-specific questionnaire.
  • Inclusion of physicians from various specialties treating cancer patients.
  • Quantitative analysis via descriptive statistics and qualitative thematic analysis of open-ended responses.

Main Results:

  • 130 physicians participated; 97.6% felt confident introducing PC to patients.
  • Physicians reported significant medical and emotional relief when patients received PC.
  • Organizational challenges included PC provider acceptance (50.9%) and equitable access (54.5%).

Conclusions:

  • Physicians are confident discussing PC and recognize its benefits.
  • Organizational factors, such as communication and geographical limitations, impede equal access to PC.
  • Addressing these organizational aspects is essential for successful early PC integration.