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Integration of Pediatric Palliative Care in Oncology: A Scoping Review

Stefanie Stober1, Sebastian Hoffmann2, Sabine Metzing1

  • 1Department of Nursing Science, Faculty of Health, Witten/Herdecke University, Witten, Germany.

Journal of Pediatrics. Clinical Practice
|April 24, 2026
PubMed

Insights

Integrating pediatric palliative care (PPC) into inpatient pediatric oncology settings is crucial but faces barriers. Early, family-centered PPC models and improved staff training are needed for better quality of life.

Area of Science:

  • Oncology
  • Palliative Care
  • Health Services Research

Background:

  • Pediatric palliative care (PPC) improves quality of life for children with cancer and their families.
  • Systematic integration of PPC into pediatric oncology, especially inpatient settings, is limited.
  • Evidence on PPC design, implementation, and evaluation in pediatric oncology inpatient settings is needed.

Purpose of the Study:

  • To map and synthesize international evidence on PPC in pediatric oncology inpatient settings.
  • To identify how PPC is designed, implemented, and evaluated.
  • To determine barriers and facilitators to PPC clinical integration.

Main Methods:

  • Comprehensive literature search of MEDLINE, CINAHL, PsycINFO, and Web of Science (2014-2025).
  • Followed PRISMA-ScR reporting standards.
  • Data were charted and narratively synthesized from 34 studies across 18 countries.

Main Results:

  • Evidence showed delayed PPC initiation, varied service models, and limited outcome evaluation.
  • Common barriers included lack of standardized models, structural constraints, inadequate training, and communication issues.
  • Qualitative methods were most common (n=12), followed by chart reviews (n=7) and surveys (n=4).

Conclusions:

  • A global need exists to integrate early, family-centered PPC into pediatric oncology inpatient care.
  • Health systems must prioritize staff training and adaptable interdisciplinary models.
  • Structured evaluation strategies are essential to enhance PPC quality and consistency.
Abstract

Keywords:
evaluationimplementationpalliative carepediatric nursingpediatric oncologyscoping review

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