Early Palliative Care for Patients with Hematologic Malignancies: Is It Really so Difficult to Achieve?
- 21 June 2017
- journal article
- review article
- Published by Springer Science and Business Media LLC in Current Hematologic Malignancy Reports
- Vol. 12 (4), 300-308
- https://doi.org/10.1007/s11899-017-0392-z
Abstract
Evidence points to many benefits of “early palliative care,” the provision of specialist palliative care services upstream from the end of life, to improve patients’ quality of life while living with a serious illness. Yet most trials of early palliative care have not included patients with hematologic malignancies. Unfortunately, patients with hematologic malignancies are also known to have substantial illness burden, poor quality of life, and aggressive care at the end of life, including a greater likelihood of dying in the hospital, receiving chemotherapy at the end of life, and low hospice utilization, compared to patients with solid tumors. Given these unmet needs, one must wonder, why is palliative care so underutilized in this population? In this article, we discuss barriers to palliative care integration in hematology, highlight several reports of successful integration, and suggest specific indications for involving palliative care in the management of hematologic malignancy patients.Keywords
This publication has 50 references indexed in Scilit:
- Abducted by the illness: A qualitative study of traumatic stress in individuals with acute leukemiaLeukemia Research, 2013
- Estimate of Current Hospice and Palliative Medicine Physician Workforce ShortageJournal of Pain and Symptom Management, 2010
- Destined to die in hospital? Systematic review and meta-analysis of place of death in haematological malignancyBMC Palliative Care, 2010
- Effects of a Palliative Care Intervention on Clinical Outcomes in Patients With Advanced CancerJama-Journal Of The American Medical Association, 2009
- Supportive versus palliative care: What's in a name?Cancer, 2009
- Effects of Red Blood Cell Transfusion on Anemia-Related Symptoms in Patients with CancerJournal of Palliative Medicine, 2009
- Comparison of Symptom Burden among Patients Referred to Palliative Care with Hematologic Malignancies versus those with Solid TumorsJournal of Palliative Medicine, 2008
- Predictors of Access to Palliative Care Services among Patients Who Died at a Comprehensive Cancer CenterJournal of Palliative Medicine, 2007
- Nurse practitioner support for transfusion in patients with haematological disorders in hospital and at homeTransfusion Medicine, 1999
- Blood transfusion and its benefits in palliative carePalliative Medicine, 1995