Defining the Elements of Early Palliative Care That Are Associated With Patient-Reported Outcomes and the Delivery of End-of-Life Care

Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology
Michael HoergerJennifer S Temel

Abstract

Purpose We describe the key elements of early palliative care (PC) across the illness trajectory and examine whether visit content was associated with patient-reported outcomes and end-of-life care. Methods We performed a secondary analysis of patients with newly diagnosed advanced lung or noncolorectal GI cancer (N = 171) who were randomly assigned to receive early PC. Participants attended at least monthly visits with board-certified PC physicians and advanced practice nurses at Massachusetts General Hospital. PC clinicians completed surveys documenting visit content after each encounter. Patients reported quality of life (Functional Assessment of Cancer Therapy-General) and mood (Hospital Anxiety and Depression Scale and Patient Health Questionnaire-9) at baseline and 24 weeks. End-of-life care data were abstracted from the electronic health record. We summarized visit content over time and used linear and logistic regression to identify whether the proportion of visits addressing a content area was associated with patient-reported outcomes and end-of-life care. Results We analyzed data from 2,921 PC visits, most of which addressed coping (64.2%) and symptom management (74.5%). By 24 weeks, patients who had a higher proporti...Continue Reading

Associated Clinical Trials

Jul 25, 2011·Jennifer Temel, MD, Jennifer Temel, MD

References

Jun 1, 1983·Acta Psychiatrica Scandinavica·A S Zigmond, R P Snaith
Sep 15, 2001·Journal of General Internal Medicine·K KroenkeJ B Williams
Jun 21, 2002·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·David CellaKelly Dineen
Sep 24, 2004·Psycho-oncology·E VoogtP J van der Maas
Feb 3, 2005·Journal of Palliative Medicine·Kenneth ChongJoan D Penrod
Mar 13, 2008·Journal of Palliative Medicine·Glenn GadeRichard Della Penna
Apr 10, 2008·JAMA : the Journal of the American Medical Association·Camilla ZimmermannIan Tannock
Aug 9, 2008·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Kristen K McNiffJoseph V Simone
Aug 22, 2008·Journal of Palliative Medicine·Diane E Meier, Larry Beresford
Jan 13, 2010·Psychological Review·Jutta HeckhausenRichard Schulz
Mar 18, 2010·JAMA : the Journal of the American Medical Association·David HuiEduardo Bruera
Sep 8, 2010·The New England Journal of Medicine·Jennifer S TemelThomas J Lynch
May 11, 2011·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Jennifer S TemelWilliam F Pirl
Jun 28, 2011·The Journal of Supportive Oncology·Areej El-JawahriJennifer S Temel
Dec 29, 2011·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Joseph A GreerJennifer S Temel
Jan 16, 2013·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Hermann FallerRoland Küffner
Jan 24, 2013·JAMA : the Journal of the American Medical Association·Jane BrockUNKNOWN Care Transitions Project Team
Jan 30, 2013·JAMA Internal Medicine·Jaclyn YoongJennifer S Temel
Jul 17, 2013·CA: a Cancer Journal for Clinicians·Joseph A GreerJennifer S Temel
Mar 20, 2014·Annual Review of Public Health·Mark T Hughes, Thomas J Smith
Nov 14, 2014·Journal of Oncology Practice·Paul A Glare, Kimberly Chow
Mar 25, 2015·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Marie A BakitasTim A Ahles
Sep 30, 2015·Journal of Palliative Medicine·Tamara DumanovskyR Sean Morrison
Jan 20, 2016·JAMA : the Journal of the American Medical Association·Alexi A WrightMary B Landrum
Nov 29, 2016·JAMA : the Journal of the American Medical Association·Dio KavalieratosYael Schenker
Dec 29, 2016·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Jennifer S TemelDavid P Ryan
Dec 31, 2016·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Betty R FerrellThomas J Smith
Nov 16, 2017·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Joseph A GreerJennifer S Temel

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Citations

Sep 28, 2018·CNS Drugs·Ferdinando GarettoMarco Maltoni
Sep 29, 2018·Annals of Behavioral Medicine : a Publication of the Society of Behavioral Medicine·Michael HoergerLaura M Perry
Jan 25, 2019·Oncology Research and Treatment·Matthias VillalobosMichael Thomas
Aug 2, 2018·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Kirsten J DugganShalini K Vinod
Nov 21, 2018·CA: a Cancer Journal for Clinicians·Kathleen D LyonsCatherine M Alfano
May 12, 2018·Annals of Surgical Oncology·Brian Badgwell
Oct 24, 2019·Journal of Palliative Medicine·Natalie C ErnecoffDio Kavalieratos
Feb 6, 2020·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Anthony L Back
Feb 6, 2020·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·David Hui, Eduardo Bruera
Feb 6, 2020·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Joseph A GreerVicki A Jackson
Jul 8, 2020·The American Journal of Hospice & Palliative Care·Anthony MilkiJohn K Chan
Aug 20, 2020·The Oncologist·Ramy SedhomThomas J Smith
May 11, 2019·The American Journal of Hospice & Palliative Care·Lauren T StarrSalimah H Meghani
Feb 19, 2020·Expert Review of Hematology·Brittany Gatta, Thomas W LeBlanc
Mar 21, 2019·Journal of Surgical Oncology·Marisa R Moroney, Carolyn Lefkowits
Oct 16, 2019·Pediatric Blood & Cancer·Brian T Cheng, Tenzin Wangmo
Apr 15, 2020·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Kara E BischoffChloe E Atreya
Apr 29, 2020·Clinical Medicine Insights. Oncology·James L RogersMichael Hoerger
Jan 7, 2019·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Lise NottelmannMogens Groenvold
Oct 3, 2018·CA: a Cancer Journal for Clinicians·David HuiEduardo Bruera
Jun 15, 2019·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Mary-Joanne VerhoefYvette van der Linden
Jun 7, 2019·Western Journal of Nursing Research·Amy M BeasleyMaria R Shirey
Nov 10, 2020·The American Journal of Hospice & Palliative Care·Alexandra Cooper, Joyce E Dains
Dec 15, 2020·Journal of the American Medical Informatics Association : JAMIA·Michael F GensheimerDaniel T Chang
Jan 10, 2021·BMJ Supportive & Palliative Care·Nadine KleinerSusanne Zwahlen
Sep 19, 2020·Journal of Pain and Symptom Management·Laura M PerryMichael Hoerger
Feb 11, 2021·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Sarah AlonziOliver Sartor
Aug 22, 2020·Journal of Pain and Symptom Management·Robert GramlingStewart C Alexander
Dec 16, 2020·Lung Cancer Management·Irena Tan, Kavitha Ramchandran
Oct 20, 2018·Journal of Thoracic Oncology : Official Publication of the International Association for the Study of Lung Cancer·Austin LammersDonald R Sullivan

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