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NCCN Guidelines® Insights: Palliative Care, Version 2.2021.

ABSTRACT: Palliative care has evolved to be an integral part of comprehensive cancer care with the goal of early intervention to improve quality of life and patient outcomes. The NCCN Guidelines for Palliative Care provide recommendations to help the primary oncology team promote the best quality of life possible throughout the illness trajectory for each patient with cancer. The NCCN Palliative Care Panel meets annually to evaluate and update recommendations based on panel members' clinical expertise and emerging scientific data. These NCCN Guidelines Insights summarize the panel's recent discussions and highlights updates on the importance of fostering adaptive coping strategies for patients and families, and on the role of pharmacologic and nonpharmacologic interventions to optimize symptom management.

SUBMITTER: Dans M

PROVIDER: S-EPMC10196810 | biostudies-literature | 2021 Jul

REPOSITORIES: biostudies-literature

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NCCN Guidelines® Insights: Palliative Care, Version 2.2021.

Dans Maria M Kutner Jean S JS Agarwal Rajiv R Baker Justin N JN Bauman Jessica R JR Beck Anna C AC Campbell Toby C TC Carey Elise C EC Case Amy A AA Dalal Shalini S Doberman Danielle J DJ Epstein Andrew S AS Fecher Leslie L Jones Joshua J Kapo Jennifer J Lee Richard T RT Loggers Elizabeth T ET McCammon Susan S Mitchell William W Ogunseitan Adeboye B AB Portman Diane G DG Ramchandran Kavitha K Sutton Linda L Temel Jennifer J Teply Melissa L ML Terauchi Stephanie Y SY Thomas Jane J Walling Anne M AM Zachariah Finly F Bergman Mary Anne MA Ogba Ndiya N Campbell Mallory M

Journal of the National Comprehensive Cancer Network : JNCCN 20210728 7

Palliative care has evolved to be an integral part of comprehensive cancer care with the goal of early intervention to improve quality of life and patient outcomes. The NCCN Guidelines for Palliative Care provide recommendations to help the primary oncology team promote the best quality of life possible throughout the illness trajectory for each patient with cancer. The NCCN Palliative Care Panel meets annually to evaluate and update recommendations based on panel members' clinical expertise and ...[more]

PMID: 34340208

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Project description:BackgroundIntegration of specialist palliative care into routine oncologic care improves patients' quality of life and survival. National Comprehensive Cancer Network (NCCN) cancer treatment guidelines are instrumental in standardizing cancer care, yet it is unclear how palliative and hospice care are integrated in these guidelines. In this study, we examined the frequency of occurrence of "palliative care" and "hospice care" in NCCN guidelines and compared between solid tumor and hematologic malignancy guidelines.Materials and methodsWe reviewed all 53 updated NCCN Guidelines for Treatment of Cancer. We documented the frequency of occurrence of "palliative care" and "hospice care," the definitions for these terms if available, and the recommended timing for these services.ResultsWe identified a total of 37 solid tumor and 16 hematologic malignancy guidelines. Palliative care was mentioned in 30 (57%) guidelines (24 solid tumor, 6 hematologic). Palliative care was mentioned more frequently in solid tumor than hematologic guidelines (median, 2 vs. 0; p = .04). Among the guidelines that included palliative care in the treatment recommendation, 25 (83%) only referred to NCCN palliative care guideline. Specialist palliative care referral was specifically mentioned in 5 of 30 (17%) guidelines. Only 14 of 24 (58%) solid tumor guidelines and 2 of 6 (33%) hematologic guidelines recommended palliative care in the front line setting for advanced malignancy. Few guidelines (n = 3/53, 6%) mentioned hospice care.Conclusion"Palliative care" was absent in almost half of NCCN cancer treatment guidelines and was rarely discussed in guidelines for hematologic malignancies. Our findings underscored opportunities to standardize timely palliative care access across NCCN guidelines.Implications for practiceIntegration of specialist palliative care into routine oncologic care is associated with improved patient outcomes. National Comprehensive Cancer Network (NCCN) Clinical Practice Guidelines in Oncology have an important role to standardize palliative care involvement for cancer patients. It is unclear how often palliative care referral is recommended in these guidelines. In this study involving 53 NCCN Guidelines for Treatment of Cancer, the researchers found that palliative care was not mentioned in over 40% of NCCN guidelines and was rarely discussed in guidelines for hematologic malignancies. These findings underscored opportunities to standardize timely palliative care access across NCCN guidelines.

Dataset Information

NCCN Guidelines® Insights: Palliative Care, Version 2.2021.

Publications

NCCN Guidelines® Insights: Palliative Care, Version 2.2021.

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