Stepped Palliative Care for Patients With Advanced Lung Cancer: A Randomized Clinical Trial.

ABSTRACT:

Importance

Despite the evidence for early palliative care improving outcomes, it has not been widely implemented in part due to palliative care workforce limitations.

Objective

To evaluate a stepped-care model to deliver less resource-intensive and more patient-centered palliative care for patients with advanced cancer.

Design, setting, and participants

Randomized, nonblinded, noninferiority trial of stepped vs early palliative care conducted between February 12, 2018, and December 15, 2022, at 3 academic medical centers in Boston, Massachusetts, Philadelphia, Pennsylvania, and Durham, North Carolina, among 507 patients who had been diagnosed with advanced lung cancer within the past 12 weeks.

Intervention

Step 1 of the intervention was an initial palliative ca

SUBMITTER: Temel JS 

PROVIDER: S-EPMC11145511 | biostudies-literature | 2024 Aug

REPOSITORIES: biostudies-literature