Advertisement

Palliative Care Needs in Oncology, Cardiology, and Neurology Clinic Patients in the USA

  • Nancy DudleyEmail author
  • Christine S. Ritchie
  • Irena Stijacic-Cenzer
  • Sei J. Lee
Concise Research Reports

INTRODUCTION

The Institute of Medicine’s 2014 report Dying in America calls for all clinicians to provide symptom-oriented palliative care to patients, especially for the growing population of older adults with advanced illness.1 Oncology, cardiology, and neurology professional societies all recommend their members complement usual disease-oriented care with symptom-oriented palliative care services for patients with advanced illness.2, 3, 4 However, the proportion of oncology, cardiology, and neurology patients who have advanced illness and are most likely to benefit from symptom-oriented palliative care is unclear.

METHODS

We conducted a cross-sectional analysis of the National Ambulatory Medical Care Surveys (NAMCS) (2009–2011), a nationally representative survey of ambulatory care patient visits to non-federal office-based physicians. We used chi-square tests to compare differences across US oncology, neurology, and cardiology clinics among adults 65 years and older with advanced...

Notes

Compliance with Ethical Standards

This study was exempted from review by the IRB of the University of California, San Francisco.

Conflict of Interest

The authors declare that they do not have a conflict of interest.

References

  1. 1.
    National Academy of Medicine. Dying in America: Improving Quality and Honoring Individual Preferences Near the End of Life. Washington, D.C.: The National Academies Press; 2014.Google Scholar
  2. 2.
    Ferrell BR, Temel JS, Temin S, et al. Integration of Palliative Care Into Standard Oncology Care: American Society of Clinical Oncology Clinical Practice Guideline Update. Journal of clinical oncology: official journal of the American Society of Clinical Oncology. 2017; 35(1): 96–112CrossRefGoogle Scholar
  3. 3.
    Braun LT, Grady KL, Kutner JS, et al. American Heart Association Advocacy Coordinating Committee. Palliative care and cardiovascular disease and stroke: a policy statement from the American Heart Association/American Stroke Association. Circulation. 2016;134: e198–e225CrossRefGoogle Scholar
  4. 4.
    Oliver DJ, Borasio G, Caraceni A, et al. A consensus review on the development of palliative care for patients with chronic and progressive neurological disease. Eur J Neurol. 2016; 23(1):30–38CrossRefGoogle Scholar
  5. 5.
    National Committee for Quality Assurance (NCQA). Palliative and End of Life Care: Physician Performance Measurement Set. American Medical Association and National Committee for Quality Assurance; 2008.Google Scholar
  6. 6.
    Kelley AS, Morrison RS. Palliative Care for the Seriously Ill. The New England Journal of Medicine. 2015; 373(8):747–755.CrossRefGoogle Scholar

Copyright information

© Society of General Internal Medicine 2019

Authors and Affiliations

  • Nancy Dudley
    • 1
    • 2
    Email author
  • Christine S. Ritchie
    • 1
  • Irena Stijacic-Cenzer
    • 1
  • Sei J. Lee
    • 1
    • 2
  1. 1.Division of Geriatrics, Department of MedicineUniversity of CaliforniaSan FranciscoUSA
  2. 2.Geriatrics, Palliative & Extended CareSan Francisco Veterans’ Affair Medical CenterSan FranciscoUSA

Personalised recommendations