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