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


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.


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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

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