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Palliative Care in Pediatric Oncology and Hematopoietic Stem Cell Transplantation

  • Pediatric Oncology (KL Davis, Section Editor)
  • Published:
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Abstract

Purpose of Review

To summarize pediatric palliative care (PPC) research from 2016 to 2021 as it intersects with pediatric oncology and hematopoietic stem cell transplantation (HSCT).

Recent Findings

Children and adolescents with cancer who receive PPC have improved quality of life (QOL), symptom burden, advance care planning discussions, rates of hospice enrollment, home deaths, and receive less intensive therapy at the end-of-life (EOL). Parents report improved QOL and preparation for EOL. Though barriers to PPC utilization exist, new clinical models, oncology team education, and growing family awareness are leading to culture change.

Summary

PPC within pediatric oncology is considered a standard of care. Families are accepting of PPC, as most wish for their children to live as well as possible for as long as possible. Although PPC remains underutilized, PPC should work collaboratively with pediatric oncology and HSCT teams to improve QOL and EOL outcomes of patients with cancer and their families.

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References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Authors and Affiliations

  1. Section of Palliative Medicine, Phoenix Children’s Hospital, 1919 E Thomas Rd, Phoenix, AZ, 85016, USA

    Allison Uber

  2. Aflac Cancer and Blood Disorders Center, Children’s Healthcare of Atlanta, Atlanta, GA, USA

    Jonathan S. Ebelhar, Anna Roche & Katharine E. Brock

  3. Divisions of Pediatric Hematology/Oncology and Palliative Care, Emory University, Atlanta, GA, 30322, USA

    Jonathan S. Ebelhar & Katharine E. Brock

  4. Children’s National Hospital, Washington, D.C, USA

    Ashley Foster Lanzel

  5. Division of Pediatrics, Hospitalist Medicine, Palliative Care, The George Washington School of Medicine and Health Sciences, Washington, D.C, USA

    Ashley Foster Lanzel

  6. Division of Pediatric Hematology, Oncology and Stem Cell Transplant, Cohen Children’s Medical Center, New Hyde Park, NY, USA

    Viviana Vidal-Anaya

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  1. Allison Uber
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Uber, A., Ebelhar, J.S., Lanzel, A.F. et al. Palliative Care in Pediatric Oncology and Hematopoietic Stem Cell Transplantation. Curr Oncol Rep 24, 161–174 (2022). https://doi.org/10.1007/s11912-021-01174-z

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