Implementation of NCCN Palliative Care Guidelines by member institutions

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• 作者：Alexandra Albizu-Rivera ; Diane G. Portman ; Sarah Thirlwell…
• 关键词：Palliative care ; Clinical practice guidelines ; Integration of palliative care
• 刊名：Supportive Care in Cancer
• 出版年：2016
• 出版时间：February 2016
• 年：2016
• 卷：24
• 期：2
• 页码：929-932
• 全文大小：212 KB
• 参考文献：1.Smith TJ et al (2012) American Society of Clinical Oncology provisional clinical opinion: the integration of palliative care into standard oncology care. J Clin Oncol 30:880–887PubMed CrossRef
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  7.Glare PA et al (2011) Palliative care in the outpatient oncology setting: evaluation of a practical set of referral criteria. J Oncol Pract 7:366–70PubMed PubMedCentral CrossRef
  8.Glare P et al (2013) Study using the NCCN guidelines for palliative care to screen patients for palliative care needs and referral to palliative care specialists. J Natl Compr Cancer Netw 11:1087–96
  
• 作者单位：Alexandra Albizu-Rivera (1)
  Diane G. Portman (1)
  Sarah Thirlwell (1)
  Shirley N. Codada (2)
  Kristine A. Donovan (1)
  
  1. H. Lee Moffitt Cancer Center and Research Institute, MRC-SCM, 12902 Magnolia Drive, Tampa, FL, 33612, USA
  2. Emory University Hospital, Atlanta, GA, USA
  
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Oncology
  Nursing
  Nursing Management and Research
  Pain Medicine
  Rehabilitation Medicine
  
• 出版者：Springer Berlin / Heidelberg
• ISSN：1433-7339

文摘

Increasingly, evidence suggests the integration of palliative care (PC) with standard oncologic care can yield substantial benefits. As part of an effort to improve the PC of cancer patients, the National Comprehensive Cancer Network (NCCN) has developed clinical practice guidelines for PC that promote access to quality, evidence-based PC. This study sought to characterize current implementation of the guidelines by NCCN member institutions. Institutional representatives appointed to the NCCN Palliative Care Guidelines Panel were asked to complete an online survey in the spring of 2014. The survey focused on availability of PC services, screening and referral practices for PC, PC education, and quality improvement programs. The survey was completed by representatives from 21 of 25 NCCN member institutions (84 %). A majority routinely provides PC services via interdisciplinary teams; 52 % routinely inform patients of the availability, elements, and benefits of PC. The guidelines are most often used to guide clinical practice; only 10 % reported using the guidelines to formally screen for PC needs and/or make referrals to PC specialists. Among the 62 % of institutions that screen any patients using any available criteria, when a patient screens positive for PC needs, a referral to a PC specialist is made less than half the time. Implementation of PC Guidelines is incomplete and various aspects of the guidelines, such as the recommendation to screen all patients for PC needs, are applied inconsistently. Despite this, most institutions provide PC services in a manner consistent with the guidelines. Greater implementation of the guidelines’ recommendations is needed.