Skip to main content
Top
Published in: Supportive Care in Cancer 8/2017

01-08-2017 | Original Article

Early palliative care: current status of integration within German comprehensive cancer centers

Authors: Julia Berendt, Stephanie Stiel, Friedemann Nauck, Christoph Ostgathe

Published in: Supportive Care in Cancer | Issue 8/2017

Login to get access

Abstract

Purpose

The aim of this study is to describe how models of early integration (EI) of specialized palliative care (SPC) are applied to German comprehensive cancer center (CCCs).

Methods

Heads of SPC departments of the 15 German CCCs were asked by email to describe the situation of early SPC in their CCC. The responses were analyzed using MAXQDA.

Results

Thirteen answers were allowed to be analyzed. Most of the department heads report that EI models of SPC are partially applied in the CCC (responses with “yes” or “partly,” n = 10). Though they often describe that the models’ implementation needs optimization and depends on temporary and financial restrictions or it has a pilot character. Models compromise structures like SPC unit, inpatient/outpatient SPC consultation team, and participation of members of SPC team in tumor boards. Moreover, other EI models of SPC quoted by the participants were standard operating procedures (SOP), screening tools, and information material for physicians, patients, and their related persons.

Conclusions

Currently, German CCC models of EI of SPC are not applied in a standardized way. Approaches are still very diverse.
Literature
1.
go back to reference Berendt J, Oechsle K, Thomas M, van Oorschot B, Schmitz A, Radbruch L, Simon ST, Gartner J, Thuss-Patience P, Schuler US, Hense J, Gog C, Viehrig M, Mayer-Steinacker R, Stachura P, Stiel S, Ostgathe C (2016) State of integration of palliative care at comprehensive cancer centers funded by German Cancer Aid. Dtsch Med Wochenschr 141:e16–e23CrossRefPubMed Berendt J, Oechsle K, Thomas M, van Oorschot B, Schmitz A, Radbruch L, Simon ST, Gartner J, Thuss-Patience P, Schuler US, Hense J, Gog C, Viehrig M, Mayer-Steinacker R, Stachura P, Stiel S, Ostgathe C (2016) State of integration of palliative care at comprehensive cancer centers funded by German Cancer Aid. Dtsch Med Wochenschr 141:e16–e23CrossRefPubMed
2.
go back to reference Gaertner JWU, Alt-Epping B (2015) Early specialized palliative care. A challenging gold standard. Onkologe 21:1182–1188CrossRef Gaertner JWU, Alt-Epping B (2015) Early specialized palliative care. A challenging gold standard. Onkologe 21:1182–1188CrossRef
4.
go back to reference Greer JA, Jackson VA, Meier DE, Temel JS (2013) Early integration of palliative care services with standard oncology care for patients with advanced cancer. CA Cancer J Clin 63:349–363CrossRefPubMed Greer JA, Jackson VA, Meier DE, Temel JS (2013) Early integration of palliative care services with standard oncology care for patients with advanced cancer. CA Cancer J Clin 63:349–363CrossRefPubMed
5.
go back to reference Hamano J, Morita T, Inoue S, Ikenaga M, Matsumoto Y, Sekine R, Yamaguchi T, Hirohashi T, Tajima T, Tatara R, Watanabe H, Otani H, Takigawa C, Matsuda Y, Nagaoka H, Mori M, Yamamoto N, Shimizu M, Sasara T, Kinoshita H (2015) Surprise questions for survival prediction in patients with advanced cancer: a multicenter prospective cohort study. Oncologist 20:839–844CrossRefPubMedPubMedCentral Hamano J, Morita T, Inoue S, Ikenaga M, Matsumoto Y, Sekine R, Yamaguchi T, Hirohashi T, Tajima T, Tatara R, Watanabe H, Otani H, Takigawa C, Matsuda Y, Nagaoka H, Mori M, Yamamoto N, Shimizu M, Sasara T, Kinoshita H (2015) Surprise questions for survival prediction in patients with advanced cancer: a multicenter prospective cohort study. Oncologist 20:839–844CrossRefPubMedPubMedCentral
6.
go back to reference Hui D, Elsayem A, De la Cruz M, Berger A, Zhukovsky DS, Palla S, Evans A, Fadul N, Palmer JL, Bruera E (2010) Availability and integration of palliative care at US cancer centers. JAMA 303:1054–1061CrossRefPubMedPubMedCentral Hui D, Elsayem A, De la Cruz M, Berger A, Zhukovsky DS, Palla S, Evans A, Fadul N, Palmer JL, Bruera E (2010) Availability and integration of palliative care at US cancer centers. JAMA 303:1054–1061CrossRefPubMedPubMedCentral
7.
go back to reference Hui D, Kim YJ, Park JC, Zhang Y, Strasser F, Cherny N, Kaasa S, Davis MP, Bruera E (2015) Integration of oncology and palliative care: a systematic review. Oncologist 20:77–83CrossRefPubMed Hui D, Kim YJ, Park JC, Zhang Y, Strasser F, Cherny N, Kaasa S, Davis MP, Bruera E (2015) Integration of oncology and palliative care: a systematic review. Oncologist 20:77–83CrossRefPubMed
8.
go back to reference Moss AH, Lunney JR, Culp S, Auber M, Kurian S, Rogers J, Dower J, Abraham J (2010) Prognostic significance of the “surprise” question in cancer patients. J Palliat Med 13:837–840CrossRefPubMed Moss AH, Lunney JR, Culp S, Auber M, Kurian S, Rogers J, Dower J, Abraham J (2010) Prognostic significance of the “surprise” question in cancer patients. J Palliat Med 13:837–840CrossRefPubMed
9.
go back to reference Radbruch LPS (2009) White paper on standards and norms for hospice and palliative care in Europe: part 2. European J Palliat Care 17:22–33 Radbruch LPS (2009) White paper on standards and norms for hospice and palliative care in Europe: part 2. European J Palliat Care 17:22–33
10.
go back to reference Salins N, Patra L, Usha Rani MR, Lohitashva SO, Rao R, Ramanjulu R, Vallath N (2016a) Integration of early specialist palliative care in cancer care: survey of oncologists, oncology nurses, and patients. Indian J Palliat Care 22:258–265CrossRefPubMedPubMedCentral Salins N, Patra L, Usha Rani MR, Lohitashva SO, Rao R, Ramanjulu R, Vallath N (2016a) Integration of early specialist palliative care in cancer care: survey of oncologists, oncology nurses, and patients. Indian J Palliat Care 22:258–265CrossRefPubMedPubMedCentral
11.
go back to reference Salins N, Ramanjulu R, Patra L, Deodhar J, Muckaden MA (2016b) Integration of early specialist palliative care in cancer care and patient related outcomes: a critical review of evidence. Indian J Palliat Care 22:252–257CrossRefPubMedPubMedCentral Salins N, Ramanjulu R, Patra L, Deodhar J, Muckaden MA (2016b) Integration of early specialist palliative care in cancer care and patient related outcomes: a critical review of evidence. Indian J Palliat Care 22:252–257CrossRefPubMedPubMedCentral
12.
go back to reference Schildmann EK, Groeneveld EI, Denzel J, Brown A, Bernhardt F, Bailey K, Guo P, Ramsenthaler C, Lovell N, Higginson IJ, Bausewein C, Murtagh FE (2016) Discovering the hidden benefits of cognitive interviewing in two languages: the first phase of a validation study of the Integrated Palliative Care Outcome Scale. Palliat Med 30:599–610CrossRefPubMed Schildmann EK, Groeneveld EI, Denzel J, Brown A, Bernhardt F, Bailey K, Guo P, Ramsenthaler C, Lovell N, Higginson IJ, Bausewein C, Murtagh FE (2016) Discovering the hidden benefits of cognitive interviewing in two languages: the first phase of a validation study of the Integrated Palliative Care Outcome Scale. Palliat Med 30:599–610CrossRefPubMed
13.
go back to reference Smith TJ, Temin S, Alesi ER, Abernethy AP, Balboni TA, Basch EM, Ferrell BR, Loscalzo M, Meier DE, Paice JA, Peppercorn JM, Somerfield M, Stovall E, Von Roenn JH (2012) American Society of Clinical Oncology provisional clinical opinion: the integration of palliative care into standard oncology care. J Clin Oncol 30:880–887CrossRefPubMed Smith TJ, Temin S, Alesi ER, Abernethy AP, Balboni TA, Basch EM, Ferrell BR, Loscalzo M, Meier DE, Paice JA, Peppercorn JM, Somerfield M, Stovall E, Von Roenn JH (2012) American Society of Clinical Oncology provisional clinical opinion: the integration of palliative care into standard oncology care. J Clin Oncol 30:880–887CrossRefPubMed
Metadata
Title
Early palliative care: current status of integration within German comprehensive cancer centers
Authors
Julia Berendt
Stephanie Stiel
Friedemann Nauck
Christoph Ostgathe
Publication date
01-08-2017
Publisher
Springer Berlin Heidelberg
Published in
Supportive Care in Cancer / Issue 8/2017
Print ISSN: 0941-4355
Electronic ISSN: 1433-7339
DOI
https://doi.org/10.1007/s00520-017-3667-y

Other articles of this Issue 8/2017

Supportive Care in Cancer 8/2017 Go to the issue
Webinar | 19-02-2024 | 17:30 (CET)

Keynote webinar | Spotlight on antibody–drug conjugates in cancer

Antibody–drug conjugates (ADCs) are novel agents that have shown promise across multiple tumor types. Explore the current landscape of ADCs in breast and lung cancer with our experts, and gain insights into the mechanism of action, key clinical trials data, existing challenges, and future directions.

Dr. Véronique Diéras
Prof. Fabrice Barlesi
Developed by: Springer Medicine