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Semin intervent Radiol 2017; 34(02): 140-144
DOI: 10.1055/s-0037-1602756
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

The Intersection of Palliative Care and Interventional Radiology: Enhancing Understanding and Collaboration

Mary K. Buss
1   Section of Palliative Care, Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, Boston, Massachusetts
2   Division of Hematology-Oncology, Beth Israel Deaconess Medical Center, Boston, Massachusetts
3   Harvard Medical School, Boston, Massachusetts
› Author Affiliations
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Publication History

Publication Date:
01 June 2017 (online)

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Abstract

In the treatment of cancer patients, many interventional radiologic procedures are palliative in nature. The goal for these therapies is often something other than cure, such as prolonged survival or improved quality of life. The goals of therapy should be matched with the patient's wishes, and must include open communication between the health care provider and the patient. Hospice and palliative medicine is its own specialty, and a multidisciplinary approach to the care of cancer patients should include discussions with these health care specialists. This article will briefly define palliative care in general, describe the specialty of hospice and palliative medicine, and discuss how hospice differs from palliative care. Finally, it will highlight opportunities for interventional radiology specialists to incorporate more deliberately palliative care skills and competencies into their own practice and to collaborate with palliative care specialists.

Keywords

palliative care - quality of life - interventional radiology - cancer
 

  • References

  • 1 ABMS Subspecialty Certification Hospice and Palliative Medicine. Available at: http://aahpm.org/certification/subspecialty-certification . Accessed April 26, 2017
    PubMedGoogle Scholar
  • 2 Center for Advancement of Palliative Care, 2011. Available at: www.capc.org/about/palliative-care/ . Accessed February 10, 2017. Center for Advancement of Palliative Care 2011
    PubMed
  • 3 Pirl WF, Greer JA, Traeger L. , et al. Depression and survival in metastatic non-small-cell lung cancer: effects of early palliative care. J Clin Oncol 2012; 30 (12) 1310-1315
    CrossrefPubMedGoogle Scholar
  • 4 Temel JS, Greer JA, Admane S. , et al. Longitudinal perceptions of prognosis and goals of therapy in patients with metastatic non-small-cell lung cancer: results of a randomized study of early palliative care. J Clin Oncol 2011; 29 (17) 2319-2326
    CrossrefPubMedGoogle Scholar
  • 5 Mack JW, Smith TJ. Reasons why physicians do not have discussions about poor prognosis, why it matters, and what can be improved. J Clin Oncol 2012; 30 (22) 2715-2717
    CrossrefPubMedGoogle Scholar
  • 6 Alici-Evcimen Y, Breitbart WS. Ifosfamide neuropsychiatric toxicity in patients with cancer. Psychooncology 2007; 16 (10) 956-960
    CrossrefPubMedGoogle Scholar
  • 7 Hagerty RG, Butow PN, Ellis PM, Dimitry S, Tattersall MH. Communicating prognosis in cancer care: a systematic review of the literature. Ann Oncol 2005; 16 (07) 1005-1053
    CrossrefPubMedGoogle Scholar
  • 8 Mack JW, Wolfe J, Cook EF, Grier HE, Cleary PD, Weeks JC. Hope and prognostic disclosure. J Clin Oncol 2007; 25 (35) 5636-5642
    CrossrefPubMedGoogle Scholar
  • 9 Mack JW, Wolfe J, Grier HE, Cleary PD, Weeks JC. Communication about prognosis between parents and physicians of children with cancer: parent preferences and the impact of prognostic information. J Clin Oncol 2006; 24 (33) 5265-5270
    CrossrefPubMedGoogle Scholar
  • 10 Weeks JC, Cook EF, O'Day SJ. , et al. Relationship between cancer patients' predictions of prognosis and their treatment preferences. JAMA 1998; 279 (21) 1709-1714
    CrossrefPubMedGoogle Scholar
  • 11 (CAPC) CtAPC. Public Opinion Research on Palliative Care: A Report Based on Research by Public Opinion Strategies. New York: Center to Advance Palliative Care; 2011
    Google Scholar
  • 12 Zimmermann C, Swami N, Krzyzanowska M. , et al. Early palliative care for patients with advanced cancer: a cluster-randomised controlled trial. Lancet 2014; 383 (9930): 1721-1730
    CrossrefPubMedGoogle Scholar
  • 13 Brumley R, Enguidanos S, Jamison P. , et al. Increased satisfaction with care and lower costs: results of a randomized trial of in-home palliative care. J Am Geriatr Soc 2007; 55 (07) 993-1000
    CrossrefPubMedGoogle Scholar
  • 14 Gade G, Venohr I, Conner D. , et al. Impact of an inpatient palliative care team: a randomized control trial. J Palliat Med 2008; 11 (02) 180-190
    CrossrefPubMedGoogle Scholar
  • 15 Bakitas M, Lyons KD, Hegel MT. , et al. Effects of a palliative care intervention on clinical outcomes in patients with advanced cancer: the Project ENABLE II randomized controlled trial. JAMA 2009; 302 (07) 741-749
    CrossrefPubMedGoogle Scholar
  • 16 Dionne-Odom JN, Azuero A, Lyons KD. , et al. Benefits of early versus delayed palliative care to informal family caregivers of patients with advanced cancer: outcomes from the ENABLE III Randomized Controlled Trial. J Clin Oncol 2015; 33 (13) 1446-1452
    CrossrefPubMedGoogle Scholar
  • 17 Bakitas MA, Tosteson TD, Li Z. , et al. Early versus delayed initiation of concurrent palliative oncology care: patient outcomes in the ENABLE III Randomized Controlled Trial. J Clin Oncol 2015; 33 (13) 1438-1445
    CrossrefPubMedGoogle Scholar
  • 18 Temel JS, Greer JA, Muzikansky A. , et al. Early palliative care for patients with metastatic non-small-cell lung cancer. N Engl J Med 2010; 363 (08) 733-742
    CrossrefPubMedGoogle Scholar
  • 19 Parikh RB, Kirch RA, Smith TJ, Temel JS. Early specialty palliative care--translating data in oncology into practice. N Engl J Med 2013; 369 (24) 2347-2351
    CrossrefPubMedGoogle Scholar
  • 20 Lupu D. ; American Academy of Hospice and Palliative Medicine Workforce Task Force. Estimate of current hospice and palliative medicine physician workforce shortage. J Pain Symptom Manage 2010; 40 (06) 899-911
    CrossrefPubMedGoogle Scholar
  • 21 Centers for Medicare and Medicaid. U.S. Department of Health and Human Services; 2015:6. Available at: https://www.medicare.gov/Pubs/pdf/02154.pdf . February 10, 2017
    PubMed
  • 22 National Hospice Palliative Care Organization. Hospice Levels of Care. Available at: http://www.nhpco.org/sites/default/files/public/Statistics_Research/Hospice_Levels_of_Care.pdf . Accessed April 26, 2017
    PubMedGoogle Scholar
  • 23 Connor SR, Pyenson B, Fitch K, Spence C, Iwasaki K. Comparing hospice and nonhospice patient survival among patients who die within a three-year window. J Pain Symptom Manage 2007; 33 (03) 238-246
    CrossrefPubMedGoogle Scholar
  • 24 McCullough HK, Bain RM, Clark HP, Requarth JA. The radiologist as a palliative care subspecialist: providing symptom relief when cure is not possible. AJR Am J Roentgenol 2011; 196 (02) 462-467
    CrossrefPubMedGoogle Scholar
  • 25 Desai KR, Chen RI. Endovascular therapy for palliative care of cancer patients. Semin Intervent Radiol 2007; 24 (04) 382-390
    Article in Thieme ConnectPubMedGoogle Scholar
  • 26 Baerlocher MO, Asch MR, Vellahottam A, Puri G, Andrews K, Myers A. Safety and efficacy of gastrointestinal stents in cancer patients at a community hospital. Can J Surg 2008; 51 (02) 130-134
    PubMedGoogle Scholar