Communication about serious illness care goals: a review and synthesis of best practices

RE Bernacki, SD Block - JAMA internal medicine, 2014 - jamanetwork.com
An understanding of patients' care goals in the context of a serious illness is an essential
element of high-quality care, allowing clinicians to align the care provided with what is most …

Difficult conversations: teaching medical oncology trainees communication skills one hour at a time

DE Epner, WF Baile - Academic Medicine, 2014 - journals.lww.com
Difficult conversations about prognosis, end of life, and goals of care arise commonly in
medical oncology practice. These conversations are often highly emotional. Medical …

REMAP: a framework for goals of care conversations

JW Childers, AL Back, JA Tulsky… - Journal of Oncology …, 2017 - ascopubs.org
Conversations regarding goals of care with patients who have advanced cancer still occur
too late, and oncologists say they lack the training to have these conversations effectively …

The costs of waiting: implications of the timing of palliative care consultation among a cohort of decedents at a comprehensive cancer center

C Scibetta, K Kerr, J Mcguire… - Journal of palliative …, 2016 - liebertpub.com
Background: Palliative care is recommended along with oncologic care for patients with
advanced cancer. However, there are limited data about how the timing of palliative care …

The intensity and variation of surgical care at the end of life: a retrospective cohort study

AC Kwok, ME Semel, SR Lipsitz, AM Bader… - The Lancet, 2011 - thelancet.com
Background Although the extent of hospital and intensive-care use at the end of life is well
known, patterns of surgical care during this period are poorly understood. We examined …

Validation of a machine learning algorithm to predict 180-day mortality for outpatients with cancer

CR Manz, J Chen, M Liu, C Chivers, SH Regli… - JAMA …, 2020 - jamanetwork.com
Importance Machine learning (ML) algorithms can identify patients with cancer at risk of
short-term mortality to inform treatment and advance care planning. However, no ML …

End-of-life care for Medicare beneficiaries with cancer is highly intensive overall and varies widely

NE Morden, CH Chang, JO Jacobson, EM Berke… - Health …, 2012 - healthaffairs.org
Studies have shown that cancer care near the end of life is more aggressive than many
patients prefer. Using a cohort of deceased Medicare beneficiaries with poor-prognosis …

NCCN guidelines insights: palliative care, version 2.2017

M Dans, T Smith, A Back, JN Baker, JR Bauman… - Journal of the National …, 2017 - jnccn.org
The NCCN Guidelines for Palliative Care provide interdisciplinary recommendations on
palliative care for patients with cancer. These NCCN Guidelines Insights summarize and …

[HTML][HTML] No easy talk: a mixed methods study of doctor reported barriers to conducting effective end-of-life conversations with diverse patients

VS Periyakoil, E Neri, H Kraemer - PloS one, 2015 - journals.plos.org
Objective Though most patients wish to discuss end-of-life (EOL) issues, doctors are
reluctant to conduct end-of-life conversations. Little is known about the barriers doctors face …

Trends in advance care planning in patients with cancer: results from a national longitudinal survey

AK Narang, AA Wright, LH Nicholas - JAMA oncology, 2015 - jamanetwork.com
Importance Advance care planning (ACP) may prevent end-of-life (EOL) care that is
nonbeneficial and discordant with patient wishes. Despite long-standing recognition of the …