NCCN Guidelines Insights: Palliative Care, Version 2.2017

Authors:
Maria DansFrom Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine; The Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins; Fred Hutchinson Cancer Research Center/Seattle Cancer Care Alliance; St. Jude Children's Research Hospital/The University of Tennessee Health Science Center; Fox Chase Cancer Center; Huntsman Cancer Institute at the University of Utah; Dana-Farber Cancer Institute /Brigham and Women's Cancer Center; University of Wisconsin Carbone Cancer Center; Roswell Park Cancer Institute; The University of Texas MD Anderson Cancer Center; Fred & Pamela Buffett Cancer Center; Mayo Clinic Cancer Center; Yale Cancer Center/Smilow Cancer Hospital; University of Colorado Cancer Center; University of Alabama at Birmingham Comprehensive Cancer Center; The Ohio State University Comprehensive Cancer Center - James Cancer Hospital and Solove Research Institute; Vanderbilt-Ingram Cancer Center; UC San Diego Moores Cancer Center; Moffitt Cancer Center; Stanford Cancer Institute; Duke Cancer Institute; Robert H. Lurie Comprehensive Cancer Center of Northwestern University; Massachusetts General Hospital Cancer Center; Memorial Sloan Kettering Cancer Center; University of Michigan Comprehensive Cancer Center; Case Comprehensive Cancer Center/University Hospitals Seidman Cancer Center and Cleveland Clinic Taussig Cancer Institute; City of Hope Comprehensive Cancer Center; and National Comprehensive Cancer Network.

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Thomas SmithFrom Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine; The Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins; Fred Hutchinson Cancer Research Center/Seattle Cancer Care Alliance; St. Jude Children's Research Hospital/The University of Tennessee Health Science Center; Fox Chase Cancer Center; Huntsman Cancer Institute at the University of Utah; Dana-Farber Cancer Institute /Brigham and Women's Cancer Center; University of Wisconsin Carbone Cancer Center; Roswell Park Cancer Institute; The University of Texas MD Anderson Cancer Center; Fred & Pamela Buffett Cancer Center; Mayo Clinic Cancer Center; Yale Cancer Center/Smilow Cancer Hospital; University of Colorado Cancer Center; University of Alabama at Birmingham Comprehensive Cancer Center; The Ohio State University Comprehensive Cancer Center - James Cancer Hospital and Solove Research Institute; Vanderbilt-Ingram Cancer Center; UC San Diego Moores Cancer Center; Moffitt Cancer Center; Stanford Cancer Institute; Duke Cancer Institute; Robert H. Lurie Comprehensive Cancer Center of Northwestern University; Massachusetts General Hospital Cancer Center; Memorial Sloan Kettering Cancer Center; University of Michigan Comprehensive Cancer Center; Case Comprehensive Cancer Center/University Hospitals Seidman Cancer Center and Cleveland Clinic Taussig Cancer Institute; City of Hope Comprehensive Cancer Center; and National Comprehensive Cancer Network.

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Anthony BackFrom Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine; The Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins; Fred Hutchinson Cancer Research Center/Seattle Cancer Care Alliance; St. Jude Children's Research Hospital/The University of Tennessee Health Science Center; Fox Chase Cancer Center; Huntsman Cancer Institute at the University of Utah; Dana-Farber Cancer Institute /Brigham and Women's Cancer Center; University of Wisconsin Carbone Cancer Center; Roswell Park Cancer Institute; The University of Texas MD Anderson Cancer Center; Fred & Pamela Buffett Cancer Center; Mayo Clinic Cancer Center; Yale Cancer Center/Smilow Cancer Hospital; University of Colorado Cancer Center; University of Alabama at Birmingham Comprehensive Cancer Center; The Ohio State University Comprehensive Cancer Center - James Cancer Hospital and Solove Research Institute; Vanderbilt-Ingram Cancer Center; UC San Diego Moores Cancer Center; Moffitt Cancer Center; Stanford Cancer Institute; Duke Cancer Institute; Robert H. Lurie Comprehensive Cancer Center of Northwestern University; Massachusetts General Hospital Cancer Center; Memorial Sloan Kettering Cancer Center; University of Michigan Comprehensive Cancer Center; Case Comprehensive Cancer Center/University Hospitals Seidman Cancer Center and Cleveland Clinic Taussig Cancer Institute; City of Hope Comprehensive Cancer Center; and National Comprehensive Cancer Network.

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Justin N. BakerFrom Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine; The Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins; Fred Hutchinson Cancer Research Center/Seattle Cancer Care Alliance; St. Jude Children's Research Hospital/The University of Tennessee Health Science Center; Fox Chase Cancer Center; Huntsman Cancer Institute at the University of Utah; Dana-Farber Cancer Institute /Brigham and Women's Cancer Center; University of Wisconsin Carbone Cancer Center; Roswell Park Cancer Institute; The University of Texas MD Anderson Cancer Center; Fred & Pamela Buffett Cancer Center; Mayo Clinic Cancer Center; Yale Cancer Center/Smilow Cancer Hospital; University of Colorado Cancer Center; University of Alabama at Birmingham Comprehensive Cancer Center; The Ohio State University Comprehensive Cancer Center - James Cancer Hospital and Solove Research Institute; Vanderbilt-Ingram Cancer Center; UC San Diego Moores Cancer Center; Moffitt Cancer Center; Stanford Cancer Institute; Duke Cancer Institute; Robert H. Lurie Comprehensive Cancer Center of Northwestern University; Massachusetts General Hospital Cancer Center; Memorial Sloan Kettering Cancer Center; University of Michigan Comprehensive Cancer Center; Case Comprehensive Cancer Center/University Hospitals Seidman Cancer Center and Cleveland Clinic Taussig Cancer Institute; City of Hope Comprehensive Cancer Center; and National Comprehensive Cancer Network.

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Jessica R. BaumanFrom Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine; The Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins; Fred Hutchinson Cancer Research Center/Seattle Cancer Care Alliance; St. Jude Children's Research Hospital/The University of Tennessee Health Science Center; Fox Chase Cancer Center; Huntsman Cancer Institute at the University of Utah; Dana-Farber Cancer Institute /Brigham and Women's Cancer Center; University of Wisconsin Carbone Cancer Center; Roswell Park Cancer Institute; The University of Texas MD Anderson Cancer Center; Fred & Pamela Buffett Cancer Center; Mayo Clinic Cancer Center; Yale Cancer Center/Smilow Cancer Hospital; University of Colorado Cancer Center; University of Alabama at Birmingham Comprehensive Cancer Center; The Ohio State University Comprehensive Cancer Center - James Cancer Hospital and Solove Research Institute; Vanderbilt-Ingram Cancer Center; UC San Diego Moores Cancer Center; Moffitt Cancer Center; Stanford Cancer Institute; Duke Cancer Institute; Robert H. Lurie Comprehensive Cancer Center of Northwestern University; Massachusetts General Hospital Cancer Center; Memorial Sloan Kettering Cancer Center; University of Michigan Comprehensive Cancer Center; Case Comprehensive Cancer Center/University Hospitals Seidman Cancer Center and Cleveland Clinic Taussig Cancer Institute; City of Hope Comprehensive Cancer Center; and National Comprehensive Cancer Network.

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Anna C. BeckFrom Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine; The Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins; Fred Hutchinson Cancer Research Center/Seattle Cancer Care Alliance; St. Jude Children's Research Hospital/The University of Tennessee Health Science Center; Fox Chase Cancer Center; Huntsman Cancer Institute at the University of Utah; Dana-Farber Cancer Institute /Brigham and Women's Cancer Center; University of Wisconsin Carbone Cancer Center; Roswell Park Cancer Institute; The University of Texas MD Anderson Cancer Center; Fred & Pamela Buffett Cancer Center; Mayo Clinic Cancer Center; Yale Cancer Center/Smilow Cancer Hospital; University of Colorado Cancer Center; University of Alabama at Birmingham Comprehensive Cancer Center; The Ohio State University Comprehensive Cancer Center - James Cancer Hospital and Solove Research Institute; Vanderbilt-Ingram Cancer Center; UC San Diego Moores Cancer Center; Moffitt Cancer Center; Stanford Cancer Institute; Duke Cancer Institute; Robert H. Lurie Comprehensive Cancer Center of Northwestern University; Massachusetts General Hospital Cancer Center; Memorial Sloan Kettering Cancer Center; University of Michigan Comprehensive Cancer Center; Case Comprehensive Cancer Center/University Hospitals Seidman Cancer Center and Cleveland Clinic Taussig Cancer Institute; City of Hope Comprehensive Cancer Center; and National Comprehensive Cancer Network.

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Susan BlockFrom Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine; The Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins; Fred Hutchinson Cancer Research Center/Seattle Cancer Care Alliance; St. Jude Children's Research Hospital/The University of Tennessee Health Science Center; Fox Chase Cancer Center; Huntsman Cancer Institute at the University of Utah; Dana-Farber Cancer Institute /Brigham and Women's Cancer Center; University of Wisconsin Carbone Cancer Center; Roswell Park Cancer Institute; The University of Texas MD Anderson Cancer Center; Fred & Pamela Buffett Cancer Center; Mayo Clinic Cancer Center; Yale Cancer Center/Smilow Cancer Hospital; University of Colorado Cancer Center; University of Alabama at Birmingham Comprehensive Cancer Center; The Ohio State University Comprehensive Cancer Center - James Cancer Hospital and Solove Research Institute; Vanderbilt-Ingram Cancer Center; UC San Diego Moores Cancer Center; Moffitt Cancer Center; Stanford Cancer Institute; Duke Cancer Institute; Robert H. Lurie Comprehensive Cancer Center of Northwestern University; Massachusetts General Hospital Cancer Center; Memorial Sloan Kettering Cancer Center; University of Michigan Comprehensive Cancer Center; Case Comprehensive Cancer Center/University Hospitals Seidman Cancer Center and Cleveland Clinic Taussig Cancer Institute; City of Hope Comprehensive Cancer Center; and National Comprehensive Cancer Network.

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Toby CampbellFrom Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine; The Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins; Fred Hutchinson Cancer Research Center/Seattle Cancer Care Alliance; St. Jude Children's Research Hospital/The University of Tennessee Health Science Center; Fox Chase Cancer Center; Huntsman Cancer Institute at the University of Utah; Dana-Farber Cancer Institute /Brigham and Women's Cancer Center; University of Wisconsin Carbone Cancer Center; Roswell Park Cancer Institute; The University of Texas MD Anderson Cancer Center; Fred & Pamela Buffett Cancer Center; Mayo Clinic Cancer Center; Yale Cancer Center/Smilow Cancer Hospital; University of Colorado Cancer Center; University of Alabama at Birmingham Comprehensive Cancer Center; The Ohio State University Comprehensive Cancer Center - James Cancer Hospital and Solove Research Institute; Vanderbilt-Ingram Cancer Center; UC San Diego Moores Cancer Center; Moffitt Cancer Center; Stanford Cancer Institute; Duke Cancer Institute; Robert H. Lurie Comprehensive Cancer Center of Northwestern University; Massachusetts General Hospital Cancer Center; Memorial Sloan Kettering Cancer Center; University of Michigan Comprehensive Cancer Center; Case Comprehensive Cancer Center/University Hospitals Seidman Cancer Center and Cleveland Clinic Taussig Cancer Institute; City of Hope Comprehensive Cancer Center; and National Comprehensive Cancer Network.

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Amy A. CaseFrom Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine; The Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins; Fred Hutchinson Cancer Research Center/Seattle Cancer Care Alliance; St. Jude Children's Research Hospital/The University of Tennessee Health Science Center; Fox Chase Cancer Center; Huntsman Cancer Institute at the University of Utah; Dana-Farber Cancer Institute /Brigham and Women's Cancer Center; University of Wisconsin Carbone Cancer Center; Roswell Park Cancer Institute; The University of Texas MD Anderson Cancer Center; Fred & Pamela Buffett Cancer Center; Mayo Clinic Cancer Center; Yale Cancer Center/Smilow Cancer Hospital; University of Colorado Cancer Center; University of Alabama at Birmingham Comprehensive Cancer Center; The Ohio State University Comprehensive Cancer Center - James Cancer Hospital and Solove Research Institute; Vanderbilt-Ingram Cancer Center; UC San Diego Moores Cancer Center; Moffitt Cancer Center; Stanford Cancer Institute; Duke Cancer Institute; Robert H. Lurie Comprehensive Cancer Center of Northwestern University; Massachusetts General Hospital Cancer Center; Memorial Sloan Kettering Cancer Center; University of Michigan Comprehensive Cancer Center; Case Comprehensive Cancer Center/University Hospitals Seidman Cancer Center and Cleveland Clinic Taussig Cancer Institute; City of Hope Comprehensive Cancer Center; and National Comprehensive Cancer Network.

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Shalini DalalFrom Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine; The Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins; Fred Hutchinson Cancer Research Center/Seattle Cancer Care Alliance; St. Jude Children's Research Hospital/The University of Tennessee Health Science Center; Fox Chase Cancer Center; Huntsman Cancer Institute at the University of Utah; Dana-Farber Cancer Institute /Brigham and Women's Cancer Center; University of Wisconsin Carbone Cancer Center; Roswell Park Cancer Institute; The University of Texas MD Anderson Cancer Center; Fred & Pamela Buffett Cancer Center; Mayo Clinic Cancer Center; Yale Cancer Center/Smilow Cancer Hospital; University of Colorado Cancer Center; University of Alabama at Birmingham Comprehensive Cancer Center; The Ohio State University Comprehensive Cancer Center - James Cancer Hospital and Solove Research Institute; Vanderbilt-Ingram Cancer Center; UC San Diego Moores Cancer Center; Moffitt Cancer Center; Stanford Cancer Institute; Duke Cancer Institute; Robert H. Lurie Comprehensive Cancer Center of Northwestern University; Massachusetts General Hospital Cancer Center; Memorial Sloan Kettering Cancer Center; University of Michigan Comprehensive Cancer Center; Case Comprehensive Cancer Center/University Hospitals Seidman Cancer Center and Cleveland Clinic Taussig Cancer Institute; City of Hope Comprehensive Cancer Center; and National Comprehensive Cancer Network.

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Howard EdwardsFrom Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine; The Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins; Fred Hutchinson Cancer Research Center/Seattle Cancer Care Alliance; St. Jude Children's Research Hospital/The University of Tennessee Health Science Center; Fox Chase Cancer Center; Huntsman Cancer Institute at the University of Utah; Dana-Farber Cancer Institute /Brigham and Women's Cancer Center; University of Wisconsin Carbone Cancer Center; Roswell Park Cancer Institute; The University of Texas MD Anderson Cancer Center; Fred & Pamela Buffett Cancer Center; Mayo Clinic Cancer Center; Yale Cancer Center/Smilow Cancer Hospital; University of Colorado Cancer Center; University of Alabama at Birmingham Comprehensive Cancer Center; The Ohio State University Comprehensive Cancer Center - James Cancer Hospital and Solove Research Institute; Vanderbilt-Ingram Cancer Center; UC San Diego Moores Cancer Center; Moffitt Cancer Center; Stanford Cancer Institute; Duke Cancer Institute; Robert H. Lurie Comprehensive Cancer Center of Northwestern University; Massachusetts General Hospital Cancer Center; Memorial Sloan Kettering Cancer Center; University of Michigan Comprehensive Cancer Center; Case Comprehensive Cancer Center/University Hospitals Seidman Cancer Center and Cleveland Clinic Taussig Cancer Institute; City of Hope Comprehensive Cancer Center; and National Comprehensive Cancer Network.

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Thomas R. FitchFrom Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine; The Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins; Fred Hutchinson Cancer Research Center/Seattle Cancer Care Alliance; St. Jude Children's Research Hospital/The University of Tennessee Health Science Center; Fox Chase Cancer Center; Huntsman Cancer Institute at the University of Utah; Dana-Farber Cancer Institute /Brigham and Women's Cancer Center; University of Wisconsin Carbone Cancer Center; Roswell Park Cancer Institute; The University of Texas MD Anderson Cancer Center; Fred & Pamela Buffett Cancer Center; Mayo Clinic Cancer Center; Yale Cancer Center/Smilow Cancer Hospital; University of Colorado Cancer Center; University of Alabama at Birmingham Comprehensive Cancer Center; The Ohio State University Comprehensive Cancer Center - James Cancer Hospital and Solove Research Institute; Vanderbilt-Ingram Cancer Center; UC San Diego Moores Cancer Center; Moffitt Cancer Center; Stanford Cancer Institute; Duke Cancer Institute; Robert H. Lurie Comprehensive Cancer Center of Northwestern University; Massachusetts General Hospital Cancer Center; Memorial Sloan Kettering Cancer Center; University of Michigan Comprehensive Cancer Center; Case Comprehensive Cancer Center/University Hospitals Seidman Cancer Center and Cleveland Clinic Taussig Cancer Institute; City of Hope Comprehensive Cancer Center; and National Comprehensive Cancer Network.

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Jennifer KapoFrom Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine; The Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins; Fred Hutchinson Cancer Research Center/Seattle Cancer Care Alliance; St. Jude Children's Research Hospital/The University of Tennessee Health Science Center; Fox Chase Cancer Center; Huntsman Cancer Institute at the University of Utah; Dana-Farber Cancer Institute /Brigham and Women's Cancer Center; University of Wisconsin Carbone Cancer Center; Roswell Park Cancer Institute; The University of Texas MD Anderson Cancer Center; Fred & Pamela Buffett Cancer Center; Mayo Clinic Cancer Center; Yale Cancer Center/Smilow Cancer Hospital; University of Colorado Cancer Center; University of Alabama at Birmingham Comprehensive Cancer Center; The Ohio State University Comprehensive Cancer Center - James Cancer Hospital and Solove Research Institute; Vanderbilt-Ingram Cancer Center; UC San Diego Moores Cancer Center; Moffitt Cancer Center; Stanford Cancer Institute; Duke Cancer Institute; Robert H. Lurie Comprehensive Cancer Center of Northwestern University; Massachusetts General Hospital Cancer Center; Memorial Sloan Kettering Cancer Center; University of Michigan Comprehensive Cancer Center; Case Comprehensive Cancer Center/University Hospitals Seidman Cancer Center and Cleveland Clinic Taussig Cancer Institute; City of Hope Comprehensive Cancer Center; and National Comprehensive Cancer Network.

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Jean S. KutnerFrom Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine; The Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins; Fred Hutchinson Cancer Research Center/Seattle Cancer Care Alliance; St. Jude Children's Research Hospital/The University of Tennessee Health Science Center; Fox Chase Cancer Center; Huntsman Cancer Institute at the University of Utah; Dana-Farber Cancer Institute /Brigham and Women's Cancer Center; University of Wisconsin Carbone Cancer Center; Roswell Park Cancer Institute; The University of Texas MD Anderson Cancer Center; Fred & Pamela Buffett Cancer Center; Mayo Clinic Cancer Center; Yale Cancer Center/Smilow Cancer Hospital; University of Colorado Cancer Center; University of Alabama at Birmingham Comprehensive Cancer Center; The Ohio State University Comprehensive Cancer Center - James Cancer Hospital and Solove Research Institute; Vanderbilt-Ingram Cancer Center; UC San Diego Moores Cancer Center; Moffitt Cancer Center; Stanford Cancer Institute; Duke Cancer Institute; Robert H. Lurie Comprehensive Cancer Center of Northwestern University; Massachusetts General Hospital Cancer Center; Memorial Sloan Kettering Cancer Center; University of Michigan Comprehensive Cancer Center; Case Comprehensive Cancer Center/University Hospitals Seidman Cancer Center and Cleveland Clinic Taussig Cancer Institute; City of Hope Comprehensive Cancer Center; and National Comprehensive Cancer Network.

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Elizabeth KvaleFrom Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine; The Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins; Fred Hutchinson Cancer Research Center/Seattle Cancer Care Alliance; St. Jude Children's Research Hospital/The University of Tennessee Health Science Center; Fox Chase Cancer Center; Huntsman Cancer Institute at the University of Utah; Dana-Farber Cancer Institute /Brigham and Women's Cancer Center; University of Wisconsin Carbone Cancer Center; Roswell Park Cancer Institute; The University of Texas MD Anderson Cancer Center; Fred & Pamela Buffett Cancer Center; Mayo Clinic Cancer Center; Yale Cancer Center/Smilow Cancer Hospital; University of Colorado Cancer Center; University of Alabama at Birmingham Comprehensive Cancer Center; The Ohio State University Comprehensive Cancer Center - James Cancer Hospital and Solove Research Institute; Vanderbilt-Ingram Cancer Center; UC San Diego Moores Cancer Center; Moffitt Cancer Center; Stanford Cancer Institute; Duke Cancer Institute; Robert H. Lurie Comprehensive Cancer Center of Northwestern University; Massachusetts General Hospital Cancer Center; Memorial Sloan Kettering Cancer Center; University of Michigan Comprehensive Cancer Center; Case Comprehensive Cancer Center/University Hospitals Seidman Cancer Center and Cleveland Clinic Taussig Cancer Institute; City of Hope Comprehensive Cancer Center; and National Comprehensive Cancer Network.

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Charles MillerFrom Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine; The Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins; Fred Hutchinson Cancer Research Center/Seattle Cancer Care Alliance; St. Jude Children's Research Hospital/The University of Tennessee Health Science Center; Fox Chase Cancer Center; Huntsman Cancer Institute at the University of Utah; Dana-Farber Cancer Institute /Brigham and Women's Cancer Center; University of Wisconsin Carbone Cancer Center; Roswell Park Cancer Institute; The University of Texas MD Anderson Cancer Center; Fred & Pamela Buffett Cancer Center; Mayo Clinic Cancer Center; Yale Cancer Center/Smilow Cancer Hospital; University of Colorado Cancer Center; University of Alabama at Birmingham Comprehensive Cancer Center; The Ohio State University Comprehensive Cancer Center - James Cancer Hospital and Solove Research Institute; Vanderbilt-Ingram Cancer Center; UC San Diego Moores Cancer Center; Moffitt Cancer Center; Stanford Cancer Institute; Duke Cancer Institute; Robert H. Lurie Comprehensive Cancer Center of Northwestern University; Massachusetts General Hospital Cancer Center; Memorial Sloan Kettering Cancer Center; University of Michigan Comprehensive Cancer Center; Case Comprehensive Cancer Center/University Hospitals Seidman Cancer Center and Cleveland Clinic Taussig Cancer Institute; City of Hope Comprehensive Cancer Center; and National Comprehensive Cancer Network.

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Sumathi MisraFrom Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine; The Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins; Fred Hutchinson Cancer Research Center/Seattle Cancer Care Alliance; St. Jude Children's Research Hospital/The University of Tennessee Health Science Center; Fox Chase Cancer Center; Huntsman Cancer Institute at the University of Utah; Dana-Farber Cancer Institute /Brigham and Women's Cancer Center; University of Wisconsin Carbone Cancer Center; Roswell Park Cancer Institute; The University of Texas MD Anderson Cancer Center; Fred & Pamela Buffett Cancer Center; Mayo Clinic Cancer Center; Yale Cancer Center/Smilow Cancer Hospital; University of Colorado Cancer Center; University of Alabama at Birmingham Comprehensive Cancer Center; The Ohio State University Comprehensive Cancer Center - James Cancer Hospital and Solove Research Institute; Vanderbilt-Ingram Cancer Center; UC San Diego Moores Cancer Center; Moffitt Cancer Center; Stanford Cancer Institute; Duke Cancer Institute; Robert H. Lurie Comprehensive Cancer Center of Northwestern University; Massachusetts General Hospital Cancer Center; Memorial Sloan Kettering Cancer Center; University of Michigan Comprehensive Cancer Center; Case Comprehensive Cancer Center/University Hospitals Seidman Cancer Center and Cleveland Clinic Taussig Cancer Institute; City of Hope Comprehensive Cancer Center; and National Comprehensive Cancer Network.

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William MitchellFrom Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine; The Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins; Fred Hutchinson Cancer Research Center/Seattle Cancer Care Alliance; St. Jude Children's Research Hospital/The University of Tennessee Health Science Center; Fox Chase Cancer Center; Huntsman Cancer Institute at the University of Utah; Dana-Farber Cancer Institute /Brigham and Women's Cancer Center; University of Wisconsin Carbone Cancer Center; Roswell Park Cancer Institute; The University of Texas MD Anderson Cancer Center; Fred & Pamela Buffett Cancer Center; Mayo Clinic Cancer Center; Yale Cancer Center/Smilow Cancer Hospital; University of Colorado Cancer Center; University of Alabama at Birmingham Comprehensive Cancer Center; The Ohio State University Comprehensive Cancer Center - James Cancer Hospital and Solove Research Institute; Vanderbilt-Ingram Cancer Center; UC San Diego Moores Cancer Center; Moffitt Cancer Center; Stanford Cancer Institute; Duke Cancer Institute; Robert H. Lurie Comprehensive Cancer Center of Northwestern University; Massachusetts General Hospital Cancer Center; Memorial Sloan Kettering Cancer Center; University of Michigan Comprehensive Cancer Center; Case Comprehensive Cancer Center/University Hospitals Seidman Cancer Center and Cleveland Clinic Taussig Cancer Institute; City of Hope Comprehensive Cancer Center; and National Comprehensive Cancer Network.

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Diane G. PortmanFrom Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine; The Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins; Fred Hutchinson Cancer Research Center/Seattle Cancer Care Alliance; St. Jude Children's Research Hospital/The University of Tennessee Health Science Center; Fox Chase Cancer Center; Huntsman Cancer Institute at the University of Utah; Dana-Farber Cancer Institute /Brigham and Women's Cancer Center; University of Wisconsin Carbone Cancer Center; Roswell Park Cancer Institute; The University of Texas MD Anderson Cancer Center; Fred & Pamela Buffett Cancer Center; Mayo Clinic Cancer Center; Yale Cancer Center/Smilow Cancer Hospital; University of Colorado Cancer Center; University of Alabama at Birmingham Comprehensive Cancer Center; The Ohio State University Comprehensive Cancer Center - James Cancer Hospital and Solove Research Institute; Vanderbilt-Ingram Cancer Center; UC San Diego Moores Cancer Center; Moffitt Cancer Center; Stanford Cancer Institute; Duke Cancer Institute; Robert H. Lurie Comprehensive Cancer Center of Northwestern University; Massachusetts General Hospital Cancer Center; Memorial Sloan Kettering Cancer Center; University of Michigan Comprehensive Cancer Center; Case Comprehensive Cancer Center/University Hospitals Seidman Cancer Center and Cleveland Clinic Taussig Cancer Institute; City of Hope Comprehensive Cancer Center; and National Comprehensive Cancer Network.

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David SpiegelFrom Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine; The Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins; Fred Hutchinson Cancer Research Center/Seattle Cancer Care Alliance; St. Jude Children's Research Hospital/The University of Tennessee Health Science Center; Fox Chase Cancer Center; Huntsman Cancer Institute at the University of Utah; Dana-Farber Cancer Institute /Brigham and Women's Cancer Center; University of Wisconsin Carbone Cancer Center; Roswell Park Cancer Institute; The University of Texas MD Anderson Cancer Center; Fred & Pamela Buffett Cancer Center; Mayo Clinic Cancer Center; Yale Cancer Center/Smilow Cancer Hospital; University of Colorado Cancer Center; University of Alabama at Birmingham Comprehensive Cancer Center; The Ohio State University Comprehensive Cancer Center - James Cancer Hospital and Solove Research Institute; Vanderbilt-Ingram Cancer Center; UC San Diego Moores Cancer Center; Moffitt Cancer Center; Stanford Cancer Institute; Duke Cancer Institute; Robert H. Lurie Comprehensive Cancer Center of Northwestern University; Massachusetts General Hospital Cancer Center; Memorial Sloan Kettering Cancer Center; University of Michigan Comprehensive Cancer Center; Case Comprehensive Cancer Center/University Hospitals Seidman Cancer Center and Cleveland Clinic Taussig Cancer Institute; City of Hope Comprehensive Cancer Center; and National Comprehensive Cancer Network.

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Linda SuttonFrom Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine; The Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins; Fred Hutchinson Cancer Research Center/Seattle Cancer Care Alliance; St. Jude Children's Research Hospital/The University of Tennessee Health Science Center; Fox Chase Cancer Center; Huntsman Cancer Institute at the University of Utah; Dana-Farber Cancer Institute /Brigham and Women's Cancer Center; University of Wisconsin Carbone Cancer Center; Roswell Park Cancer Institute; The University of Texas MD Anderson Cancer Center; Fred & Pamela Buffett Cancer Center; Mayo Clinic Cancer Center; Yale Cancer Center/Smilow Cancer Hospital; University of Colorado Cancer Center; University of Alabama at Birmingham Comprehensive Cancer Center; The Ohio State University Comprehensive Cancer Center - James Cancer Hospital and Solove Research Institute; Vanderbilt-Ingram Cancer Center; UC San Diego Moores Cancer Center; Moffitt Cancer Center; Stanford Cancer Institute; Duke Cancer Institute; Robert H. Lurie Comprehensive Cancer Center of Northwestern University; Massachusetts General Hospital Cancer Center; Memorial Sloan Kettering Cancer Center; University of Michigan Comprehensive Cancer Center; Case Comprehensive Cancer Center/University Hospitals Seidman Cancer Center and Cleveland Clinic Taussig Cancer Institute; City of Hope Comprehensive Cancer Center; and National Comprehensive Cancer Network.

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Eytan SzmuilowiczFrom Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine; The Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins; Fred Hutchinson Cancer Research Center/Seattle Cancer Care Alliance; St. Jude Children's Research Hospital/The University of Tennessee Health Science Center; Fox Chase Cancer Center; Huntsman Cancer Institute at the University of Utah; Dana-Farber Cancer Institute /Brigham and Women's Cancer Center; University of Wisconsin Carbone Cancer Center; Roswell Park Cancer Institute; The University of Texas MD Anderson Cancer Center; Fred & Pamela Buffett Cancer Center; Mayo Clinic Cancer Center; Yale Cancer Center/Smilow Cancer Hospital; University of Colorado Cancer Center; University of Alabama at Birmingham Comprehensive Cancer Center; The Ohio State University Comprehensive Cancer Center - James Cancer Hospital and Solove Research Institute; Vanderbilt-Ingram Cancer Center; UC San Diego Moores Cancer Center; Moffitt Cancer Center; Stanford Cancer Institute; Duke Cancer Institute; Robert H. Lurie Comprehensive Cancer Center of Northwestern University; Massachusetts General Hospital Cancer Center; Memorial Sloan Kettering Cancer Center; University of Michigan Comprehensive Cancer Center; Case Comprehensive Cancer Center/University Hospitals Seidman Cancer Center and Cleveland Clinic Taussig Cancer Institute; City of Hope Comprehensive Cancer Center; and National Comprehensive Cancer Network.

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Jennifer TemelFrom Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine; The Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins; Fred Hutchinson Cancer Research Center/Seattle Cancer Care Alliance; St. Jude Children's Research Hospital/The University of Tennessee Health Science Center; Fox Chase Cancer Center; Huntsman Cancer Institute at the University of Utah; Dana-Farber Cancer Institute /Brigham and Women's Cancer Center; University of Wisconsin Carbone Cancer Center; Roswell Park Cancer Institute; The University of Texas MD Anderson Cancer Center; Fred & Pamela Buffett Cancer Center; Mayo Clinic Cancer Center; Yale Cancer Center/Smilow Cancer Hospital; University of Colorado Cancer Center; University of Alabama at Birmingham Comprehensive Cancer Center; The Ohio State University Comprehensive Cancer Center - James Cancer Hospital and Solove Research Institute; Vanderbilt-Ingram Cancer Center; UC San Diego Moores Cancer Center; Moffitt Cancer Center; Stanford Cancer Institute; Duke Cancer Institute; Robert H. Lurie Comprehensive Cancer Center of Northwestern University; Massachusetts General Hospital Cancer Center; Memorial Sloan Kettering Cancer Center; University of Michigan Comprehensive Cancer Center; Case Comprehensive Cancer Center/University Hospitals Seidman Cancer Center and Cleveland Clinic Taussig Cancer Institute; City of Hope Comprehensive Cancer Center; and National Comprehensive Cancer Network.

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Roma TickooFrom Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine; The Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins; Fred Hutchinson Cancer Research Center/Seattle Cancer Care Alliance; St. Jude Children's Research Hospital/The University of Tennessee Health Science Center; Fox Chase Cancer Center; Huntsman Cancer Institute at the University of Utah; Dana-Farber Cancer Institute /Brigham and Women's Cancer Center; University of Wisconsin Carbone Cancer Center; Roswell Park Cancer Institute; The University of Texas MD Anderson Cancer Center; Fred & Pamela Buffett Cancer Center; Mayo Clinic Cancer Center; Yale Cancer Center/Smilow Cancer Hospital; University of Colorado Cancer Center; University of Alabama at Birmingham Comprehensive Cancer Center; The Ohio State University Comprehensive Cancer Center - James Cancer Hospital and Solove Research Institute; Vanderbilt-Ingram Cancer Center; UC San Diego Moores Cancer Center; Moffitt Cancer Center; Stanford Cancer Institute; Duke Cancer Institute; Robert H. Lurie Comprehensive Cancer Center of Northwestern University; Massachusetts General Hospital Cancer Center; Memorial Sloan Kettering Cancer Center; University of Michigan Comprehensive Cancer Center; Case Comprehensive Cancer Center/University Hospitals Seidman Cancer Center and Cleveland Clinic Taussig Cancer Institute; City of Hope Comprehensive Cancer Center; and National Comprehensive Cancer Network.

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Susan G. UrbaFrom Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine; The Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins; Fred Hutchinson Cancer Research Center/Seattle Cancer Care Alliance; St. Jude Children's Research Hospital/The University of Tennessee Health Science Center; Fox Chase Cancer Center; Huntsman Cancer Institute at the University of Utah; Dana-Farber Cancer Institute /Brigham and Women's Cancer Center; University of Wisconsin Carbone Cancer Center; Roswell Park Cancer Institute; The University of Texas MD Anderson Cancer Center; Fred & Pamela Buffett Cancer Center; Mayo Clinic Cancer Center; Yale Cancer Center/Smilow Cancer Hospital; University of Colorado Cancer Center; University of Alabama at Birmingham Comprehensive Cancer Center; The Ohio State University Comprehensive Cancer Center - James Cancer Hospital and Solove Research Institute; Vanderbilt-Ingram Cancer Center; UC San Diego Moores Cancer Center; Moffitt Cancer Center; Stanford Cancer Institute; Duke Cancer Institute; Robert H. Lurie Comprehensive Cancer Center of Northwestern University; Massachusetts General Hospital Cancer Center; Memorial Sloan Kettering Cancer Center; University of Michigan Comprehensive Cancer Center; Case Comprehensive Cancer Center/University Hospitals Seidman Cancer Center and Cleveland Clinic Taussig Cancer Institute; City of Hope Comprehensive Cancer Center; and National Comprehensive Cancer Network.

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Elizabeth WeinsteinFrom Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine; The Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins; Fred Hutchinson Cancer Research Center/Seattle Cancer Care Alliance; St. Jude Children's Research Hospital/The University of Tennessee Health Science Center; Fox Chase Cancer Center; Huntsman Cancer Institute at the University of Utah; Dana-Farber Cancer Institute /Brigham and Women's Cancer Center; University of Wisconsin Carbone Cancer Center; Roswell Park Cancer Institute; The University of Texas MD Anderson Cancer Center; Fred & Pamela Buffett Cancer Center; Mayo Clinic Cancer Center; Yale Cancer Center/Smilow Cancer Hospital; University of Colorado Cancer Center; University of Alabama at Birmingham Comprehensive Cancer Center; The Ohio State University Comprehensive Cancer Center - James Cancer Hospital and Solove Research Institute; Vanderbilt-Ingram Cancer Center; UC San Diego Moores Cancer Center; Moffitt Cancer Center; Stanford Cancer Institute; Duke Cancer Institute; Robert H. Lurie Comprehensive Cancer Center of Northwestern University; Massachusetts General Hospital Cancer Center; Memorial Sloan Kettering Cancer Center; University of Michigan Comprehensive Cancer Center; Case Comprehensive Cancer Center/University Hospitals Seidman Cancer Center and Cleveland Clinic Taussig Cancer Institute; City of Hope Comprehensive Cancer Center; and National Comprehensive Cancer Network.

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Finly ZachariahFrom Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine; The Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins; Fred Hutchinson Cancer Research Center/Seattle Cancer Care Alliance; St. Jude Children's Research Hospital/The University of Tennessee Health Science Center; Fox Chase Cancer Center; Huntsman Cancer Institute at the University of Utah; Dana-Farber Cancer Institute /Brigham and Women's Cancer Center; University of Wisconsin Carbone Cancer Center; Roswell Park Cancer Institute; The University of Texas MD Anderson Cancer Center; Fred & Pamela Buffett Cancer Center; Mayo Clinic Cancer Center; Yale Cancer Center/Smilow Cancer Hospital; University of Colorado Cancer Center; University of Alabama at Birmingham Comprehensive Cancer Center; The Ohio State University Comprehensive Cancer Center - James Cancer Hospital and Solove Research Institute; Vanderbilt-Ingram Cancer Center; UC San Diego Moores Cancer Center; Moffitt Cancer Center; Stanford Cancer Institute; Duke Cancer Institute; Robert H. Lurie Comprehensive Cancer Center of Northwestern University; Massachusetts General Hospital Cancer Center; Memorial Sloan Kettering Cancer Center; University of Michigan Comprehensive Cancer Center; Case Comprehensive Cancer Center/University Hospitals Seidman Cancer Center and Cleveland Clinic Taussig Cancer Institute; City of Hope Comprehensive Cancer Center; and National Comprehensive Cancer Network.

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Mary Anne BergmanFrom Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine; The Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins; Fred Hutchinson Cancer Research Center/Seattle Cancer Care Alliance; St. Jude Children's Research Hospital/The University of Tennessee Health Science Center; Fox Chase Cancer Center; Huntsman Cancer Institute at the University of Utah; Dana-Farber Cancer Institute /Brigham and Women's Cancer Center; University of Wisconsin Carbone Cancer Center; Roswell Park Cancer Institute; The University of Texas MD Anderson Cancer Center; Fred & Pamela Buffett Cancer Center; Mayo Clinic Cancer Center; Yale Cancer Center/Smilow Cancer Hospital; University of Colorado Cancer Center; University of Alabama at Birmingham Comprehensive Cancer Center; The Ohio State University Comprehensive Cancer Center - James Cancer Hospital and Solove Research Institute; Vanderbilt-Ingram Cancer Center; UC San Diego Moores Cancer Center; Moffitt Cancer Center; Stanford Cancer Institute; Duke Cancer Institute; Robert H. Lurie Comprehensive Cancer Center of Northwestern University; Massachusetts General Hospital Cancer Center; Memorial Sloan Kettering Cancer Center; University of Michigan Comprehensive Cancer Center; Case Comprehensive Cancer Center/University Hospitals Seidman Cancer Center and Cleveland Clinic Taussig Cancer Institute; City of Hope Comprehensive Cancer Center; and National Comprehensive Cancer Network.

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Jillian L. ScavoneFrom Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine; The Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins; Fred Hutchinson Cancer Research Center/Seattle Cancer Care Alliance; St. Jude Children's Research Hospital/The University of Tennessee Health Science Center; Fox Chase Cancer Center; Huntsman Cancer Institute at the University of Utah; Dana-Farber Cancer Institute /Brigham and Women's Cancer Center; University of Wisconsin Carbone Cancer Center; Roswell Park Cancer Institute; The University of Texas MD Anderson Cancer Center; Fred & Pamela Buffett Cancer Center; Mayo Clinic Cancer Center; Yale Cancer Center/Smilow Cancer Hospital; University of Colorado Cancer Center; University of Alabama at Birmingham Comprehensive Cancer Center; The Ohio State University Comprehensive Cancer Center - James Cancer Hospital and Solove Research Institute; Vanderbilt-Ingram Cancer Center; UC San Diego Moores Cancer Center; Moffitt Cancer Center; Stanford Cancer Institute; Duke Cancer Institute; Robert H. Lurie Comprehensive Cancer Center of Northwestern University; Massachusetts General Hospital Cancer Center; Memorial Sloan Kettering Cancer Center; University of Michigan Comprehensive Cancer Center; Case Comprehensive Cancer Center/University Hospitals Seidman Cancer Center and Cleveland Clinic Taussig Cancer Institute; City of Hope Comprehensive Cancer Center; and National Comprehensive Cancer Network.

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The NCCN Guidelines for Palliative Care provide interdisciplinary recommendations on palliative care for patients with cancer. These NCCN Guidelines Insights summarize and provide context for the updated guidelines recommendations regarding hospice and end-of-life (EOL) care. Updates for 2017 include revisions to and restructuring of the algorithms that address important EOL concerns. These recommendations were revised to provide clearer guidance for oncologists as they care for patients with cancer who are approaching the transition to EOL care. Recommendations for interventions and reassessment based on estimated life expectancy were streamlined and reprioritized to promote hospice referrals and improved EOL care.

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