Being Critical of Critical Care Given to People With Metastatic Cancer: Get Palliative Care Involved

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Talha Mehmood, MD, after completing a residency in Critical Care Medicine at Stanford University, is a fellow in Hospice and Palliative Medicine at The Harry J. Duffey Family Program in Palliative Care, Johns Hopkins School of Medicine, and Johns Hopkins Hospital, Baltimore, Maryland. His interest is the interface and integration of palliative and critical care medicine.

The ideas and viewpoints expressed in this commentary are those of the author and do not necessarily represent any policy, position, or program of NCCN.

Thomas J. Smith, MD, is a professor of oncology, the Harry J. Duffey Family Professor of Palliative Medicine, and Director of Palliative Medicine at the Johns Hopkins Medical Institute, The Johns Hopkins Hospital, Baltimore, Maryland. He is on the board of AAHPM, and co-edits the ASCO and NCCN clinical practice guidelines for palliative care.

  • 1.

    Puxty K, McLoone P, Quasim T. Risk of critical illness among patients with solid cancers: a population-based observational study. JAMA Oncol 2015;1:10781085.

    • Search Google Scholar
    • Export Citation
  • 2.

    Azoulay E, Mokart D, Pène F. Outcomes of critically ill patients with hematologic malignancies: prospective multicenter data from France and Belgium. J Clin Oncol 2013;31:28102118.

    • Search Google Scholar
    • Export Citation
  • 3.

    Rocque GB, Barnett AE, Illig LC. Inpatient hospitalization of oncology patients: are we missing an opportunity for end-of-life care? J Oncol Pract 2013;9:5154.

    • Search Google Scholar
    • Export Citation
  • 4.

    Basch E, Deal AM, Dueck AC. Overall survival results of a trial assessing patient-reported outcomes for symptom monitoring during routine cancer treatment. JAMA 2017;318:197198.

    • Search Google Scholar
    • Export Citation
  • 5.

    May P, Garrido MM, Cassel JB. Prospective cohort study of hospital palliative care teams for inpatients with advanced cancer: earlier consultation is associated with larger cost-saving effect. J Clin Oncol 2015;33:27452752.

    • Search Google Scholar
    • Export Citation
  • 6.

    May P, Garrido MM, Cassel JB. Palliative care teams' cost-saving effect is larger for cancer patients with higher numbers of comorbidities. Health Aff (Millwood) 2016;35:4453.

    • Search Google Scholar
    • Export Citation
  • 7.

    May P, Garrido MM, Aldridge MD. Prospective cohort study of hospitalized adults with advanced cancer: associations between complications, comorbidity, and utilization. J Hosp Med 2017;12:407413.

    • Search Google Scholar
    • Export Citation
  • 8.

    Isenberg SR, Lu C, McQuade J. Economic evaluation of a hospital-based palliative care program. J Oncol Pract 2017;13:e408420.

  • 9.

    Ferrell BR, Temel JS, Temin S. The integration of palliative care into standard oncology care: American Society of Clinical Oncology clinical practice guideline update. J Clin Oncol 2017;35:96112.

    • Search Google Scholar
    • Export Citation
  • 10.

    Scibetta C, Kerr K, Mcguire J, Rabow MW. The costs of waiting: implications of the timing of palliative care consultation among a cohort of decedents at a comprehensive cancer center. J Palliat Med 2016;19:6975.

    • Search Google Scholar
    • Export Citation
  • 11.

    Singh S, Cortez D, Maynard D. Characterizing the nature of scan results discussions: insights into why patients misunderstand their prognosis. J Oncol Pract 2017;13:e231239.

    • Search Google Scholar
    • Export Citation
  • 12.

    Schellongowski P, Sperr WR, Wohlfarth P. Critically ill patients with cancer: chances and limitations of intensive care medicine—a narrative review. ESMO Open 2016;1:e000018.

    • Search Google Scholar
    • Export Citation
  • 13.

    Aslakson RA, Curtis JR, Nelson JE. The changing role of palliative care in the ICU. Crit Care Med 2014;42:24182428.

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