Outcomes of Embedded Palliative Care Outpatients Initial Consults on Timing of Palliative Care Access, Symptoms, and End-of-Life Quality Care Indicators among Advanced Nonsmall Cell Lung Cancer Patients

2018 ◽  
Vol 21 (12) ◽  
pp. 1690-1697 ◽  
Author(s):  
Sriram Yennurajalingam ◽  
Bernard Prado ◽  
Zhanni Lu ◽  
Syed Naqvi ◽  
Janet L. Williams ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Palliative Care ◽  
End Of Life ◽  
Cancer Patients ◽  
Cell Lung Cancer ◽  
Quality Care ◽  
Life Quality ◽  
Nonsmall Cell Lung Cancer ◽  
Lung Cancer Patients ◽  
Care Access

scholarly journals 1456P Impact of early palliative care in quality at the end of life in small cell lung cancer patients

2021 ◽  
Vol 32 ◽  
pp. S1081
Author(s):  
N. Jiménez-García ◽  
L. Ronco-Dumas ◽  
F. Rivas-Ruiz ◽  
R. Quirós-López ◽  
C. Flores-Guardabrazo ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Palliative Care ◽  
Small Cell Lung Cancer ◽  
End Of Life ◽  
Cancer Patients ◽  
Cell Lung Cancer ◽  
Small Cell ◽  
Small Cell Lung ◽  
Early Palliative Care ◽  
Lung Cancer Patients

OP456 Encouraging Shared Decision-Making Of Goals Of Care Discussions In Lung Cancer Patients Using A Smartphone Application

2021 ◽  
Vol 37 (S1) ◽  
pp. 17-17
Author(s):  
Amanda Lovato ◽  
Nisha Almeida
Keyword(s):  
Lung Cancer ◽  
Palliative Care ◽  
Focus Groups ◽  
End Of Life ◽  
Cancer Patients ◽  
Smartphone Application ◽  
Quality Improvement Initiative ◽  
Care Hospital ◽  
Goals Of Care ◽  
Lung Cancer Patients

IntroductionAn important reason for receiving non-beneficial treatment at end-of life is the lack of timely discussions on goals of care and end-of-life preferences. A recent randomized clinical trial demonstrated that patients primed with a questionnaire on their end-of-life preferences were more likely to initiate such conversations with their doctors. Our objective is to integrate the questionnaire into a smartphone application to facilitate early goals of care discussions. To achieve this goal, we first plan to undertake a feasibility study to understand stakeholder preferences.MethodsAs part of a quality improvement initiative at our Canadian quaternary-care hospital, we conducted focus groups with oncology and palliative care physicians and patients to understand barriers to early conversations on end-of-life preferences, and to assess feasibility of using smartphone technology in facilitating these conversations. The app would integrate a questionnaire to patients and send prompts to physicians on patient readiness and timing of conversations.ResultsWe conducted separate focus groups with lung cancer patients (n = 6) and clinicians in oncology (n = 6) and palliative care (n = 6). Clinical teams expressed enthusiasm about early conversations but raised several barriers including system (lack of electronic documentation and access to data; multiple physicians), clinician (lack of time) and patient (stigma associated with end-of-life) barriers. Clinicians agreed that an app could overcome some of these barriers such as access to patient and electronic data by making patients the repository of all their data and empowering them to initiate discussions. However, they raised concerns about universal accessibility of such technology, especially among the elderly. Patient focus groups will take place in March 2021 and inform us on feasibility in this population.ConclusionsThere is a consensus among physicians at our hospital that early end-of-life conversations have the potential to mitigate adverse events and that use of a smart phone app could facilitate such conversations.

scholarly journals Rapid intracranial response to osimertinib, without radiotherapy, in nonsmall cell lung cancer patients harboring the EGFR T790M mutation

Medicine ◽  
2017 ◽  
Vol 96 (6) ◽  
pp. e6087 ◽  
Author(s):  
Taro Koba ◽  
Takashi Kijima ◽  
Takayuki Takimoto ◽  
Haruhiko Hirata ◽  
Yujiro Naito ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Cancer Patients ◽  
Cell Lung Cancer ◽  
Nonsmall Cell Lung Cancer ◽  
T790m Mutation ◽  
Lung Cancer Patients ◽  
Egfr T790m
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