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Early Palliative Care Ups QOL for Terminal Cancer Patients

Early care also increases chances of having end-of-life discussions

FRIDAY, Sept. 9, 2016 (HealthDay News) — Starting palliative care shortly after an incurable cancer diagnosis helps patients cope and improves their quality of life, according to a study presented at the American Society of Clinical Oncology’s annual Palliative Care in Oncology Symposium, held from Sept. 9 to 10 in San Francisco.

The new study included 350 patients recently diagnosed with incurable lung or gastrointestinal cancer. They were randomly assigned to one of two care groups. One group received early palliative care integrated with cancer care. The other received cancer care alone. The patients were evaluated at 12 and 24 weeks after diagnosis.

At 24 weeks, the early palliative care patients were much more likely to report using active and engaged coping styles than the standard cancer care patients. Early palliative care patients also had much higher quality of life and lower levels of depression at 24 weeks, but not at 12 weeks, the researchers found. Thirty percent of early palliative care patients said they had discussed end-of-life care preferences. Just 14 percent of standard care patients had similar talks.

“What we found was the patients who received early palliative care were more likely to use adaptive coping strategies — meaning they were more likely to take some action to make their lives better as well as to accept their diagnosis,” lead author Joseph Andrew Greer, Ph.D., of Massachusetts General Hospital in Boston, said in a news release from the American Society of Clinical Oncology. “Palliative care is a key ingredient to improving a quality of life, which is important to both patients and their families.”

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