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About half of cancer patients are hospitalized and undergo at least one imaging scan at the end of life

Many With Cancer Hospitalized, Undergo Imaging at End of Life

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Among young adults not enrolled in hospice, opioid use in the last 30 days of life decreased over time
For patients with end-stage liver disease

Use of Palliative Care Up for End-Stage Liver Disease

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Hispanic race and insurance coverage associated with lower referral to palliative care
Patients with life-limiting illness often receive medications of questionable benefit given their remaining life span

Patients Often Prescribed Futile Drugs in Last Months of Life

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Researchers find many still prescribed long-term disease-preventing medications
There is considerable disagreement between patients and surrogates with regard to advance care planning

Surrogate Often Unaware of Tx Goals in Advance Care Planning

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Agreement about communication related to QOL linked to surrogate knowledge of treatment goals
Higher primary care physician involvement in end-of-life care is associated with less intensive and lower cost end-of-life care

PCP Involvement Tied to End-of-Life Care Patterns

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Higher primary care physician involvement linked to less intensive and lower cost end-of-life care
Palliative care interventions are associated with improvements in patient quality of life and symptom burden

Palliative Care Positively Affects Symptom Burden, QOL

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But no effect on survival; findings for caregiver outcomes mixed
The American Society of Clinical Oncology Clinical Practice Guideline on the integration of palliative care into standard oncology care has been updated. The update was published online Oct. 28 in the Journal of Clinical Oncology.

ASCO Updates Guidelines on Integration of Palliative Care

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Those with advanced cancer should receive dedicated palliative care services early in disease course
Staff members at nearly one in 10 major U.S. cancer centers -- all of which provide palliative care services -- weren't certain such symptom-management and supportive care was actually available there

Some Cancer Center Staff Uncertain of Services Offered

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'Mystery shopper' study shows one in 10 facilities provided misinformation on palliative care services
Starting palliative care shortly after an incurable cancer diagnosis helps patients cope and improves their quality of life

Early Palliative Care Ups QOL for Terminal Cancer Patients

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Early care also increases chances of having end-of-life discussions
Cancer patients and their oncologists often hold different opinions about the patient's chances for survival and how long they might live

Cancer Patients, Oncologists Have Discordant Opinions on Prognosis

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Those with advanced disease are likely to be more optimistic than their oncologist