- Maria Dans, MD1,*,
- Thomas Smith, MD2,*,
- Anthony Back, MD3,
- Justin N. Baker, MD4,
- Jessica R. Bauman, MD5,
- Anna C. Beck, MD6,
- Susan Block, MD7,
- Toby Campbell, MD8,
- Amy A. Case, MD9,
- Shalini Dalal, MD10,
- Howard Edwards, MD11,
- Thomas R. Fitch, MD12,
- Jennifer Kapo, MD13,
- Jean S. Kutner, MD14,
- Elizabeth Kvale, MD15,
- Charles Miller, MD16,
- Sumathi Misra, MD17,
- William Mitchell, MD18,
- Diane G. Portman, MD19,*,
- David Spiegel, MD20,*,
- Linda Sutton, MD21,
- Eytan Szmuilowicz, MD22,
- Jennifer Temel, MD23,
- Roma Tickoo, MD, MPH24,
- Susan G. Urba, MD25,
- Elizabeth Weinstein, MD26,
- Finly Zachariah, MD27,
- Mary Anne Bergman28,* and
- Jillian L. Scavone, PhD28,*
- From 1Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine; 2The Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins; 3Fred Hutchinson Cancer Research Center/Seattle Cancer Care Alliance; 4St. Jude Children’s Research Hospital/The University of Tennessee Health Science Center; 5Fox Chase Cancer Center; 6Huntsman Cancer Institute at the University of Utah; 7Dana-Farber Cancer Institute /Brigham and Women’s Cancer Center; 8University of Wisconsin Carbone Cancer Center; 9Roswell Park Cancer Institute; 10The University of Texas MD Anderson Cancer Center; 11Fred & Pamela Buffett Cancer Center; 12Mayo Clinic Cancer Center; 13Yale Cancer Center/Smilow Cancer Hospital; 14University of Colorado Cancer Center; 15University of Alabama at Birmingham Comprehensive Cancer Center; 16The Ohio State University Comprehensive Cancer Center – James Cancer Hospital and Solove Research Institute; 17Vanderbilt-Ingram Cancer Center; 18UC San Diego Moores Cancer Center; 19Moffitt Cancer Center; 20Stanford Cancer Institute; 21Duke Cancer Institute; 22Robert H. Lurie Comprehensive Cancer Center of Northwestern University; 23Massachusetts General Hospital Cancer Center; 24Memorial Sloan Kettering Cancer Center; 25University of Michigan Comprehensive Cancer Center; 26Case Comprehensive Cancer Center/University Hospitals Seidman Cancer Center and Cleveland Clinic Taussig Cancer Institute; 27City of Hope Comprehensive Cancer Center; and 28National Comprehensive Cancer Network.
Abstract
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.
- Copyright © 2017 by the National Comprehensive Cancer Network
