Hostname: page-component-76fb5796d-vvkck Total loading time: 0 Render date: 2024-04-25T12:22:06.761Z Has data issue: false hasContentIssue false
  • English
  • Français

Seventeen years of progress for supportive care services: A resurvey of National Cancer Institute–designated comprehensive cancer centers

Published online by Cambridge University Press:  03 July 2014

Sheila L. Hammer ,
Karen Clark ,
Marcia Grant  and
Matthew J. Loscalzo
Sheila L. Hammer*
Affiliation:
Cancer Support Community Santa Monica, Santa Monica, California City of Hope National Medical Center, Duarte, California
Karen Clark
Affiliation:
City of Hope National Medical Center, Duarte, California
Marcia Grant
Affiliation:
City of Hope National Medical Center, Duarte, California
Matthew J. Loscalzo
Affiliation:
City of Hope National Medical Center, Duarte, California
*
Address correspondence and reprint requests to: Sheila L. Hammer, Clinical Program Director, Cancer Support Community Santa Monica, 1990 South Bundy Drive, Suite 100, Los Angeles, California 90025. E-mail: shammer@cancersupportcommunitybenjamincenter.org
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective:

We replicated a 1994 study that surveyed the state of supportive care services due to changes in the field and the increased need for such services. We provide an updated assessment, comparing the changes that have occurred and describing the current status of supportive care services in comprehensive cancer settings.

Method:

We used Coluzzi and colleague's 60-question survey from their 1995 Journal of Clinical Oncology article to frame the 98-question survey employed in the current study. Medical and palliative care directors for the 2011 National Cancer Institute (NCI) comprehensive cancer centers were surveyed regarding their supportive care services and their subjective review of the overall effectiveness of the services provided.

Results:

We achieved a 76% response rate (n = 31). The data revealed increases in the number of cancer beds in the hospitals, the degree of integration of supportive care services, the availability of complementary services, and the number of pain and palliative care services offered. There was also an overall shift toward centers becoming more patient centered, as 65% reported now having a patient and family advisory council. Our findings revealed a growing trend to offer distress screening for both outpatients and inpatients. Medical and palliative care directors' evaluations of the supportive care services they offered also significantly improved. However, the results revealed an ongoing gap in services for end-of-life care and timely referrals for hospice services.

Significance of results:

Overall, both the quantity and quality of supportive care services in the surveyed NCI-designated cancer centers has improved.

Keywords

Supportive careOncologyDistress screeningEnd-of-life carePalliative care
Type
Original Articles
Information
Palliative & Supportive Care , Volume 13 , Issue 4 , August 2015 , pp. 917 - 925
Copyright
Copyright © Cambridge University Press 2014 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

American Cancer Society (2012). Cancer facts and figures 2012. Available at http://www.cancer.org/acs/groups/content/@epidemiologysurveilance/documents/document/acspc-031941.pdf.Google Scholar
Bakitas, M., Lyons, K.D., Hegel, M.T., et al. (2009). Effects of a palliative care intervention on clinical outcomes in patients with advanced cancer. The Journal of the American Medical Association, 302, 741–749.Google Scholar
Bruera, E. & Hui, D. (2012). Conceptual models for integrating palliative care at cancer centers. Journal of Palliative Medicine, 15, 1261–1269.Google Scholar
Caraceni, A., Zecca, E., Martini, C., et al. (2012). Palliative sedation at the end of life at a tertiary cancer center. Supportive Care in Cancer, 20, 1299–1307.CrossRefGoogle Scholar
Coluzzi, P.H., Grant, M., Doroshow, J.H., et al. (1995). Survey of the provision of supportive care services at National Cancer Institute–designated cancer centers. Journal of Clinical Oncology, 13, 756–764.Google Scholar
Conway, J., Johnson, B., Edgman-Levitan, S., et al. (2006). Partnering with patients and families to design a patient- and family-centered healthcare system: A roadmap for the future. A work in progress. Bethesda: Institute for Family-Centered Care. Available at http://www.ipfcc.org/pdf/Roadmap.pdf.Google Scholar
Dennis, K., Librach, S.L. & Chow, E. (2011). Palliative care and oncology: Integration leads to better care. Oncology, 25, 1271–1275.Google Scholar
Derogatis, L.R. & Melisaratos, N. (1983). The Brief Symptom Inventory: An introductory report. Psychological Medicine , 3, 595–605.Google Scholar
Fadul, N., Elsayem, A., Palmer, J.L., et al. (2009). Supportive versus palliative care: What's in a name? A survey of medical oncologists and midlevel providers at a comprehensive cancer center. Cancer, 115, 2013–2021.CrossRefGoogle Scholar
Fann, J.R., Ell, K. & Sharpe, M. (2012). Integrating psychosocial care into cancer services. Journal of Clinical Oncology, 30, 1178–1186.Google Scholar
Holland, J.C., Bultz, B.D. & National Comprehensive Cancer Network (NCCN). (2007). The NCCN guideline for distress management: A case for making distress the sixth vital sign. Journal of the National Comprehensive Cancer Network, 5, 3–7.Google Scholar
Holland, J.C., Andersen, B., Breitbart, W.S., et al. (2013). NCCN clinical practice guidelines in oncology: Distress management. Journal of the National Comprehensive Cancer Network, 11, 190–209.Google Scholar
Hui, D., Elsayem, A., de la Cruz, M., et al. (2010). Availability and integration of palliative care at U.S. cancer centers. The Journal of the American Medical Association, 303, 1054–1061.Google Scholar
Institute of Medicine (IOM) (2008). Cancer care for the whole patient: Meeting psychosocial health needs. Washington, DC: National Academies Press.Google Scholar
Jacobsen, P.B. (2007). Screening for psychological distress in cancer patients: Challenges and opportunities. Journal of Clinical Oncology, 25, 4526–4527.Google Scholar
Janjan, N. (2011). Palliative care: Meaningful benefit in oncology care. Oncology, 25, 1244–1256.Google Scholar
Kroenke, K., Spitzer, R.L. & Williams, J.B. (2001). The PHQ-9: Validity of a brief depression severity measure. Journal of General Internal Medicine, 16, 606–613.CrossRefGoogle ScholarPubMed
Loscalzo, M.J. & Clark, K.L. (2007). Problem-related distress in cancer patients drives requests for help: A prospective study. Oncology, 21, 1133–1138.Google Scholar
Loscalzo, M.J., Bultz, B. & Jacobsen, P.B. (2010). Building psychosocial programs: A roadmap to excellence. In Psychooncology. Holland, J. et al. (eds.), pp. 610–616. New York: Oxford University Press.Google Scholar
Lown, B.A., Rosen, J. & Marttila, J. (2011). An agenda for improving compassionate care: A survey shows about half of patients say such care is missing. Health Affairs, 30, 1772–1778.CrossRefGoogle Scholar
McMillan, S.C. & Small, B.J. (2007). Using the COPE intervention for family caregivers to improve symptoms of hospice homecare patients: A clinical trial. Oncology Nursing Forum, 34, 313–321.Google Scholar
Medicare Payment Advisory Commission (2009). Report to the Congress: Medicare's payment policy. Reforming Medicare's hospice benefit, pp. 347–376. Washington, DC: Government Printing Office.Google Scholar
Moy, B., Polite, B.N., Halpern, M.T., et al. (2011). American Society of Clinical Oncology policy statement: Opportunities in the patient protection and Affordable Care Act to reduce cancer care disparities. Journal of Clinical Oncology, 29, 3816–3824.Google Scholar
Multinational Association of Supportive Care in Cancer (MASCC) (2013). Strategic plan: Consensus on the core ideology for MASCC. Available at http://www.mascc.org/strategic-plan.Google Scholar
National Cancer Institute (2011). Cancer centers list. Available at http://cancercenters.cancer.gov/cancer_centers/cancer-centers-list2.html.Google Scholar
National Consensus Project for Quality Palliative Care (2009). Clinical practice guidelines for quality palliative care. Pittsburgh: National Consensus Project for Quality Palliative Care.Google Scholar
Public Law 111-148 (2010). Patient Protection and Affordable Care Act.Google Scholar
Radloff, L.S. (1977). The CES-D Scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385–401.Google Scholar
Ransom, S., Jacobsen, P.B. & Booth-Jones, M. (2006). Validation of the distress thermometer with bone marrow transplant patients. Psycho-Oncology, 15, 604–612.CrossRefGoogle ScholarPubMed
Smith, T.J., Staats, P.S., Deer, T., et al. (2002). Randomized clinical trial of an implantable drug delivery system compared with comprehensive medical management for refractory cancer pain: Impact on pain, drug-related toxicity, and survival. Journal of Clinical Oncology, 20, 4040–4049.Google Scholar
Temel, J.S., Greer, J.A., Muzikansky, A., et al. (2010). Early palliative care for patients with metastatic non-small-cell lung cancer. The New England Journal of Medicine, 363, 733–742.Google Scholar
van den Beuken-van Everdingen, M.H., de Rijke, J.M., Kessels, A.G., et al. (2007). Prevalence of pain in patients with cancer: A systematic review of the past 40 years. Annals of Oncology, 18, 1437–1449.Google Scholar
von Roenn, J.H. & Temel, J. (2011). The integration of palliative care and oncology: The evidence. Oncology, 25, 1258–1260.Google Scholar
Zigmond, A.S. & Snaith, R.P. (1983). The Hospital Anxiety and Depression Scale. Acta Psychiatrica Scandinavica, 67, 361–370.Google Scholar
Supplementary material: File

Hammer Supplementary Material

Appendix

Download Hammer Supplementary Material(File)
File 72.7 KB