Early integration of palliative care into oncological care: a focus on patient-important outcomes


Ansatbayeva T. Kaidarova D. Kunirova G. Khussainova I. Rakhmetova V. Smailova D. Semenova Y. Glushkova N. Izmailovich M.
2 August 2022MA Healthcare Ltd

International Journal of Palliative Nursing
2022#28Issue 8366 - 375 pp.

Background: Globally, cancer remains one of the leading causes of mortality. Palliative care is designed to meet a range of cancer patients priority issues, including the management of pain and other cancer-associated symptoms. Routine palliative care envisages the provision of not just medical therapy, but also psychological support, social support and spiritual assistance. What constitutes the best model for palliative care remains a matter of debate. Aim: This review was undertaken with the aim to discuss different aspects of early integration of palliative care into oncological care, with a focus on patient-important outcomes. Methods: A comprehensive search of publications was conducted with a focus on integrative palliative care for incurable cancer patients. For this purpose, the following databases and search engines were used: Scopus, PubMed, Cochrane Library, Research Gate, Google Scholar, eLIBRARY and Cyberleninka. Results: A comprehensive approach with early integration of different medical services appears to be the most promising. Integrative palliative care is best provided via specialised interdisciplinary teams, given that all members maintain systemic communications and regularly exchange information. This model ensures that timely and adequate interventions are provided to address the needs of patients. Conclusion: Further research is needed to pinpoint the most optimal strategies to deliver palliative care and make it as tailored to the patients demands as possible.

cancer , cancer-associated symptoms , healthcare , palliative care , quality of life

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Asfendiyarov Kazakh National Medical University, Kazakhstan
Mobile Palliative Home Care Team, City Oncological Center of Almaty, Kazakhstan
Academician of the National Academy of Sciences, Kazakhstan
JSC Kazakh Institute of Oncology and Radiology, Kazakhstan
The Oncology Department, JSC Asfendiyarov Kazakh National Medical University, Kazakhstan
International Association for Hospice and Palliative Care
Together Against Cancer, Kazakhstan
Al-Farabi Kazakh National University, Kazakhstan
The Department of Psychological and Social Assistance, Kazakh Insititute of Oncology and Radiology, Kazakhstan
Department of Internal Diseases, Astana Medical University, Kazakhstan
Department of Epidemiology, Evidence-Based Medicine and Biostatistics, Kazakhstan School of Public Health, Kazakhstan
Nazarbayev University School of Medicine, Kazakhstan
Department of Epidemiology, Biostatistics and Evidence Based Medicine, Al-Farabi Kazakh National University, Kazakhstan
Department of Internal Diseases, Karaganda Medical University, Kazakhstan

Asfendiyarov Kazakh National Medical University
Mobile Palliative Home Care Team
Academician of the National Academy of Sciences
JSC Kazakh Institute of Oncology and Radiology
The Oncology Department
International Association for Hospice and Palliative Care
Together Against Cancer
Al-Farabi Kazakh National University
The Department of Psychological and Social Assistance
Department of Internal Diseases
Department of Epidemiology
Nazarbayev University School of Medicine
Department of Epidemiology
Department of Internal Diseases

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