Palliative care delivered alongside surgical or trauma care is associated with improved
quality of communication and quality of end-of-life care, reduced suffering, and lower
health care utilization. However, despite its benefits, seriously ill surgical patients
are less likely to receive palliative care than other hospitalized patients.
1
In response, The American College of Surgeons has endorsed the National Consensus
Guidelines for Quality Palliative Care and recently issued its own guidelines promoting
domains of palliative care in routine geriatric surgical and trauma care. Furthermore,
the National Institutes of Health and the National Palliative Care Research Center
have sponsored a research agenda for palliative care in surgery. Although there is
increasing recognition of the need to increase access to palliative care for seriously
ill patients undergoing surgery, scant data about the scope of the demand hinder health
care leaders and policy makers in meeting the needs of seriously ill surgical patients.
Population-level data are needed to conduct robust health services research and hold
clinicians, health systems, and policy makers accountable to standards for quality
palliative care.To read this article in full you will need to make a payment
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References
- Use of palliative care and hospice among surgical and medical specialties in the veterans health administration.JAMA Surg. 2014; 149: 1169-1175
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- Using claims data to predict dependency in activities of daily living as a proxy for frailty.Pharmacoepidemiol Drug Saf. 2015; 24: 59-66
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Article info
Publication history
Published online: April 15, 2020
Identification
Copyright
© 2020 Published by Elsevier Inc. on behalf of American Academy of Hospice and Palliative Medicine.
