{"doi":"10.3390/cancers14041047","title":"Timely Palliative Care: Personalizing the Process of Referral","abstract":"<jats:p>Timely palliative care is a systematic process to identify patients with high supportive care needs and to refer these individuals to specialist palliative care in a timely manner based on standardized referral criteria. It requires four components: (1) routine screening of supportive care needs at oncology clinics, (2) establishment of institution-specific consensual criteria for referral, (3) a system in place to trigger a referral when patients meet criteria, and (4) availability of outpatient palliative care resources to deliver personalized, timely patient-centered care aimed at improving patient and caregiver outcomes. In this review, we discuss the conceptual underpinnings, rationale, barriers and facilitators for timely palliative care referral. Timely palliative care provides a more rational use of the scarce palliative care resource and maximizes the impact on patients who are offered the intervention. Several sets of referral criteria have been proposed to date for outpatient palliative care referral. Studies examining the use of these referral criteria consistently found that timely palliative care can lead to a greater number of referrals and earlier palliative care access than routine referral. Implementation of timely palliative care at each institution requires oncology leadership support, adequate palliative care infrastructure, integration of electronic health record and customization of referral criteria.</jats:p>","journal":"Cancers","year":2022,"id":610616,"datarank":0.793995723708674,"base_score":5.293304824724492,"endowment":5.293304824724492,"self_citation_contribution":0.793995723708674,"citation_network_contribution":0.0,"self_endowment_contribution":0.793995723708674,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":198,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":8,"is_dataset":false,"is_dataset_confidence":null,"is_data_producer":false,"deposit_databanks":null,"is_oa":false,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":null,"fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":311448,"name":"Yvonne Heung","orcid":"0000-0003-0929-9021","position":1,"is_corresponding":false},{"id":1310973,"name":"Eduardo Bruera","orcid":null,"position":2,"is_corresponding":false},{"id":147159,"name":"David Hui","orcid":null,"position":0,"is_corresponding":false}],"reference_count":0,"raw_metadata":{"has_enrichment":true,"resolved":true,"title":"Timely Palliative Care: Personalizing the Process of Referral","abstract":"<jats:p>Timely palliative care is a systematic process to identify patients with high supportive care needs and to refer these individuals to specialist palliative care in a timely manner based on standardized referral criteria. It requires four components: (1) routine screening of supportive care needs at oncology clinics, (2) establishment of institution-specific consensual criteria for referral, (3) a system in place to trigger a referral when patients meet criteria, and (4) availability of outpatient palliative care resources to deliver personalized, timely patient-centered care aimed at improving patient and caregiver outcomes. In this review, we discuss the conceptual underpinnings, rationale, barriers and facilitators for timely palliative care referral. Timely palliative care provides a more rational use of the scarce palliative care resource and maximizes the impact on patients who are offered the intervention. Several sets of referral criteria have been proposed to date for outpatient palliative care referral. Studies examining the use of these referral criteria consistently found that timely palliative care can lead to a greater number of referrals and earlier palliative care access than routine referral. Implementation of timely palliative care at each institution requires oncology leadership support, adequate palliative care infrastructure, integration of electronic health record and customization of referral criteria.</jats:p>","is_dataset_classified":null,"base_score":5.293304824724492,"endowment":5.293304824724492,"datacite_reuse_total":8,"file_count":0,"downloads":0,"views":0,"has_version_chain":false,"is_dataset":false,"is_oa":false,"pmid":"35205793","pmcid":"PMC8870673","openalex_id":"https://openalex.org/W4212839428","authors":[],"funders":[{"funder_name":"National Institutes of Health","grant_id":"5R01CA214960-04","title":"A Randomized Controlled Trial of Dexamethasone for Dyspnea in Cancer Patients"},{"funder_name":"National Institutes of Health","grant_id":"5R01CA231471-05","title":"Efficacy and Safety of Rapid-Onset Opioids for Exertional Dyspnea in Cancer Patients"},{"funder_name":"National Institutes of Health","grant_id":"5R01CA225701-02","title":"Strategies for Persistent Agitated Delirium in Palliative Care"}],"total_grants":3,"fwci":32.372,"citation_percentile":0.99915037,"influential_citations":0,"citation_trend":[{"year":2022,"count":19},{"year":2023,"count":35},{"year":2024,"count":61},{"year":2025,"count":52},{"year":2026,"count":31}],"oa_status":"gold","license":"cc-by","oa_locations":[{"url":"https://www.mdpi.com/2072-6694/14/4/1047/pdf?version=1645186622","host_type":"journal"},{"url":"https://www.mdpi.com/2072-6694/14/4/1047/pdf?version=1645186622","host_type":"publisher"},{"url":"https://www.mdpi.com/2072-6694/14/4/1047/pdf","host_type":"publisher"},{"url":"https://doi.org/10.3390/cancers14041047","host_type":"journal"},{"url":"https://pubmed.ncbi.nlm.nih.gov/35205793","host_type":"repository"},{"url":"https://doaj.org/article/942e50f7d85043c9ac5f6c6eba674134","host_type":"repository"},{"url":"https://dx.doi.org/10.3390/cancers14041047","host_type":"repository"},{"url":"https://www.ncbi.nlm.nih.gov/pmc/articles/8870673","host_type":"repository"},{"url":"https://europepmc.org/articles/PMC8870673","host_type":"Europe_PMC"},{"url":"https://europepmc.org/articles/PMC8870673?pdf=render","host_type":"Europe_PMC"},{"url":"http://dx.doi.org/10.3390/cancers14041047","host_type":""}],"fields_of_study":["Palliative Care and End-of-Life Issues","Patient-Provider Communication in Healthcare","Cancer survivorship and care","03 medical and health sciences","0302 clinical medicine"],"mesh_terms":[],"keywords":["Referral","Palliative care","Medicine","Nursing","Ambulatory care","Family medicine","Curative care","Health care","Implementation","Randomized controlled trial","Delivery Of Health Care","Referral And Consultation","Hospital","Patient-centered Care","Supportive Care","Psychological Distress","Outpatient Clinics","Health Care Quality","Symptom Assessment","Access And Evaluation","Review"],"sdg_mappings":[{"sdg_number":3,"sdg_label":"3. 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