Current Opinion in Supportive and Palliative Care最新文献_第2页

Practical aspects of managing multimorbidity in older adults with cancer. 老年癌症患者多病管理的实践方面。

IF 2 4区医学

Current Opinion in Supportive and Palliative Care Pub Date : 2026-03-01 Epub Date: 2026-01-27 DOI: 10.1097/SPC.0000000000000790

Shane O'Hanlon, Mark Baxter, Gabor Liposits

{"title":"Practical aspects of managing multimorbidity in older adults with cancer.","authors":"Shane O'Hanlon, Mark Baxter, Gabor Liposits","doi":"10.1097/SPC.0000000000000790","DOIUrl":"10.1097/SPC.0000000000000790","url":null,"abstract":"Purpose of review: Managing multimorbidity in older adults with cancer is a central, complex challenge in modern oncology. Historically, this population was underrepresented in clinical trials, leaving clinicians without practical guidance. This review synthesizes recent evidence that moves beyond simply documenting frailty to deploying targeted, evidence-based interventions to improve supportive and palliative care.Recent findings: The literature supports a practical 2-step approach to assessment, using screening tools like the Geriatric-8 to trigger a full Comprehensive Geriatric Assessment (CGA) with management, which is proven to reduce treatment toxicity. Goal-aligned deprescribing has emerged as an active clinical skill to manage polypharmacy. In decision-making, the focus has shifted from guideline-concordant to goal-concordant care. Finally, a needs-based paradigm for integrating palliative care is replacing older, prognosis-based models, distinguishing between generalist skills for all clinicians and specialist consultation for complex cases.Summary: Recent evidence provides clinicians with practical approaches. By using validated screening, CGA-led interventions, systematic deprescribing, and needs-based palliative care, clinical teams can reduce treatment toxicity, lessen medication burden, and align complex cancer care with the personal priorities and quality-of-life goals of older patients.","PeriodicalId":48837,"journal":{"name":"Current Opinion in Supportive and Palliative Care","volume":" ","pages":"5-10"},"PeriodicalIF":2.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145851182","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comparison of the EORTC QLQ PR25 and the FACT-P for assessing quality of life in patients with prostate cancer - an updated literature review. 评价前列腺癌患者生活质量的EORTC QLQ PR25和FACT-P的比较——最新文献综述

IF 2 4区医学

Current Opinion in Supportive and Palliative Care Pub Date : 2026-03-01 Epub Date: 2026-01-27 DOI: 10.1097/SPC.0000000000000786

David Chen, Jane Jomy, Tony Ning, Samantha Cheng, Maira Khan, Andrew Bottomley, David Cella, Hans Chung, Shin Fung Lee, Urban Emmenegger, Amanda Hird, Edward Chow, Henry C Y Wong, Srinivas Raman

{"title":"Comparison of the EORTC QLQ PR25 and the FACT-P for assessing quality of life in patients with prostate cancer - an updated literature review.","authors":"David Chen, Jane Jomy, Tony Ning, Samantha Cheng, Maira Khan, Andrew Bottomley, David Cella, Hans Chung, Shin Fung Lee, Urban Emmenegger, Amanda Hird, Edward Chow, Henry C Y Wong, Srinivas Raman","doi":"10.1097/SPC.0000000000000786","DOIUrl":"https://doi.org/10.1097/SPC.0000000000000786","url":null,"abstract":"Purpose of review: Prostate cancer can significantly impact psychological, physical, and social well-being. This systematic review compares the development of the Functional Assessment of Cancer Therapy-Prostate (FACT-P) and the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire-Prostate Cancer (EORTC QLQ-PR25) for evaluating quality of life (QoL) in prostate cancer patients, focusing on development, characteristics, reliability, validity, and psychometric properties.Recent findings: Thirteen studies published between 2013 and 2022 met the inclusion criteria. FACT-P and EORTC QLQ-PR25 are both validated, reliable, and responsive instruments for assessing QoL in prostate cancer patients. FACT-P emphasizes emotional, social, and functional well-being alongside prostate-specific concerns, while EORTC QLQ-PR25 focuses on prostate-specific symptoms, particularly urinary, sexual, and hormonal function.Summary: The FACT-P and EORTC QLQ-PR25 are valid tools for assessing QoL in prostate cancer patients. The decision to use the FACT-P or the EORTC QLQ-PR25 instrument may depend on the population and aims of the proposed study. Given substantial advancements in treatment and patient care in prostate cancer since the initial development of the FACT-P and EORTC QLQ-PR25, these quality of life instruments should undergo comprehensive validation to ensure they remain a relevant and effective tool for contemporary prostate cancer clinical trials.","PeriodicalId":48837,"journal":{"name":"Current Opinion in Supportive and Palliative Care","volume":"20 1","pages":"33-44"},"PeriodicalIF":2.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146087718","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Integrating geriatric assessment across the cancer continuum. 整合整个癌症连续体的老年评估。

IF 2 4区医学

Current Opinion in Supportive and Palliative Care Pub Date : 2026-03-01 Epub Date: 2026-01-27 DOI: 10.1097/SPC.0000000000000796

Schroder Sattar, Christopher Steer

引用次数: 0

Implementation of electronic patient-reported outcomes in supportive care for oncology patients. 肿瘤患者支持性护理中电子患者报告结果的实施。

IF 2 4区医学

Current Opinion in Supportive and Palliative Care Pub Date : 2026-03-01 Epub Date: 2026-01-27 DOI: 10.1097/SPC.0000000000000793

Luciana Beatriz Mendes Gomes Siqueira, Dylan Callens, Sun Choi, Chahrazad Benazzouz, Xiaoyang Lan, Colleen Dunphy, Doris Howell, Lawson Eng, Eva Oldenburger

{"title":"Implementation of electronic patient-reported outcomes in supportive care for oncology patients.","authors":"Luciana Beatriz Mendes Gomes Siqueira, Dylan Callens, Sun Choi, Chahrazad Benazzouz, Xiaoyang Lan, Colleen Dunphy, Doris Howell, Lawson Eng, Eva Oldenburger","doi":"10.1097/SPC.0000000000000793","DOIUrl":"10.1097/SPC.0000000000000793","url":null,"abstract":"Purpose of review: Patient-reported outcomes (PROs) have become increasingly important in oncology, capturing the patient perspective on symptoms, treatment effects, and health-related quality of life. Transitioning to electronic platforms (ePROs) enables real-time monitoring, efficient integration into clinical workflows, and enhanced patient-centered care. This review explores recent evidence on the clinical utility, barriers, and future directions of integrating ePROs in supportive care in oncology.Recent findings: ePROs improve symptom control, quality of life, engagement, and in some studies, overall survival. They support earlier clinical interventions, reducing emergency visits and hospitalizations and help improve outcomes. Barriers persist at system (infrastructure, interoperability, and data security), clinician (workflow disruption, time constraints, and alert fatigue), and patient (digital literacy, access, and usability) levels. Mitigation strategies include organizational support, clinician champions, codesigned inclusive platforms, and robust privacy safeguards. Emerging opportunities involve integration with artificial intelligence, big data, and decision-support systems to advance precision oncology and population health management.Summary: ePROs represent a transformative approach in supportive cancer care. Overcoming multilevel barriers and harnessing digital innovations are essential to optimize clinical outcomes, equity, and long-term sustainability.","PeriodicalId":48837,"journal":{"name":"Current Opinion in Supportive and Palliative Care","volume":" ","pages":"24-32"},"PeriodicalIF":2.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145999371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Patient-reported and patient experience outcome tools for palliative care in acute hospitals - What's helpful? What are we missing? 急性医院姑息治疗的患者报告和患者体验结果工具-有什么帮助？我们错过了什么？

IF 2 4区医学

Current Opinion in Supportive and Palliative Care Pub Date : 2025-12-01 Epub Date: 2025-10-28 DOI: 10.1097/SPC.0000000000000785

Bridget Johnston, Muzeyyen Seckin, Alison Brown

{"title":"Patient-reported and patient experience outcome tools for palliative care in acute hospitals - What's helpful? What are we missing?","authors":"Bridget Johnston, Muzeyyen Seckin, Alison Brown","doi":"10.1097/SPC.0000000000000785","DOIUrl":"10.1097/SPC.0000000000000785","url":null,"abstract":"Purpose of the review: The primary aim of this review was to identify and describe the tools or methods used to capture patient-reported experiences and outcomes related to palliative care provided within acute hospital settings.Recent findings: Twenty-eight patient-reported outcome and experience measures were used across the studies. The studies mainly used the patient-reported outcome measures to assess symptom burden and distress. Only four studies used both patient-reported outcome measures and patient-reported experience measures. Most studies predominantly included patients with cancer. Only one new measure was found in the last 18 months. There was lack of use of electronic versions of patient-reported outcome and experience measures in inpatient palliative care.Summary: Limited evidence was found on the use of electronic version of patient-reported outcome and patient reported experience measures in inpatient palliative care. There is a critical need to enhance understanding and routine implementation of more holistic patient-reported outcome measures in hospital-based specialist palliative care. Further research is needed to identify the most appropriate electronic version of holistic patient-reported outcome measures and patient-reported experience measures for use in these settings.","PeriodicalId":48837,"journal":{"name":"Current Opinion in Supportive and Palliative Care","volume":" ","pages":"215-228"},"PeriodicalIF":2.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145349382","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Social isolation and loneliness in serious illness: what Compassionate Communities can offer. 严重疾病中的社会隔离和孤独：富有同情心的社区可以提供什么。

IF 2 4区医学

Current Opinion in Supportive and Palliative Care Pub Date : 2025-12-01 Epub Date: 2025-10-28 DOI: 10.1097/SPC.0000000000000777

Elaine Stevens

{"title":"Social isolation and loneliness in serious illness: what Compassionate Communities can offer.","authors":"Elaine Stevens","doi":"10.1097/SPC.0000000000000777","DOIUrl":"10.1097/SPC.0000000000000777","url":null,"abstract":"Purpose of the review: Social isolation and loneliness are common in people with advanced illness. This leads to reduced quality of life and all-cause mortality. The aim of this review is to identify the causes of social isolation in those with serious illness and consider the role of Public Health Palliative Care (PHPC) and Compassionate Communities in reducing these insidious issues.Recent findings: Recent studies have expanded the evidence base around the causes of social isolation in those with serious illness. While there has been a plethora of research on the outcomes of Compassionate Communities initiative recent research has identified that more needs to be done to evidence their effectiveness and efficiency.Summary: Social isolation and loneliness in those with serious illness have a negative effect on the quality of life. However, much still needs to be done to improve this situation in an effective and efficient way that meet the needs of individuals. It would appear that PHPC, and in particular Compassionate Communities, have a key role to play in this endeavour.","PeriodicalId":48837,"journal":{"name":"Current Opinion in Supportive and Palliative Care","volume":" ","pages":"229-233"},"PeriodicalIF":2.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145070899","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Use of the EORTC QLQ-BN20 and the FACT-Br for the assessment of quality of life in patients with brain tumors: a systematic review of prospective clinical studies. 使用EORTC QLQ-BN20和FACT-Br评估脑肿瘤患者的生活质量：前瞻性临床研究的系统回顾

IF 2 4区医学

Current Opinion in Supportive and Palliative Care Pub Date : 2025-12-01 Epub Date: 2025-10-28 DOI: 10.1097/SPC.0000000000000779

Ethan Goonaratne, Krista McGrath, Shing Fung Lee, Andrew Bottomley, David Cella, Hany Soliman, Adrian W Chan, Eric Chang, Dirk Rades, Gustavo Nader Marta, Edward Chow, Henry C Y Wong

{"title":"Use of the EORTC QLQ-BN20 and the FACT-Br for the assessment of quality of life in patients with brain tumors: a systematic review of prospective clinical studies.","authors":"Ethan Goonaratne, Krista McGrath, Shing Fung Lee, Andrew Bottomley, David Cella, Hany Soliman, Adrian W Chan, Eric Chang, Dirk Rades, Gustavo Nader Marta, Edward Chow, Henry C Y Wong","doi":"10.1097/SPC.0000000000000779","DOIUrl":"10.1097/SPC.0000000000000779","url":null,"abstract":"Purpose of review: This systematic review aims to evaluate how the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Brain Cancer (EORTC QLQ-BN20) and Functional Assessment of Cancer Therapy-Brain (FACT-Br) are used in prospective brain tumor studies in the past decade, particularly in assessing quality of life (QoL). It aims to assess variability in QoL outcomes across treatment types, use of supplemental tools, and assessment of data completeness and concordance with cognitive assessments.Recent findings: A total of 100 prospective studies were included and reviewed. The EORTC QLQ-BN20 was used in 75 studies, and the FACT-Br in 27; 2 studies used both. Patient-reported outcome measures were supplemented in 98 studies, most commonly with the EORTC QLQ-C30, EQ-5D, or FACT-G. Fifteen studies included neurocognitive assessments. QoL was the primary endpoint in 39 studies. Radiotherapy and systemic therapy were the most frequently studied interventions (36 studies each), followed by surgical interventions (34 studies). QoL outcomes varied by intervention type. Seven of 15 studies using cognitive testing reported discordance between objective and self-reported cognition. Thirty-four studies reported compliance challenges, and 19 reported ≥25% missing data at final follow-up.Summary: The QLQ-BN20 and FACT-Br are widely used tools for QoL evaluation in brain tumor research. Enhancing their usability, incorporating digital formats, and integrating cognitive testing may improve data quality and relevance in clinical practice.","PeriodicalId":48837,"journal":{"name":"Current Opinion in Supportive and Palliative Care","volume":" ","pages":"270-278"},"PeriodicalIF":2.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145294016","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Access to radical and palliative radiotherapy in low- and middle-income countries: challenges, progress, and future directions. 低收入和中等收入国家获得根治性和姑息性放疗：挑战、进展和未来方向

IF 2 4区医学

Current Opinion in Supportive and Palliative Care Pub Date : 2025-12-01 Epub Date: 2025-10-28 DOI: 10.1097/SPC.0000000000000783

Maria Thereza Mansur Starling, Omar Abdihamid, Verna Vanderpuye, Gustavo Nader Marta

{"title":"Access to radical and palliative radiotherapy in low- and middle-income countries: challenges, progress, and future directions.","authors":"Maria Thereza Mansur Starling, Omar Abdihamid, Verna Vanderpuye, Gustavo Nader Marta","doi":"10.1097/SPC.0000000000000783","DOIUrl":"10.1097/SPC.0000000000000783","url":null,"abstract":"Purpose of review: Low- and middle-income countries (LMICs) bear over half of the global cancer mortality but have access to only 5% of global radiotherapy resources. As the cancer burden rises and equity in palliative care gains global attention, a focused review on palliative radiotherapy access in LMICs is both timely and necessary.Recent findings: Barriers to radiotherapy access in LMICs are multifaceted, including infrastructure gaps, workforce shortages, geographic centralization, high out-of-pocket costs, and systemic underinvestment. Palliative radiotherapy, despite its proven cost-effectiveness and impact on quality of life, is often excluded from national cancer plans and health strategies. Innovative approaches such as hypofractionation, mobile units, AI-assisted planning, and public-private partnerships are emerging to address these gaps. Efforts by the International Atomic Energy Agency and local governments have led to progress in several regions, with case studies from Africa, Asia, and Latin America showing promising results.Summary: Integrating radiotherapy - particularly palliative radiotherapy - into national cancer and palliative care strategies is essential. Sustainable financing, decentralized service models, and context-specific technologies are critical to overcoming current limitations. Bridging this gap is not only a public health necessity but also a moral imperative to reduce suffering and support patients' dignity and societal contributions.","PeriodicalId":48837,"journal":{"name":"Current Opinion in Supportive and Palliative Care","volume":" ","pages":"256-262"},"PeriodicalIF":2.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145349367","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Recent advances and future directions in spinal cord stimulation for chronic pain: a multidisciplinary perspective. 脊髓刺激治疗慢性疼痛的最新进展和未来方向：多学科视角。

IF 2 4区医学

Current Opinion in Supportive and Palliative Care Pub Date : 2025-12-01 Epub Date: 2025-10-28 DOI: 10.1097/SPC.0000000000000787

引用次数: 0

Exploring the bereavement support interventions, facilitators and barriers before and after the death of a resident in care home settings: a rapid mixed-methods review. 探索丧亲支持干预措施，促进和障碍之前和之后的居民在养老院设置：快速混合方法审查。

IF 2 4区医学

Current Opinion in Supportive and Palliative Care Pub Date : 2025-12-01 Epub Date: 2025-10-28 DOI: 10.1097/SPC.0000000000000773

Çiğdem Fulya Dönmez, Bridget Johnston

{"title":"Exploring the bereavement support interventions, facilitators and barriers before and after the death of a resident in care home settings: a rapid mixed-methods review.","authors":"Çiğdem Fulya Dönmez, Bridget Johnston","doi":"10.1097/SPC.0000000000000773","DOIUrl":"10.1097/SPC.0000000000000773","url":null,"abstract":"Purpose of review: Bereavement support in care homes is a critical aspect of end-of-life care that has gained increasing attention in recent years. The purpose of this rapid mixed-methods review is to synthesise evidence on pre- and post-bereavement support interventions as well as facilitators and barriers of bereavement for care home staff, residents, and bereaved family members in care homes.Recent findings: Ten studies on pre- and post-bereavement support in care homes were identified. A conceptual model of bereavement support in care homes was developed and 11 measures to improve outcomes were identified: educating and training care home staff; facilitating acceptance of death; preparing for death and bereavement; building meaningful relationships; therapeutic communication; compassionate care; establishing a formal organisational culture; social support; advance care planning; and shared decision-making. The most important barriers affecting bereavement support are poor communication around death and being unprepared for death.Summary: To facilitate higher quality person and family centred care, and to reduce the impact of negative bereavement outcomes for individuals in care homes, we recommend a formal organisational culture that prioritises preparedness for bereavement for care home staff, residents, and bereaved family members.","PeriodicalId":48837,"journal":{"name":"Current Opinion in Supportive and Palliative Care","volume":" ","pages":"248-255"},"PeriodicalIF":2.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144993505","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0