Hallmarks of Effective Palliative Care that Improve Quality of Life

Outcomes

As a result of participating in this activity, learners will be better able to:

• Make timely referrals for patients who would benefit from palliative care
• Identify quality palliative care programs, as determined by survival length, quality of life, and less depressive symptoms

Accreditation & Designation

Release date: This activity was released 8/19/2022.

Termination date: The content of this activity remains eligible for CME Credit until 8/18/2025, unless reviewed or amended prior to this date.

Claiming Credit: Watch the entire presentation and complete the Improvement Plan/Evaluation.

Neurovations Education is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Neurovations Education designates this other activity (blended learning) for a maximum of 0.75 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

California Required CME on Pain Management and the Appropriate Treatment of the Terminally Ill
AB487 requires physicians licensed in California to complete a one-time CME activity for 12 hours of credits that addresses both pain management and the appropriate care and treatment of the terminally ill. This activity contributes to achievement of requirements with AB487.

Disclosure of Financial Relationships

Neither the presenter, reviewers nor any other person with control of, or responsibility for, the planning, delivery, or evaluation of accredited continuing education has, or has had within the past 24 months, any financial relationship(s) to disclose with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

Additional Reading

• Cagle, J. G., McPherson, M. L., Frey, J. J., Sacco, P., Ware, O. D., Wiegand, D. L., & Guralnik, J. M. (2020). Estimates of medication diversion in hospice. JAMA, 323(6), 566-568.
• Milazzo, S., Hansen, E., Carozza, D., & Case, A. A. (2020). How effective is palliative care in improving patient outcomes?. Current treatment options in oncology, 21(2), 1-12.
• Boland, J. W., Brown, M. E., Duenas, A., Finn, G. M., & Gibbins, J. (2020). How effective is undergraduate palliative care teaching for medical students? A systematic literature review. BMJ open, 10(9), e036458.
• Cassel, J. B., Bowman, B., Rogers, M., Spragens, L. H., Meier, D. E., & Palliative Care Leadership Centers. (2018). Palliative care leadership centers are key to the diffusion of palliative care innovation. Health Affairs, 37(2), 231-239.
• Temel, J. S., Greer, J. A., Muzikansky, A., Gallagher, E. R., Admane, S., Jackson, V. A., ... & Lynch, T. J. (2010). Early palliative care for patients with metastatic non–small-cell lung cancer. New England Journal of Medicine, 363(8), 733-742.
• Weinstein, E., Kemmann, M., Douglas, S. L., Daly, B., & Levitan, N. (2022). Quality and cost outcomes of an integrated supportive care program. Supportive Care in Cancer, 30(1), 535-542.
• Sullivan, D. R., Chan, B., Lapidus, J. A., Ganzini, L., Hansen, L., Carney, P. A., ... & Slatore, C. G. (2019). Association of early palliative care use with survival and place of death among patients with advanced lung cancer receiving care in the Veterans Health Administration. JAMA Oncology, 5(12), 1702-1709.
• Kavalieratos, D., Corbelli, J., Zhang, D. I., Dionne-Odom, J. N., Ernecoff, N. C., Hanmer, J., ... & Schenker, Y. (2016). Association between palliative care and patient and caregiver outcomes: a systematic review and meta-analysis. JAMA, 316(20), 2104-2114.
• Temel JS, Greer JA, El-Jawahri A, Pirl WF, Park ER, Jackson VA, Back AL, Kamdar M, Jacobsen J, Chittenden EH, Rinaldi SP, Gallagher ER, Eusebio JR, Li Z, Muzikansky A, Ryan DP. Effects of Early Integrated Palliative Care in Patients With Lung and GI Cancer: A Randomized Clinical Trial. J Clin Oncol. 2017 Mar 10;35(8):834-841. 
• Groenvold M, Petersen MA, Damkier A, Neergaard MA, Nielsen JB, Pedersen L, Sjøgren P, Strömgren AS, Vejlgaard TB, Gluud C, Lindschou J, Fayers P, Higginson IJ, Johnsen AT. Randomised clinical trial of early specialist palliative care plus standard care versus standard care alone in patients with advanced cancer: The Danish Palliative Care Trial. Palliat Med. 2017 Oct;31(9):814-824.
• Ambroggi M, Biasini C, Toscani I, Orlandi E, Berte R, Mazzari M, Cavanna L. Can early palliative care with anticancer treatment improve overall survival and patient-related outcomes in advanced lung cancer patients? A review of the literature. Support Care Cancer. 2018 Sep;26(9):2945-2953