Impact of timing and setting of palliative care referral on quality of end‐of‐life care in cancer patients
BACKGROUND Limited data are available on how the timing and setting of palliative care (PC) referral can affect end‐of‐life care. In this retrospective cohort study, the authors examined how the timing and setting of PC referral were associated with the quality of end‐of‐life care. METHODS All adult...
Gespeichert in:
| Veröffentlicht in: | Cancer Jg. 120; H. 11; S. 1743 - 1749 |
|---|---|
| Hauptverfasser: | , , , , , |
| Format: | Journal Article |
| Sprache: | Englisch |
| Veröffentlicht: |
Hoboken, NJ
Wiley-Blackwell
01.06.2014
|
| Schlagworte: | |
| ISSN: | 0008-543X, 1097-0142, 1097-0142 |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| Abstract | BACKGROUND
Limited data are available on how the timing and setting of palliative care (PC) referral can affect end‐of‐life care. In this retrospective cohort study, the authors examined how the timing and setting of PC referral were associated with the quality of end‐of‐life care.
METHODS
All adult patients residing in the Houston area who died of advanced cancer between September 1, 2009 and February 28, 2010 and had a PC consultation were included. Data were retrieved on PC referral and quality of end‐of‐life care indicators.
RESULTS
Among 366 decedents, 120 (33%) had an early PC referral (>3 months before death), and 169 (46%) were first seen as outpatients. Earlier PC referral was associated with fewer emergency room visits (39% vs 68%; P < .001), fewer hospitalizations (48% vs 81%; P < .003), and fewer hospital deaths (17% vs 31%; P = .004) in the last 30 days of life. Similarly, outpatient PC referral was associated with fewer emergency room visits (48% vs 68%; P < .001), fewer hospital admissions (52% vs 86%; P < .001), fewer hospital deaths (18% vs 34%; P = .001), and fewer intensive care unit admissions (4% vs 14%; P = .001). In multivariate analysis, outpatient PC referral (odds ratio [OR], 0.42; 95% confidence interval [CI], 0.28‐0.66; P < .001) was independently associated with less aggressive end‐of‐life care. Men (OR, 1.63; 95% CI, 1.06‐2.50; P = .03) and hematologic malignancies (OR, 2.57; 95% CI, 1.18‐5.59; P = .02) were associated with more aggressive end‐of‐life care.
CONCLUSIONS
Patients who were referred to outpatient PC had improved end‐of‐life care compared with those who received inpatient PC. The current findings support the need to increase the availability of PC clinics and to streamline the process of early referral. Cancer 2014;120:1743–1749. © 2014 American Cancer Society.
In this retrospective cohort study, patients with advanced cancer who have early access to outpatient palliative care receive less aggressive care at the end of life compared with those who have delayed access to palliative care and those who receive inpatient palliative care. These findings support the need to increase the availability of palliative care clinics and to streamline the process of early referral. |
|---|---|
| AbstractList | Limited data are available on how the timing and setting of palliative care (PC) referral can affect end-of-life care. In this retrospective cohort study, the authors examined how the timing and setting of PC referral were associated with the quality of end-of-life care.BACKGROUNDLimited data are available on how the timing and setting of palliative care (PC) referral can affect end-of-life care. In this retrospective cohort study, the authors examined how the timing and setting of PC referral were associated with the quality of end-of-life care.All adult patients residing in the Houston area who died of advanced cancer between September 1, 2009 and February 28, 2010 and had a PC consultation were included. Data were retrieved on PC referral and quality of end-of-life care indicators.METHODSAll adult patients residing in the Houston area who died of advanced cancer between September 1, 2009 and February 28, 2010 and had a PC consultation were included. Data were retrieved on PC referral and quality of end-of-life care indicators.Among 366 decedents, 120 (33%) had an early PC referral (>3 months before death), and 169 (46%) were first seen as outpatients. Earlier PC referral was associated with fewer emergency room visits (39% vs 68%; P<.001), fewer hospitalizations (48% vs 81%; P<.003), and fewer hospital deaths (17% vs 31%; P5.004) in the last 30 days of life. Similarly, outpatient PC referral was associated with fewer emergency room visits (48% vs 68%; P<.001), fewer hospital admissions (52% vs 86%; P<.001), fewer hospital deaths (18% vs 34%; P5.001), and fewer intensive care unit admissions (4% vs 14%; P5.001). In multivariate analysis, outpatient PC referral (odds ratio [OR], 0.42; 95% confidence interval [CI], 0.28-0.66; P<.001) was independently associated with less aggressive end-of-life care. Men (OR, 1.63; 95% CI, 1.06-2.50; P5.03) and hematologic malignancies (OR, 2.57; 95% CI, 1.18-5.59; P5.02) were associated with more aggressive end-of-life care.RESULTSAmong 366 decedents, 120 (33%) had an early PC referral (>3 months before death), and 169 (46%) were first seen as outpatients. Earlier PC referral was associated with fewer emergency room visits (39% vs 68%; P<.001), fewer hospitalizations (48% vs 81%; P<.003), and fewer hospital deaths (17% vs 31%; P5.004) in the last 30 days of life. Similarly, outpatient PC referral was associated with fewer emergency room visits (48% vs 68%; P<.001), fewer hospital admissions (52% vs 86%; P<.001), fewer hospital deaths (18% vs 34%; P5.001), and fewer intensive care unit admissions (4% vs 14%; P5.001). In multivariate analysis, outpatient PC referral (odds ratio [OR], 0.42; 95% confidence interval [CI], 0.28-0.66; P<.001) was independently associated with less aggressive end-of-life care. Men (OR, 1.63; 95% CI, 1.06-2.50; P5.03) and hematologic malignancies (OR, 2.57; 95% CI, 1.18-5.59; P5.02) were associated with more aggressive end-of-life care.Patients who were referred to outpatient PC had improved end-of-life care compared with those who received inpatient PC. The current findings support the need to increase the availability of PC clinics and to streamline the process of early referral.CONCLUSIONSPatients who were referred to outpatient PC had improved end-of-life care compared with those who received inpatient PC. The current findings support the need to increase the availability of PC clinics and to streamline the process of early referral. Limited data are available on how the timing and setting of palliative care (PC) referral can affect end-of-life care. In this retrospective cohort study, the authors examined how the timing and setting of PC referral were associated with the quality of end-of-life care. All adult patients residing in the Houston area who died of advanced cancer between September 1, 2009 and February 28, 2010 and had a PC consultation were included. Data were retrieved on PC referral and quality of end-of-life care indicators. Among 366 decedents, 120 (33%) had an early PC referral (>3 months before death), and 169 (46%) were first seen as outpatients. Earlier PC referral was associated with fewer emergency room visits (39% vs 68%; P<.001), fewer hospitalizations (48% vs 81%; P<.003), and fewer hospital deaths (17% vs 31%; P5.004) in the last 30 days of life. Similarly, outpatient PC referral was associated with fewer emergency room visits (48% vs 68%; P<.001), fewer hospital admissions (52% vs 86%; P<.001), fewer hospital deaths (18% vs 34%; P5.001), and fewer intensive care unit admissions (4% vs 14%; P5.001). In multivariate analysis, outpatient PC referral (odds ratio [OR], 0.42; 95% confidence interval [CI], 0.28-0.66; P<.001) was independently associated with less aggressive end-of-life care. Men (OR, 1.63; 95% CI, 1.06-2.50; P5.03) and hematologic malignancies (OR, 2.57; 95% CI, 1.18-5.59; P5.02) were associated with more aggressive end-of-life care. Patients who were referred to outpatient PC had improved end-of-life care compared with those who received inpatient PC. The current findings support the need to increase the availability of PC clinics and to streamline the process of early referral. In this retrospective cohort study, patients with advanced cancer who have early access to outpatient palliative care receive less aggressive care at the end of life compared with those who have delayed access to palliative care and those who receive inpatient palliative care. These findings support the need to increase the availability of palliative care clinics and to streamline the process of early referral. BACKGROUND Limited data are available on how the timing and setting of palliative care (PC) referral can affect end‐of‐life care. In this retrospective cohort study, the authors examined how the timing and setting of PC referral were associated with the quality of end‐of‐life care. METHODS All adult patients residing in the Houston area who died of advanced cancer between September 1, 2009 and February 28, 2010 and had a PC consultation were included. Data were retrieved on PC referral and quality of end‐of‐life care indicators. RESULTS Among 366 decedents, 120 (33%) had an early PC referral (>3 months before death), and 169 (46%) were first seen as outpatients. Earlier PC referral was associated with fewer emergency room visits (39% vs 68%; P < .001), fewer hospitalizations (48% vs 81%; P < .003), and fewer hospital deaths (17% vs 31%; P = .004) in the last 30 days of life. Similarly, outpatient PC referral was associated with fewer emergency room visits (48% vs 68%; P < .001), fewer hospital admissions (52% vs 86%; P < .001), fewer hospital deaths (18% vs 34%; P = .001), and fewer intensive care unit admissions (4% vs 14%; P = .001). In multivariate analysis, outpatient PC referral (odds ratio [OR], 0.42; 95% confidence interval [CI], 0.28‐0.66; P < .001) was independently associated with less aggressive end‐of‐life care. Men (OR, 1.63; 95% CI, 1.06‐2.50; P = .03) and hematologic malignancies (OR, 2.57; 95% CI, 1.18‐5.59; P = .02) were associated with more aggressive end‐of‐life care. CONCLUSIONS Patients who were referred to outpatient PC had improved end‐of‐life care compared with those who received inpatient PC. The current findings support the need to increase the availability of PC clinics and to streamline the process of early referral. Cancer 2014;120:1743–1749. © 2014 American Cancer Society. In this retrospective cohort study, patients with advanced cancer who have early access to outpatient palliative care receive less aggressive care at the end of life compared with those who have delayed access to palliative care and those who receive inpatient palliative care. These findings support the need to increase the availability of palliative care clinics and to streamline the process of early referral. |
| Author | Kim, Sun Hyun Dev, Rony Chisholm, Gary Bruera, Eduardo Hui, David Roquemore, Joyce |
| AuthorAffiliation | 2 Department of Family Medicine, Kwandong University, College of Medicine, Republic of Korea 4 Department of Biostatistics, MD Anderson Cancer Center, Houston, TX, USA 1 Department of Palliative Care and Rehabilitation Medicine, MD Anderson Cancer Center, Houston, TX, USA 3 Clinical Operations Informatics, MD Anderson Cancer Center, Houston, TX, USA |
| AuthorAffiliation_xml | – name: 1 Department of Palliative Care and Rehabilitation Medicine, MD Anderson Cancer Center, Houston, TX, USA – name: 3 Clinical Operations Informatics, MD Anderson Cancer Center, Houston, TX, USA – name: 2 Department of Family Medicine, Kwandong University, College of Medicine, Republic of Korea – name: 4 Department of Biostatistics, MD Anderson Cancer Center, Houston, TX, USA |
| Author_xml | – sequence: 1 givenname: David surname: Hui fullname: Hui, David organization: The University of Texas MD Anderson Cancer Center – sequence: 2 givenname: Sun Hyun surname: Kim fullname: Kim, Sun Hyun organization: Kwandong University, College of Medicine – sequence: 3 givenname: Joyce surname: Roquemore fullname: Roquemore, Joyce organization: The University of Texas MD Anderson Cancer Center – sequence: 4 givenname: Rony surname: Dev fullname: Dev, Rony organization: The University of Texas MD Anderson Cancer Center – sequence: 5 givenname: Gary surname: Chisholm fullname: Chisholm, Gary organization: The University of Texas MD Anderson Cancer Center – sequence: 6 givenname: Eduardo surname: Bruera fullname: Bruera, Eduardo organization: The University of Texas MD Anderson Cancer Center |
| BackLink | http://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=28522390$$DView record in Pascal Francis https://www.ncbi.nlm.nih.gov/pubmed/24967463$$D View this record in MEDLINE/PubMed |
| BookMark | eNp9kd1qFDEUx4O02G31xgeQuRFEmJpkJpnkRpDFj0JpQRS8C9nMSY1kkm2Sreydj-Az-iRmulu_EG9yTpLf-Z_D_xyjgxADIPSI4FOCMX1ugkmnVHAq7qEFwXJoMenpAVpgjEXL-u7jETrO-XO9DpR199ER7SUfet4tUDib1tqUJtqmuMmFq0aHsclQypzX17X23unibqAxOkGTwEJK2jcxNNcb7V3ZzhiE8fvXb9HWwzu7Z12oMRhIVaU4CCU_QIdW-wwP9_EEfXj96v3ybXt--eZs-fK8NYxw0fIVjIaNuE45ilHYUVomuJWMGzFKbLjEPeGaYw5aM6YpdOPK1hwGkNT23Ql6sdNdb1ZT1aq968xqndyk01ZF7dSfP8F9UlfxRvV46CgbqsDTvUCK1xvIRU0uG_BeB4ibrAjrSceloLyij3_v9bPJnckVeLIHdDba21Q9cfkXJxilncSVwzvOpJhzNVoZV6pxcR7ReUWwmvet5n2r233Xkmd_ldyp_hMmO_iL87D9D6mWF8t3u5ofKLS_kw |
| CODEN | CANCAR |
| CitedBy_id | crossref_primary_10_5334_ijic_7504 crossref_primary_10_1016_j_ctrv_2024_102767 crossref_primary_10_1111_jocn_16148 crossref_primary_10_1186_s12904_022_01054_8 crossref_primary_10_1177_1049909114548718 crossref_primary_10_1089_jpm_2024_0470 crossref_primary_10_1177_1049909120969121 crossref_primary_10_1016_j_ajem_2025_08_001 crossref_primary_10_1177_1049909120971566 crossref_primary_10_1007_S40037_018_0447_4 crossref_primary_10_1016_j_ygyno_2023_06_016 crossref_primary_10_1080_09699260_2023_2241798 crossref_primary_10_1016_j_bulcan_2019_04_006 crossref_primary_10_1007_s00520_025_09215_0 crossref_primary_10_1186_s12904_021_00828_w crossref_primary_10_1001_jamainternmed_2021_3714 crossref_primary_10_1007_s11864_021_00836_1 crossref_primary_10_1016_j_annemergmed_2016_10_027 crossref_primary_10_1177_1049909120902789 crossref_primary_10_1007_s00520_016_3510_x crossref_primary_10_2106_JBJS_RVW_24_00132 crossref_primary_10_1016_j_archger_2023_105319 crossref_primary_10_1183_13993003_04307_2020 crossref_primary_10_1371_journal_pone_0321586 crossref_primary_10_1007_s00520_020_05437_6 crossref_primary_10_1177_26323524231198545 crossref_primary_10_1111_jrh_12739 crossref_primary_10_1177_1403494818785042 crossref_primary_10_1007_s00520_016_3278_z crossref_primary_10_1016_j_clbc_2017_07_008 crossref_primary_10_1111_ecc_13172 crossref_primary_10_1186_s12904_018_0294_4 crossref_primary_10_1177_1049909118820494 crossref_primary_10_1177_1049909119864025 crossref_primary_10_1186_s12904_024_01435_1 crossref_primary_10_1016_j_jpainsymman_2018_03_022 crossref_primary_10_1177_1049909119896533 crossref_primary_10_1177_10499091241297924 crossref_primary_10_1007_s00520_015_2979_z crossref_primary_10_1016_j_jvs_2023_02_023 crossref_primary_10_3390_ijerph15122877 crossref_primary_10_1136_bmjopen_2020_044196 crossref_primary_10_1080_09699260_2019_1689325 crossref_primary_10_1080_0284186X_2022_2114379 crossref_primary_10_1016_j_jpainsymman_2019_02_016 crossref_primary_10_1177_1049909120946266 crossref_primary_10_1002_cncr_32478 crossref_primary_10_1007_s00520_024_08509_z crossref_primary_10_1371_journal_pone_0313732 crossref_primary_10_1016_j_yao_2025_01_003 crossref_primary_10_1055_a_1749_9536 crossref_primary_10_1111_jgh_16107 crossref_primary_10_3390_healthcare9010040 crossref_primary_10_1089_pmr_2023_0067 crossref_primary_10_5604_01_3001_0009_8594 crossref_primary_10_32635_2176_9745_RBC_2025v71n2_5015 crossref_primary_10_1007_s00520_018_4379_7 crossref_primary_10_1634_theoncologist_2014_0312 crossref_primary_10_1186_s12904_022_00970_z crossref_primary_10_1016_j_breast_2021_03_002 crossref_primary_10_1097_NJH_0000000000000664 crossref_primary_10_1016_j_jhqr_2025_101160 crossref_primary_10_1016_j_jpainsymman_2019_09_008 crossref_primary_10_1016_j_jpainsymman_2020_08_014 crossref_primary_10_1016_j_lungcan_2024_107800 crossref_primary_10_1089_jpm_2017_0695 crossref_primary_10_1007_s00520_016_3395_8 crossref_primary_10_1111_hsc_13007 crossref_primary_10_1007_s12282_025_01759_7 crossref_primary_10_1016_j_cger_2023_04_003 crossref_primary_10_1089_pmr_2023_0052 crossref_primary_10_1016_j_jpainsymman_2017_10_025 crossref_primary_10_1186_s12904_024_01618_w crossref_primary_10_1016_j_jpainsymman_2015_12_338 crossref_primary_10_1093_intqhc_mzz064 crossref_primary_10_1634_theoncologist_2018_0094 crossref_primary_10_1001_jamanetworkopen_2025_21101 crossref_primary_10_1007_s00520_020_05549_z crossref_primary_10_1007_s00405_022_07535_z crossref_primary_10_1089_jpm_2021_0093 crossref_primary_10_1089_jpm_2022_0019 crossref_primary_10_1002_cncr_32738 crossref_primary_10_1007_s00520_023_08198_0 crossref_primary_10_1017_S1478951518000597 crossref_primary_10_1200_JCO_2016_70_2894 crossref_primary_10_1017_S147895152300113X crossref_primary_10_1016_j_jpainsymman_2019_08_021 crossref_primary_10_1001_jamanetworkopen_2024_40977 crossref_primary_10_1177_02692163231180912 crossref_primary_10_1089_jpm_2018_0514 crossref_primary_10_1177_0194599818825457 crossref_primary_10_1016_j_jpainsymman_2023_06_024 crossref_primary_10_1016_j_diabres_2017_12_010 crossref_primary_10_1089_jpm_2022_0388 crossref_primary_10_3390_cancers17091471 crossref_primary_10_3390_jcm14176167 crossref_primary_10_1136_bmjspcare_2018_001572 crossref_primary_10_1634_theoncologist_2015_0240 crossref_primary_10_1080_03007995_2017_1301903 crossref_primary_10_3390_healthcare7010022 crossref_primary_10_1177_08258597221078391 crossref_primary_10_1016_j_currproblcancer_2023_101013 crossref_primary_10_1016_j_ejim_2025_06_013 crossref_primary_10_3322_caac_21490 crossref_primary_10_1089_jpm_2016_0455 crossref_primary_10_1177_107327481502200412 crossref_primary_10_1177_23743735211049663 crossref_primary_10_1634_theoncologist_2015_0234 crossref_primary_10_3389_fpubh_2023_1092145 crossref_primary_10_1634_theoncologist_2016_0090 crossref_primary_10_1136_bmjspcare_2014_000791 crossref_primary_10_1111_ecc_13305 crossref_primary_10_1093_annonc_mdv269 crossref_primary_10_1371_journal_pone_0165315 crossref_primary_10_1371_journal_pone_0210056 crossref_primary_10_1007_s11864_019_0615_8 crossref_primary_10_1089_jpm_2017_0415 crossref_primary_10_1177_0269216318815794 crossref_primary_10_1002_cam4_3971 crossref_primary_10_1016_j_heliyon_2024_e29348 crossref_primary_10_1089_jpm_2017_0418 crossref_primary_10_1016_j_jpainsymman_2019_04_027 crossref_primary_10_1016_j_soncn_2018_06_002 crossref_primary_10_1089_jpm_2015_0119 crossref_primary_10_1186_s12911_020_01235_6 crossref_primary_10_1016_j_jss_2015_03_063 crossref_primary_10_3390_cancers15082201 crossref_primary_10_3390_cancers15051507 crossref_primary_10_3390_cancers14041047 crossref_primary_10_1080_0284186X_2018_1556802 crossref_primary_10_3390_healthcare11212867 crossref_primary_10_3322_caac_21351 crossref_primary_10_1016_j_annemergmed_2021_05_021 crossref_primary_10_1038_nrclinonc_2015_201 crossref_primary_10_1007_s00520_020_05492_z crossref_primary_10_1007_s12185_019_02673_3 crossref_primary_10_1136_bmjspcare_2020_002386 crossref_primary_10_1007_s00520_018_4067_7 crossref_primary_10_1177_08258597231217947 crossref_primary_10_3390_cancers14204988 crossref_primary_10_1002_pbc_31387 crossref_primary_10_1007_s00520_017_3830_5 crossref_primary_10_1089_jpm_2014_0132 crossref_primary_10_1016_j_jpainsymman_2024_07_011 crossref_primary_10_1002_cncr_33475 crossref_primary_10_1111_ajco_12701 crossref_primary_10_1016_j_medipa_2016_12_002 crossref_primary_10_1007_s00520_022_06954_2 crossref_primary_10_1002_cam4_5538 crossref_primary_10_1177_08258597211003359 crossref_primary_10_1177_02692163221118205 crossref_primary_10_1177_02692163221122268 crossref_primary_10_1007_s00520_017_4031_y crossref_primary_10_1016_j_jamda_2025_105847 crossref_primary_10_1212_WNL_0000000000008582 crossref_primary_10_1080_09699260_2019_1659658 crossref_primary_10_1016_j_ccm_2020_02_005 crossref_primary_10_3390_cancers16040721 crossref_primary_10_1186_s12904_023_01320_3 crossref_primary_10_1016_j_jpainsymman_2015_11_009 crossref_primary_10_1016_j_urolonc_2020_11_034 crossref_primary_10_1177_1049909119867281 crossref_primary_10_7759_cureus_15313 crossref_primary_10_1016_j_jpainsymman_2015_03_004 crossref_primary_10_1136_postgradmedj_2015_133368 crossref_primary_10_1016_j_jpainsymman_2018_05_024 crossref_primary_10_1136_bmjspcare_2014_000722 crossref_primary_10_1136_spcare_2024_005166 crossref_primary_10_1136_bmjspcare_2020_002641 crossref_primary_10_1007_s00520_018_4457_x crossref_primary_10_1016_j_surg_2018_01_021 crossref_primary_10_1016_j_jpainsymman_2023_08_019 crossref_primary_10_1089_jpm_2024_0179 crossref_primary_10_1245_s10434_018_6515_5 crossref_primary_10_1634_theoncologist_2016_0176 crossref_primary_10_1080_21548331_2019_1703707 crossref_primary_10_1097_SPC_0000000000000240 crossref_primary_10_1093_tbm_ibab091 crossref_primary_10_1111_jgs_13948 crossref_primary_10_1016_j_jpainsymman_2018_10_269 crossref_primary_10_1186_s12904_023_01256_8 crossref_primary_10_11124_JBIES_25_00025 crossref_primary_10_1007_s00520_021_06284_9 crossref_primary_10_1186_s12904_019_0399_4 crossref_primary_10_1016_j_jpainsymman_2024_06_017 crossref_primary_10_12968_ijpn_2018_24_5_230 crossref_primary_10_1177_1049909115625959 crossref_primary_10_3390_cancers15225340 crossref_primary_10_1097_CNQ_0000000000000269 crossref_primary_10_1002_cam4_4344 crossref_primary_10_1016_j_jpainsymman_2016_02_014 crossref_primary_10_1016_j_chest_2020_06_018 crossref_primary_10_1177_1049909115581819 crossref_primary_10_1007_s00520_016_3225_z crossref_primary_10_1002_jso_25454 crossref_primary_10_1093_oncolo_oyaf065 crossref_primary_10_1016_j_ccm_2016_12_010 crossref_primary_10_1016_j_jpainsymman_2022_11_008 crossref_primary_10_7326_M19_0361 crossref_primary_10_1016_j_jpainsymman_2018_01_012 crossref_primary_10_3390_ijerph192316134 crossref_primary_10_1007_s40122_020_00163_7 crossref_primary_10_1080_09699260_2024_2339095 crossref_primary_10_3390_ijerph192013017 crossref_primary_10_1089_jpm_2015_0272 crossref_primary_10_1136_bmjopen_2022_067304 crossref_primary_10_1002_cld_482 crossref_primary_10_1136_bmjspcare_2018_001714 crossref_primary_10_1093_nop_npw022 crossref_primary_10_1177_02692163231217373 crossref_primary_10_1200_OP_24_01092 crossref_primary_10_1056_CAT_24_0392 crossref_primary_10_1177_0825859719834920 crossref_primary_10_1007_s11864_020_00743_x crossref_primary_10_1089_jpm_2016_0086 crossref_primary_10_1186_s12904_025_01712_7 crossref_primary_10_1016_j_acuro_2025_501841 crossref_primary_10_1002_cncr_31536 crossref_primary_10_1089_jpm_2019_0515 crossref_primary_10_3389_fpubh_2025_1511697 crossref_primary_10_1016_j_ygyno_2018_01_018 crossref_primary_10_5694_mja15_00994 crossref_primary_10_1200_EDBK_200775 crossref_primary_10_1007_s11912_018_0743_5 crossref_primary_10_1089_jpm_2017_0172 crossref_primary_10_1016_j_yao_2024_12_002 crossref_primary_10_1136_bmjspcare_2021_003387 crossref_primary_10_1089_jpm_2018_0003 crossref_primary_10_1634_theoncologist_2017_0128 crossref_primary_10_1007_s00520_025_09587_3 crossref_primary_10_1182_bloodadvances_2021004775 crossref_primary_10_1007_s00092_017_1284_1 crossref_primary_10_1089_jpm_2019_0413 crossref_primary_10_1177_0269216317733381 crossref_primary_10_1186_s13063_021_05546_5 crossref_primary_10_1007_s10389_021_01672_1 crossref_primary_10_1590_1516_3180_2024_0263_29012025 crossref_primary_10_1177_0269216319896517 crossref_primary_10_1089_jpm_2023_0539 crossref_primary_10_1136_bmjspcare_2020_002578 crossref_primary_10_1016_S1470_2045_19_30496_6 crossref_primary_10_1177_1049909114560370 crossref_primary_10_1007_s00520_014_2444_4 crossref_primary_10_1177_10781552221117751 crossref_primary_10_1016_S1470_2045_16_30577_0 crossref_primary_10_1186_s12913_021_06476_3 crossref_primary_10_1017_S1478951515001212 crossref_primary_10_1016_j_soncn_2020_151021 crossref_primary_10_1634_theoncologist_2016_0006 crossref_primary_10_1186_s12904_021_00875_3 crossref_primary_10_1007_s10620_023_07992_4 crossref_primary_10_1007_s12312_020_00780_5 crossref_primary_10_1007_s00277_017_3045_3 crossref_primary_10_1089_jpm_2023_0407 crossref_primary_10_3171_2021_9_JNS211872 crossref_primary_10_1016_j_jpainsymman_2017_08_030 crossref_primary_10_1016_j_jpainsymman_2022_05_007 crossref_primary_10_1080_09699260_2021_1872150 crossref_primary_10_1136_bmjspcare_2017_001446 crossref_primary_10_1017_S1478951516000584 crossref_primary_10_1007_s00520_016_3087_4 crossref_primary_10_1016_S2352_3026_20_30042_9 crossref_primary_10_12968_ijpn_2025_31_1_6 crossref_primary_10_1089_jpm_2019_0314 crossref_primary_10_1186_s12916_020_01829_x crossref_primary_10_1007_s00520_020_05677_6 crossref_primary_10_1371_journal_pone_0285768 crossref_primary_10_1089_jpm_2023_0559 crossref_primary_10_1016_j_lungcan_2019_10_003 crossref_primary_10_1186_s12904_019_0476_8 crossref_primary_10_1089_jpm_2021_0228 crossref_primary_10_3390_ijerph18126286 crossref_primary_10_1016_j_jpainsymman_2015_04_022 crossref_primary_10_1007_s00520_021_06493_2 crossref_primary_10_1007_s11864_022_01044_1 crossref_primary_10_7759_cureus_37903 crossref_primary_10_1007_s00520_021_06482_5 crossref_primary_10_1093_eurpub_ckaf044 crossref_primary_10_1016_j_eurger_2017_06_001 crossref_primary_10_1111_ecc_12742 crossref_primary_10_1111_scs_12603 crossref_primary_10_1136_bmjspcare_2020_002302 crossref_primary_10_1016_j_jpainsymman_2020_02_001 crossref_primary_10_1097_NCC_0000000000000814 crossref_primary_10_1007_s00216_022_04425_5 crossref_primary_10_3390_healthcare11212907 crossref_primary_10_1093_jamia_ocv149 crossref_primary_10_1177_1049909118777990 crossref_primary_10_1002_cncr_32549 crossref_primary_10_1159_000501721 crossref_primary_10_1016_j_ejca_2016_05_009 crossref_primary_10_1371_journal_pone_0201191 crossref_primary_10_1177_1178224219868235 |
| Cites_doi | 10.1634/theoncologist.2012-0192 10.1200/JCO.2012.43.6055 10.1001/archinternmed.2011.415 10.1089/jpm.2009.0166 10.1200/JCO.2008.20.1558 10.1634/theoncologist.2011-0173 10.1016/S0885-3924(01)00406-7 10.1089/jpm.2012.0147 10.1056/NEJMoa1000678 10.1200/JCO.2010.29.5618 10.1016/S0885-3924(02)00599-7 10.1016/j.jpainsymman.2012.07.007 10.1001/jama.299.14.1698 10.1089/109662102320880525 10.1200/JCO.2008.16.8674 10.1200/JCO.2003.03.059 10.1001/archinternmed.2011.87 10.1016/j.jpainsymman.2010.03.017 10.1200/JCO.2007.15.8253 10.1002/cncr.28614 10.1200/JCO.2004.08.136 10.1001/jama.300.14.1665 10.1200/JCO.2011.38.5161 10.1001/jama.2010.258 10.1200/JCO.2008.20.5096 |
| ContentType | Journal Article |
| Copyright | 2014 American Cancer Society 2015 INIST-CNRS |
| Copyright_xml | – notice: 2014 American Cancer Society – notice: 2015 INIST-CNRS |
| DBID | AAYXX CITATION IQODW CGR CUY CVF ECM EIF NPM 7X8 5PM |
| DOI | 10.1002/cncr.28628 |
| DatabaseName | CrossRef Pascal-Francis Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed MEDLINE - Academic PubMed Central (Full Participant titles) |
| DatabaseTitle | CrossRef MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) MEDLINE - Academic |
| DatabaseTitleList | MEDLINE - Academic MEDLINE CrossRef |
| Database_xml | – sequence: 1 dbid: NPM name: PubMed url: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 2 dbid: 7X8 name: MEDLINE - Academic url: https://search.proquest.com/medline sourceTypes: Aggregation Database |
| DeliveryMethod | fulltext_linktorsrc |
| Discipline | Medicine |
| EISSN | 1097-0142 |
| EndPage | 1749 |
| ExternalDocumentID | PMC4073257 24967463 28522390 10_1002_cncr_28628 CNCR28628 |
| Genre | article Research Support, Non-U.S. Gov't Journal Article Research Support, N.I.H., Extramural |
| GrantInformation_xml | – fundername: NCI NIH HHS grantid: CA 016672 – fundername: NCI NIH HHS grantid: P30 CA016672 – fundername: NCI NIH HHS grantid: R01 CA122292 – fundername: NINR NIH HHS grantid: R01NR010162-01A1 – fundername: NCI NIH HHS grantid: R01CA124481-01 – fundername: NCI NIH HHS grantid: R01CA122292-01 – fundername: NCI NIH HHS grantid: R01 CA124481 – fundername: NINR NIH HHS grantid: R01 NR010162 |
| GroupedDBID | --- -~X .3N .GA .Y3 05W 0R~ 10A 1CY 1L6 1OC 24P 29B 33P 3SF 3WU 4.4 4ZD 50Y 50Z 51W 51X 52M 52N 52O 52P 52R 52S 52T 52U 52V 52W 52X 53G 5GY 5VS 66C 6J9 6P2 6PF 702 7PT 8-0 8-1 8-3 8-4 8-5 85S 8UM 930 A01 A03 AAESR AAEVG AAHHS AAHQN AAIPD AAMNL AANLZ AAONW AAQOH AARRQ AAWTL AAXRX AAYCA AAZKR ABCQN ABCUV ABEML ABHFT ABIJN ABIVO ABJNI ABLJU ABOCM ABPPZ ABPVW ABQWH ABXGK ACAHQ ACCZN ACFBH ACGFO ACGFS ACGOF ACMXC ACNCT ACPOU ACPRK ACSCC ACXBN ACXQS ADBBV ADBTR ADEOM ADIZJ ADKYN ADMGS ADOZA ADXAS ADZMN ADZOD AEIGN AEIMD AENEX AEUQT AEUYR AFBPY AFFPM AFGKR AFPWT AFRAH AFWVQ AFZJQ AGNAY AHBTC AIACR AIAGR AITYG AIURR ALAGY ALMA_UNASSIGNED_HOLDINGS ALUQN ALVPJ AMBMR AMYDB ATUGU AZBYB AZVAB BAFTC BAWUL BFHJK BHBCM BMXJE BROTX BRXPI BY8 C45 CS3 D-6 D-7 D-E D-F DCZOG DIK DPXWK DR2 DRFUL DRMAN DRSTM E3Z EBS EJD EMOBN EX3 F00 F01 F04 F5P FD6 FUBAC G-S G.N GNP GODZA GX1 H.X HBH HGLYW HHY HHZ HZ~ IH2 IX1 J0M JPC KBYEO KQQ KZ1 L7B LATKE LAW LC2 LC3 LH4 LITHE LMP LOXES LP6 LP7 LSO LUTES LW6 LYRES MEWTI MK4 MRFUL MRMAN MRSTM MSFUL MSMAN MSSTM MXFUL MXMAN MXSTM N04 N05 N9A NF~ NNB O66 O9- OIG OK1 OVD P2P P2W P2X P2Z P4B P4D Q.N Q11 QB0 QRW R.K ROL RWI RX1 RYL SJN SUPJJ TEORI UDS UHB V2E V8K V9Y W8V W99 WBKPD WH7 WHWMO WIH WIJ WIK WIN WJL WOHZO WQJ WRC WVDHM WXI WXSBR XG1 XPP XV2 Z0Y ZGI ZZTAW ~IA ~WT .GJ 31~ 3O- AAMMB AAYXX AEFGJ AEYWJ AFFNX AGHNM AGXDD AGYGG AI. AIDQK AIDYY C1A CITATION HF~ H~9 J5H N4W NEJ O8X OHT RSU VH1 WHG Y6R YQJ ZXP ACCFJ AEEZP AEQDE AIWBW AJBDE IQODW CGR CUY CVF ECM EIF NPM 7X8 5PM |
| ID | FETCH-LOGICAL-c5168-6bedc5d0967d8d8fd9f586f956c8d90c690416a606eaa55a2e3dbfeaae7e92f43 |
| IEDL.DBID | WIN |
| ISICitedReferencesCount | 350 |
| ISICitedReferencesURI | http://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=Summon&SrcAuth=ProQuest&DestLinkType=CitingArticles&DestApp=WOS_CPL&KeyUT=000336619700024&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D |
| ISSN | 0008-543X 1097-0142 |
| IngestDate | Tue Sep 30 16:38:34 EDT 2025 Wed Oct 01 14:07:02 EDT 2025 Wed Feb 19 02:36:21 EST 2025 Wed Apr 02 07:15:06 EDT 2025 Sat Nov 29 07:10:07 EST 2025 Tue Nov 18 20:59:44 EST 2025 Wed Jan 22 16:22:47 EST 2025 |
| IsDoiOpenAccess | false |
| IsOpenAccess | true |
| IsPeerReviewed | true |
| IsScholarly | true |
| Issue | 11 |
| Keywords | Human End-of-life care inpatients Malignant tumor chemotherapeutic agents quality of care Care Quality of life Chemotherapy Treatment Cancerology Palliative care outpatients Ambulatory Hospital Timing neoplasms Cancer |
| Language | English |
| License | http://onlinelibrary.wiley.com/termsAndConditions#vor CC BY 4.0 |
| LinkModel | DirectLink |
| MergedId | FETCHMERGED-LOGICAL-c5168-6bedc5d0967d8d8fd9f586f956c8d90c690416a606eaa55a2e3dbfeaae7e92f43 |
| Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
| OpenAccessLink | https://www.ncbi.nlm.nih.gov/pmc/articles/4073257 |
| PMID | 24967463 |
| PQID | 1541369826 |
| PQPubID | 23479 |
| PageCount | 8 |
| ParticipantIDs | pubmedcentral_primary_oai_pubmedcentral_nih_gov_4073257 proquest_miscellaneous_1541369826 pubmed_primary_24967463 pascalfrancis_primary_28522390 crossref_citationtrail_10_1002_cncr_28628 crossref_primary_10_1002_cncr_28628 wiley_primary_10_1002_cncr_28628_CNCR28628 |
| PublicationCentury | 2000 |
| PublicationDate | 1 June 2014 |
| PublicationDateYYYYMMDD | 2014-06-01 |
| PublicationDate_xml | – month: 06 year: 2014 text: 1 June 2014 day: 01 |
| PublicationDecade | 2010 |
| PublicationPlace | Hoboken, NJ |
| PublicationPlace_xml | – name: Hoboken, NJ – name: United States |
| PublicationTitle | Cancer |
| PublicationTitleAlternate | Cancer |
| PublicationYear | 2014 |
| Publisher | Wiley-Blackwell |
| Publisher_xml | – name: Wiley-Blackwell |
| References | 2004; 22 2010; 13 2010; 303 2013; 46 2010; 28 2002; 23 2002; 5 2010; 363 2009 2003; 25 2008; 26 2012; 17 2014 2013 2012; 15 2008; 300 2008; 299 2011; 16 2011; 171 2009; 27 2010; 41 2003; 21 2012; 30 e_1_2_7_6_1 e_1_2_7_5_1 e_1_2_7_4_1 e_1_2_7_3_1 e_1_2_7_8_1 e_1_2_7_7_1 e_1_2_7_19_1 e_1_2_7_18_1 e_1_2_7_17_1 e_1_2_7_16_1 e_1_2_7_2_1 e_1_2_7_15_1 e_1_2_7_14_1 e_1_2_7_13_1 e_1_2_7_12_1 e_1_2_7_11_1 e_1_2_7_10_1 e_1_2_7_26_1 e_1_2_7_27_1 e_1_2_7_28_1 e_1_2_7_25_1 e_1_2_7_24_1 e_1_2_7_23_1 e_1_2_7_22_1 e_1_2_7_21_1 e_1_2_7_20_1 National Consensus Project for Quality Palliative Care (e_1_2_7_9_1) 2009 |
| References_xml | – volume: 26 start-page: 3860 year: 2008 end-page: 3866 article-title: Aggressiveness of cancer care near the end of life: is it a quality‐of‐care issue? publication-title: J Clin Oncol. – year: 2009 – volume: 30 start-page: 4387 year: 2012 end-page: 4395 article-title: Associations between end‐of‐life discussion characteristics and care received near death: a prospective cohort study publication-title: J Clin Oncol. – volume: 30 start-page: 880 year: 2012 end-page: 887 article-title: American Society of Clinical Oncology provisional clinical opinion: the integration of palliative care into standard oncology care publication-title: J Clin Oncol. – volume: 41 start-page: 49 year: 2010 end-page: 56 article-title: Impact of a palliative care consultation team on cancer‐related symptoms in advanced cancer patients referred to an outpatient supportive care clinic publication-title: J Pain Symptom Manage. – volume: 17 start-page: 1574 year: 2012 end-page: 1580 article-title: Access to palliative care among patients treated at a comprehensive cancer center publication-title: Oncologist. – volume: 27 start-page: 4613 year: 2009 end-page: 4618 article-title: Determinants of aggressive end‐of‐life care for Taiwanese cancer decedents, 2001 to 2006 publication-title: J Clin Oncol. – volume: 363 start-page: 733 year: 2010 end-page: 742 article-title: Early palliative care for patients with metastatic non‐small‐cell lung cancer publication-title: N Engl J Med. – volume: 16 start-page: 1642 year: 2011 end-page: 1648 article-title: The accuracy of probabilistic versus temporal clinician prediction of survival for patients with advanced cancer: a preliminary report publication-title: Oncologist. – volume: 300 start-page: 1665 year: 2008 end-page: 1673 article-title: Associations between end‐of‐life discussions, patient mental health, medical care near death, and caregiver bereavement adjustment publication-title: JAMA. – volume: 303 start-page: 1054 year: 2010 end-page: 1061 article-title: Availability and integration of palliative care at US cancer centers publication-title: JAMA. – year: 2014 article-title: Quality of end‐of‐life care in patients with hematologic malignancies: a retrospective cohort study publication-title: Cancer. – volume: 13 start-page: 49 year: 2010 end-page: 57 article-title: Discharge outcomes and survival of patients with advanced cancer admitted to an acute palliative care unit at a comprehensive cancer center publication-title: J Palliat Med. – volume: 28 start-page: 4013 year: 2010 end-page: 4017 article-title: Integrating supportive and palliative care in the trajectory of cancer: establishing goals and models of care publication-title: J Clin Oncol. – volume: 21 start-page: 1133 year: 2003 end-page: 1138 article-title: Identifying potential indicators of the quality of end‐of‐life cancer care from administrative data publication-title: J Clin Oncol. – volume: 171 start-page: 649 year: 2011 end-page: 655 article-title: The optimal delivery of palliative care: a national comparison of the outcomes of consultation teams vs inpatient units publication-title: Arch Intern Med. – volume: 23 start-page: 96 year: 2002 end-page: 106 article-title: Do hospital‐based palliative teams improve care for patients or families at the end of life? publication-title: J Pain Symptom Manage. – volume: 299 start-page: 1698 year: 2008 end-page: 1709 article-title: Effectiveness of specialized palliative care: a systematic review publication-title: JAMA. – volume: 15 start-page: 1261 year: 2012 end-page: 1269 article-title: Conceptual models for integrating palliative care at cancer centers publication-title: J Palliat Med. – volume: 22 start-page: 315 year: 2004 end-page: 321 article-title: Trends in the aggressiveness of cancer care near the end of life publication-title: J Clin Oncol. – volume: 25 start-page: 150 year: 2003 end-page: 168 article-title: Is there evidence that palliative care teams alter end‐of‐life experiences of patients and their caregivers? publication-title: J Pain Symptom Manage. – volume: 5 start-page: 705 year: 2002 end-page: 712 article-title: Age and gender differences in health care utilization and spending for Medicare beneficiaries in their last years of life publication-title: J Palliat Med. – volume: 171 start-page: 1601 year: 2011 article-title: Palliative care units: the best option for the most distressed [letter] publication-title: Arch Intern Med. – volume: 27 start-page: 3052 year: 2009 end-page: 3058 article-title: Palliative cancer care a decade later: accomplishments, the need, next steps publication-title: J Clin Oncol. – year: 2013 – volume: 26 start-page: 3832 year: 2008 end-page: 3837 article-title: Measuring supportive care in medical oncology practice: lessons learned from the quality oncology practice initiative publication-title: J Clin Oncol. – volume: 46 start-page: 1 year: 2013 end-page: 8 article-title: Targeted agent use in cancer patients at the end of life publication-title: J Pain Symptom Manage. – ident: e_1_2_7_11_1 doi: 10.1634/theoncologist.2012-0192 – ident: e_1_2_7_18_1 doi: 10.1200/JCO.2012.43.6055 – ident: e_1_2_7_22_1 doi: 10.1001/archinternmed.2011.415 – ident: e_1_2_7_23_1 doi: 10.1089/jpm.2009.0166 – ident: e_1_2_7_24_1 doi: 10.1200/JCO.2008.20.1558 – ident: e_1_2_7_15_1 doi: 10.1634/theoncologist.2011-0173 – ident: e_1_2_7_19_1 doi: 10.1016/S0885-3924(01)00406-7 – ident: e_1_2_7_12_1 doi: 10.1089/jpm.2012.0147 – ident: e_1_2_7_5_1 doi: 10.1056/NEJMoa1000678 – ident: e_1_2_7_26_1 doi: 10.1200/JCO.2010.29.5618 – ident: e_1_2_7_3_1 doi: 10.1016/S0885-3924(02)00599-7 – ident: e_1_2_7_13_1 doi: 10.1016/j.jpainsymman.2012.07.007 – ident: e_1_2_7_4_1 doi: 10.1001/jama.299.14.1698 – ident: e_1_2_7_28_1 doi: 10.1089/109662102320880525 – ident: e_1_2_7_8_1 doi: 10.1200/JCO.2008.16.8674 – ident: e_1_2_7_7_1 doi: 10.1200/JCO.2003.03.059 – ident: e_1_2_7_21_1 doi: 10.1001/archinternmed.2011.87 – ident: e_1_2_7_2_1 – volume-title: Clinical Practice Guidelines for Quality Palliative Care year: 2009 ident: e_1_2_7_9_1 – ident: e_1_2_7_20_1 doi: 10.1016/j.jpainsymman.2010.03.017 – ident: e_1_2_7_6_1 doi: 10.1200/JCO.2007.15.8253 – ident: e_1_2_7_16_1 doi: 10.1002/cncr.28614 – ident: e_1_2_7_27_1 doi: 10.1200/JCO.2004.08.136 – ident: e_1_2_7_17_1 doi: 10.1001/jama.300.14.1665 – ident: e_1_2_7_25_1 doi: 10.1200/JCO.2011.38.5161 – ident: e_1_2_7_10_1 doi: 10.1001/jama.2010.258 – ident: e_1_2_7_14_1 doi: 10.1200/JCO.2008.20.5096 |
| SSID | ssj0007253 |
| Score | 2.5982552 |
| Snippet | BACKGROUND
Limited data are available on how the timing and setting of palliative care (PC) referral can affect end‐of‐life care. In this retrospective cohort... In this retrospective cohort study, patients with advanced cancer who have early access to outpatient palliative care receive less aggressive care at the end... Limited data are available on how the timing and setting of palliative care (PC) referral can affect end-of-life care. In this retrospective cohort study, the... |
| SourceID | pubmedcentral proquest pubmed pascalfrancis crossref wiley |
| SourceType | Open Access Repository Aggregation Database Index Database Enrichment Source Publisher |
| StartPage | 1743 |
| SubjectTerms | Adult Aged Aged, 80 and over Biological and medical sciences chemotherapeutic agents Female Humans inpatients Male Medical sciences Middle Aged Multiple tumors. Solid tumors. Tumors in childhood (general aspects) neoplasms Neoplasms - therapy outpatients Palliative Care quality of care Quality of Health Care Referral and Consultation Terminal Care - standards Time Factors Tumors |
| Title | Impact of timing and setting of palliative care referral on quality of end‐of‐life care in cancer patients |
| URI | https://onlinelibrary.wiley.com/doi/abs/10.1002%2Fcncr.28628 https://www.ncbi.nlm.nih.gov/pubmed/24967463 https://www.proquest.com/docview/1541369826 https://pubmed.ncbi.nlm.nih.gov/PMC4073257 |
| Volume | 120 |
| WOSCitedRecordID | wos000336619700024&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D |
| hasFullText | 1 |
| inHoldings | 1 |
| isFullTextHit | |
| isPrint | |
| journalDatabaseRights | – providerCode: PRVWIB databaseName: Wiley Online Library Free Content customDbUrl: eissn: 1097-0142 dateEnd: 20241209 omitProxy: false ssIdentifier: ssj0007253 issn: 0008-543X databaseCode: WIN dateStart: 19960101 isFulltext: true titleUrlDefault: https://onlinelibrary.wiley.com providerName: Wiley-Blackwell – providerCode: PRVWIB databaseName: Wiley Online Library Full Collection 2020 customDbUrl: eissn: 1097-0142 dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0007253 issn: 0008-543X databaseCode: DRFUL dateStart: 19960101 isFulltext: true titleUrlDefault: https://onlinelibrary.wiley.com providerName: Wiley-Blackwell |
| link | http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpV1bi9QwFD6sq4gg3i9ddYjoi0LdmbRpEvBFRgcX1kEWF-etpLnsDizpMJ0VfPMn-Bv9JXuSdjoOLoL40pb2FNKTc9Lva5PvALykoegisw5JDnNpbpRKBeU6RWRMOS1kVukomX_Ip1Mxm8nPO_B2vRam1YfoP7iFzIjjdUhwVTX7G9FQ7fXyDUVAHlb6jvKYlV8Ppv0wzGknQTkUKcuzWa9NSvc3t269jW4uVIOOcW1Fi8sg558zJ39HtPGVNLn9fw9zB251UJS8a2PnLuxYfw-uf-p-tt8HfxBXUJLakVWo_XVClDeksXGmdDi7UOFbTRgvSZhARmLJEmwvqT1pF2t-D2bWm18_ftYON2dz19nOPe4x4JakU3ZtHsDx5MOX8ce0K8-QajYqRFpU6AdmkANxI4xwRjomCoeESwsjhxp5N6I9hQzJKsWYojYzlcNjy62kLs8ewq6vvX0MhDlrCsFtYZAOVtJKjczIDStGK2o1rxJ4te6mUnfa5aGExlnZqi7TMjiwjA5M4EVvu2gVOy61Gmz1dm9KBSLSTA4TeL7u_hIzLvxGUd7W502JoHOUFRJ5WQKP2nDY3J2jN_IiS4BvBUpvENS8t6_4-WlU9UZmneH4mcDrGCh_aXs5no6P4tHevxg_gRuI9vJ2nttT2F0tz-0zuKa_rebNcgBX-EwM4Or7o8nx4SCm0gVR5CSX |
| linkProvider | Wiley-Blackwell |
| linkToHtml | http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpV1bi9QwFD7orLiCeF21XtaIvijUnU2bJn2U0WEXZwdZdmHeSpqLDizpMJ0VfPMn-Bv9JZ6k2Y6DiyC-tKU9hfbkJP2-9OQ7AK-oL7rIjEWSw2yaaylTQblKERlTTosyq1WQzJ_w6VTMZuWnmJvj18J0-hD9hJvvGWG89h3cT0jvrVVDlVPLtxQRubgKWznGERvA1vvj8emkH4o5jTKUQ5GyPJv1-qR0b333xhfp5kK26BzbVbW4DHb-mT35O6oNn6Xx7f98oTtwK-JR8q4LoLtwxbh7cP0o_nG_D-4wLKMkjSUrXwDsM5FOk9aEdGl_diH9hI0fNInPIiOhbgk-MGkc6VZsfvNmxumf3380Fjdncxtt5w73GHVLEuVd2x04HX84GR2ksUZDqth-IdKiRkcwjUSIa6GF1aVlorDIupTQ5VAh-UbIJ5EmGSkZk9RkurZ4bLgpqc2zBzBwjTOPgDBrdCG4KTRywro0pUJ6ZIc1ozU1itcJvL5op0pFAXNfR-Os6qSXaeUdWAUHJvCyt110sh2XWu1uNHdvSgXC0qwcJvDiov0r7Hb-X4p0pjlvK0Se-1lRIjlL4GEXD-u7c_QGBmQCfCNSegMv6b15xc2_BGlvpNcZDqIJvAmR8pdnr0bT0XE4evwvxs9h--DkaFJNDqcfn8ANhH95l_j2FAar5bl5BtfU19W8Xe7GvvQL8x8nWw |
| linkToPdf | http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpV1ba9RAFD5oK0UQ75dUrSP6YiF2O8kkM4-ydbG4LqVY2LcwmYsulMmy2Qp960_wN_pLemYyzbpYBPFlNyQnkJw5Z_J9yZnvALylvukiMxZJDrNprqVMOS1VisiYlrQQWa2CZP64nEz4dCqOYm2OXwvT6UP0L9x8ZoT52ie4mWu7t1INVU4t3lNE5PwmbOZMFJiXmwfHo5NxPxWXNMpQDnjK8mza65PSvdXZa0-kO3PZonNs19XiOtj5Z_Xk76g2PJZG9_7zhu7D3YhHyYcugB7ADeMewtaX-MX9EbjDsIySNJYsfQOwb0Q6TVoTyqX93rn0L2z8pEl8FRkJfUvwgknjSLdi89ybGad_XfxsLP6czmy0nTn8x6hbkCjv2j6Gk9HHr8NPaezRkCq2X_C0qNERTCMRKjXX3GphGS8ssi7FtRgoJN8I-STSJCMlY5KaTNcWt01pBLV59gQ2XOPMMyDMGl3w0hQaOWEtjFBIj-ygZrSmRpV1Au-uxqlSUcDc99E4rTrpZVp5B1bBgQm86W3nnWzHtVY7a8Pdm1KOsDQTgwReX41_hWnnv6VIZ5qztkLkuZ8VAslZAk-7eFidnaM38iJLoFyLlN7AS3qvH3Gz70HaG-l1hpNoArshUv5y7dVwMjwOW9v_YvwKto4ORtX4cPL5OdxG9Jd3dW8vYGO5ODMv4Zb6sZy1i52YSpdJpibW |
| openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Impact+of+Timing+and+Setting+of+Palliative+Care+Referral+on+Quality+of+End-of-Life+Care+in+Cancer+Patients&rft.jtitle=Cancer&rft.au=Hui%2C+David&rft.au=Kim%2C+Sun+Hyun&rft.au=Roquemore%2C+Joyce&rft.au=Dev%2C+Rony&rft.date=2014-06-01&rft.issn=0008-543X&rft.eissn=1097-0142&rft.volume=120&rft.issue=11&rft.spage=1743&rft.epage=1749&rft_id=info:doi/10.1002%2Fcncr.28628&rft_id=info%3Apmid%2F24967463&rft.externalDocID=PMC4073257 |
| thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=0008-543X&client=summon |
| thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=0008-543X&client=summon |
| thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=0008-543X&client=summon |