Early outpatient pall care referral in 177 advanced cancer patients improved symptoms (ESAS scores ), achieved 94% advance care planning, and reduced aggressive end-of-life treatment, supporting broader palliative care resource expansion.​​​​​​​​​​​​​​​​ pubmed.ncbi.nlm.nih.gov/41758445/

This program was associated with reduced aberrant behaviors and safer opioid use, supporting structured, team-based management. pubmed.ncbi.nlm.nih.gov/29021378/

Methadone as a First-Line Opioid in Cancer pain: Systematic review shows limited data but suggests methadone may be effective and tolerated as first-line cancer pain therapy, with similar analgesia and side effects to other opioids; further research needed. pubmed.ncbi.nlm.nih.gov/29101087/

In 300 supportive care patients, about half had matching goals for care with the oncologist, while nearly all mismatches involved patients mistakenly believing their treatment was curative, highlighting need for better communication. pubmed.ncbi.nlm.nih.gov/41733720/

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Anorexia-Cachexia causes appetite loss, weight/muscle loss, and worse outcomes. Addressing metabolism, nutrition impact symptoms, and inactivity needs an interdisciplinary team. Specialized nutrition rehab and cachexia clinics improve care pubmed.ncbi.nlm.nih.gov/41693023/

Conducting supportive and palliative oncology clinical trials faces barriers like limited infrastructure, funding, and patient recruitment issues. Standardizing methods and interdisciplinary collaboration can improve research quality and evidence generation. pubmed.ncbi.nlm.nih.gov/41704002/

Anorexia–cachexia in cancer involves metabolic and inflammatory drivers not fixed by nutrition alone. Interdisciplinary care, symptom management, and specialized nutrition rehabilitation and cachexia clinics may improve treatment and integration of new therapies pubmed.ncbi.nlm.nih.gov/41693023/

Passive decision control preferences were less common (23%) than shared and active decision control preference even among developing countries. Significant predictors of passive decision control preferences were performance status, education, and country of origin. pubmed.ncbi.nlm.nih.gov/29235415/

A single meditation group class offered as part of clinical care resulted in relief of multiple self-reported symptoms in both patients and caregivers. pubmed.ncbi.nlm.nih.gov/29421165/

Pall care pts at a public hospital and a comprehensive cancer center both had high distress and symptom burden. Ethnicity and insurance coverage differed widely. Follow-up timing , and overall survival were longer at the public hospital. pubmed.ncbi.nlm.nih.gov/29451835/

patients with advanced lung cancer, BMI and total weight loss but not percentage change in weight was significantly associated with self-identified race/ethnicity at the time of Palliative Medicine consultation. pubmed.ncbi.nlm.nih.gov/41663276/

The term “provider” has not been adequately explored as a matter of ethics and professionalism. Through that lens, this paper examines the trends, significance, and implications for patients, physicians, and health care of the use of the term provider. pubmed.ncbi.nlm.nih.gov/41662714/

This study defines core PC-oriented principles for cachexia management: interprofessional collaboration, dyadic engagement, early holistic assessment, and goal-concordant care pubmed.ncbi.nlm.nih.gov/41656699/

The vast majority of our practice changing discoveries where only possible because we had a PCU: SC route, hydration, opioid rotation, oxygen and opioids for dyspnea, methadone, delirium studies.

We have known for >35 ys that the PCU can alleviate intractable pt suffering at EOL. Most American hospitals still do not have one, and absence is not a “quality metric”. Metrics are wrong ! pubmed.ncbi.nlm.nih.gov/2045996/

Every hospital with an ICU must have a PCU pubmed.ncbi.nlm.nih.gov/41555657/

The study of 240 Korean advanced cancer patients found current smokers used higher opioid doses, had more positive alcohol screening (CAGE),and showed greater physician-assessed risk of chemical coping, indicating need for monitoring non-medical opioid use. pubmed.ncbi.nlm.nih.gov/41643565/

AnAcute Palliative and Supportive Care Unit (APSCU) delivered tailored, interdisciplinary care for a patient with advanced colon cancer who survived a critical event, improved with aggressive symptom management, and transitioned to hospice at home. pubmed.ncbi.nlm.nih.gov/41555657/

survey of respiratory therapists showed that 58% said comfort-focused goals influence HFNC management in end-of-life care. 50% feel distress about prolonging suffering or dying. Findings highlight the need for clearer guidance and support in EOL HFNC care. pubmed.ncbi.nlm.nih.gov/41478421/

Academic and clinical leaders who invest with biomedical and /or financial benchmarks ignore the burden of disease on the person and their loved ones. Failure to consider the value of love in health care turns us into an intellectual elite

Health executives: “no margin, no mission”. Obsessive search for margin also kills the mission and leads to patient and clinician suffering

Medical marihuana laws may have reduced opioid dose and increased adverse hospital events among patients with cancer and surgery. pubmed.ncbi.nlm.nih.gov/41031641/

Relative to other analgesics, tramadol is neither superior nor inferior as an initial opioid. pubmed.ncbi.nlm.nih.gov/41324745/

The feeling of being a burden by pts or perceived burden for caregivers were key factors contributing to psychological distress, underlining the need for specific interventions in palliative care pubmed.ncbi.nlm.nih.gov/41459620/

American hospital and “health system” executives have reduced and protected clinical practice, large academic and administrative support, and unclear productivity measures. More accountability will improve morale

video monitoring improves detection of agitation episodes in palliative care patients with agitated delirium compared to in-person assessments, offering higher resolution and more accurate assessment patterns. pubmed.ncbi.nlm.nih.gov/41580250/

Acute Palliative and Supportive Care Units provide intensive interdisciplinary palliative care in acute hospitals. a case of advanced colon cancer with cardiac arrest, APSCU care improved symptoms allowed hospice discharge, highlighting patient-centered care. pubmed.ncbi.nlm.nih.gov/41555657/

A 7-year study at a comprehensive cancer center examined trends in outpatient palliative care (PC) referrals among 700 advanced cancer patients. Timely referral (≥6 months before death) increased over time showing earlier PC integration is feasible. pubmed.ncbi.nlm.nih.gov/41557969/

Structural gaps in language accessibility cause distress and threaten safety. Interpreter services alone are insufficient;validated multilingual tools into EMRs, translated discharge instructions, and expanded access to in-person interpreters are critical pubmed.ncbi.nlm.nih.gov/41549344/

Prolonged zinc supplementation for dysgeusia caused copper deficiency in a 70-something with multiple myeloma. Hypocupremia caused fatigue, anemia, neuropathy. Symptoms improved with IV copper. Clinicians should watch for copper deficiency in long-term zinc use. pubmed.ncbi.nlm.nih.gov/41539972/

patients with advanced cancer, the first unscheduled hospitalization may serve as a prognostic indicator of poor survival and a potential trigger for palliative care referral. pubmed.ncbi.nlm.nih.gov/40715739/

Only one in three patients with advanced cancer had an accurate understanding of their curability, with limited improvement over time. Systematic screening may provide opportunities to improve illness understanding and coping support. pubmed.ncbi.nlm.nih.gov/40992638/

Caregiver skill interventions are extremely important before patient discharges to improve self efficacy and reduce stress pubmed.ncbi.nlm.nih.gov/39006525/

Editorial by Eduardo Bruera discusses the persistent challenges facing palliative care interdisciplinary teams in acute care hospitals and cancer centers, describing their demanding work and systemic barriers that make sustained, integrated care difficult. pubmed.ncbi.nlm.nih.gov/39008415/

Mandatory PDMP review as one more barrier to opioid prescription to patients who died of cancer pubmed.ncbi.nlm.nih.gov/41505672/

A very nice summary of the amazing changes in oncology in the last 20 years. pubmed.ncbi.nlm.nih.gov/39354161/

We describe 3 cases of pts On buprenorphine maintenance who developed cancer pain and were managed by the supportive care team. This is a more frequent situation in recent years pubmed.ncbi.nlm.nih.gov/39383025/

In 140 adults with advanced cancer, 25% reported high financial distress. Distress was linked to younger age, being unmarried, lower income, less full-time work, higher symptom burden, and worse quality of life, supporting routine screening in care. pubmed.ncbi.nlm.nih.gov/41472637/

Both QLQ 12 and FACIT-F are validated tools for fatigue. FACIT is shorter and the one we use in our research. For routine clinical care we use the 0-10 fatigue in ESAS pubmed.ncbi.nlm.nih.gov/41460165/