Ideal vs Actual Timing of Palliative Care Integration for Children With Cancer in Latin America

作者：Michael J. McNeil, Bella S. Ehrlich, Huiqi Wang, Marisol Bustamante, V. Dussel, P. Friedrich, Ximena Garcia Quintero, S. Gillipelli, W. G. Gómez García, D. Graetz, E. Kaye, M. Metzger, Carla Vittoria Sabato Danon, M. Devidas, J. Baker, A. Agulnik · 发表于：JAMA Network Open · 年份：2023 · DOI：10.1001/jamanetworkopen.2022.51496 · 被引用次数：22 · 研究领域：Medicine

Key Points Question What is the ideal timing for palliative care consultation for children with cancer in Latin America, and what are the barriers to earlier integration of palliative care in patient treatment? Findings A total of 831 physicians from 17 countries participated in this survey-based study; most respondents stated that the ideal timing for palliative care was much earlier than what is currently happening. Significant barriers included lack of home-based care, limited physician knowledge, discomfort with palliative care, and family resistance. Meaning Physicians in Latin America identified earlier palliative care integration as important for children with cancer, but this study found a difference between ideal timing and actual timing of palliative care integration, highlighted by specific barriers to this earlier integration.