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- Eileen E Reynolds, Mary K Buss, Benjamin L Schlechter, and Anjala Tess.
- Beth Israel Deaconess Medical Center, Boston, Massachusetts (E.E.R., M.K.B., B.L.S., A.T.).
- Ann. Intern. Med. 2019 Apr 2; 170 (7): 488-496.
AbstractIn 2016, the American Society of Clinical Oncology published a guideline recommending that all patients with advanced cancer be referred to palliative care providers. This recommendation was based on a series of trials showing that palliative care, when added to standard oncology treatment, improves outcomes, including quality of life. Here, 2 oncologists, 1 of whom is also a palliative care specialist, debate the guideline and discuss how best to care for a 71-year-old woman with metastatic neuroendocrine carcinoma who has a short life expectancy but feels well and has no symptoms related to her cancer or chemotherapy.
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