title: Early palliative care for patients with metastatic cancer.
abstract: OBJECTIVE
  At present, clinicians and healthcare providers are increasingly urged to advance the provision of state-of-the-art palliative care for patients with incurable cancer. This review provides an overview about the recent findings and practical suggestions.
  
  
  RESULTS
  In the last decade, the awareness about the logistic and personal resources needed to meet the somatic and psychological needs of patients with progressive and life-threatening diseases has increased and in parallel, palliative care concepts and expertise have evolved substantially. Care concepts for patients with metastatic cancer emphasized the potential of interdisciplinary care. For example, in 2010, a randomized trial reported a benefit for patients with lung cancer who received early palliative care in addition to routine care. It is discussed that this was because of increased quality of life and detailed exploration of patient preferences.
  
  
  CONCLUSIONS
  Patients, families and physicians benefit from shared care concepts of oncology and specialized palliative care. Although this concept is already becoming increasingly implemented in tertiary (comprehensive cancer-) care settings, the potential of this approach should be explored for other clinical settings such as office-based oncology.
authors.affiliation: Department of Palliative Care, University Hospital Cologne, Cologne, Germany. jan.gaertner@uk-koeln.de
authors.forename: Jan
authors.initials: J
authors.lastname: Gaertner
authors.forename: J
authors.initials: J
authors.lastname: Wolf
authors.forename: R
authors.initials: R
authors.lastname: Voltz
mesh_terms: D006801:Humans; D009362:Neoplasm Metastasis; D009369:Neoplasms / Q000473:pathology* / Q000628:therapy*; D010166:Palliative Care / Q000379:methods*