title: Integrated oncology and palliative care: five years experience at the National Cancer Institute of Mexico.
abstract: Under the national plan for addressing cancer, prevention and detection play important roles. However, the cost of treatments and late diagnosis represent a significant burden on health services. At the National Cancer Institute, more than half of patients present with tumors in advanced stages, and approximately 10% of patients seen for the first time exhibit terminal-stage malignancies, where there are no feasible cancer treatment options, and the patients are instead admitted to the hospital exclusively for palliative symptomatic management. In 2010, the National Cancer Plan began implementing a model of integrative management of palliative care in oncology that has gradually come to include symptomatic palliative care, involving ambulatory, distant and hospitalized management of patients with cancer, in its final stages and, more recently, in earlier stages.
authors.forename: Silvia
authors.initials: S
authors.lastname: Allende-Pérez
authors.forename: Emma
authors.initials: E
authors.lastname: Verástegui-Avilés
authors.forename: Alejandro
authors.initials: A
authors.lastname: Mohar-Betancourt
authors.forename: Abelardo
authors.initials: A
authors.lastname: Meneses-García
authors.forename: Angel
authors.initials: A
authors.lastname: Herrera-Gómez
mesh_terms: D000047:Academies and Institutes / Q000458:organization & administration*; D000700:Analgesics / Q000627:therapeutic use; D002173:Cancer Care Facilities / Q000458:organization & administration*; D057210:Delayed Diagnosis; D006779:Hospitals, Public / Q000458:organization & administration*; D006801:Humans; D008495:Medical Oncology / Q000458:organization & administration*; D008800:Mexico; D008962:Models, Theoretical; D009369:Neoplasms / Q000453:epidemiology / Q000628:therapy; D059408:Pain Management; D010166:Palliative Care / Q000458:organization & administration*; D010353:Patient Education as Topic; D012189:Retrospective Studies; D013727:Terminal Care / Q000458:organization & administration
chemical_list: D000700:Analgesics