title: Snapshot of an Outpatient Supportive Care Center at a Comprehensive Cancer Center.
abstract: Integration of palliative care (PC) in oncology have been found to improve symptom distress, quality of life, and survival in patients with advanced cancer. Early integration is most appropriate in the outpatient setting. However, most PC services in the United States do not have an outpatient component. Our study aims to provide a snapshot of the type of patients and families who are referred to this novel setting for the delivery of early PC.
  
  
  
  Traditionally, PC has been delivered predominantly to patients with advanced disease and to aid in transition to end of life. In recent years, outpatient centers have dramatically changed the nature of PC work as in our snapshot, which shows that in addition to patients regarded as more traditional patients, such as those transitioning to end of life, there are now patients who come in very soon after arrival to a cancer center requiring specialized care to address a variety of symptom and educational needs, thus requiring adaptation of structure and processes to allow access for frequent follow-ups, counseling, and flexibility for walk-in visits. Our findings suggest that Supportive Care Clinic needs to practice in a very different way, which requires certain skills and assessment tools that are not conventionally present in traditional oncology clinic settings. More research is needed to identify the type of patients who would benefit most from a PC referral.
authors.affiliation: Department of Palliative, Rehabilitation and Integrative Medicine, The University of Texas MD Anderson Cancer Center , Houston, Texas.
authors.forename: Lindsey E
authors.initials: LE
authors.lastname: Pimentel
authors.affiliation: Department of Palliative, Rehabilitation and Integrative Medicine, The University of Texas MD Anderson Cancer Center , Houston, Texas.
authors.forename: Maxine
authors.initials: M
authors.lastname: De La Cruz
authors.affiliation: Department of Palliative, Rehabilitation and Integrative Medicine, The University of Texas MD Anderson Cancer Center , Houston, Texas.
authors.forename: Angelique
authors.initials: A
authors.lastname: Wong
authors.affiliation: Department of Palliative, Rehabilitation and Integrative Medicine, The University of Texas MD Anderson Cancer Center , Houston, Texas.
authors.forename: Debra
authors.initials: D
authors.lastname: Castro
authors.affiliation: Department of Palliative, Rehabilitation and Integrative Medicine, The University of Texas MD Anderson Cancer Center , Houston, Texas.
authors.forename: Eduardo
authors.initials: E
authors.lastname: Bruera
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002173:Cancer Care Facilities / Q000458:organization & administration / Q000592:standards* / Q000639:trends; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009362:Neoplasm Metastasis; D009369:Neoplasms / Q000150:complications / Q000523:psychology / Q000628:therapy*; D010044:Outpatient Clinics, Hospital / Q000458:organization & administration / Q000592:standards* / Q000639:trends; D059408:Pain Management / Q000379:methods / Q000523:psychology / Q000592:standards*; D010166:Palliative Care / Q000458:organization & administration / Q000523:psychology / Q000592:standards* / Q000639:trends; D011788:Quality of Life; D012944:Social Support
keywords: outpatient palliative care clinic; outpatient supportive care center; supportive oncology; symptom management