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Tumori. 2017 Jan 21;103(1):9-14. doi: 10.5301/tj.5000593. Epub 2016 Dec 19.

Position paper of the Italian Association of Medical Oncology on early palliative care in oncology practice (Simultaneous Care).

Author information

1
Department of Clinical & Experimental Oncology, Medical Oncology Unit 1, Veneto Institute of Oncology IOV-IRCCS, Padua - Italy.
2
Medical Oncology Unit, University Hospital, Parma - Italy.
3
"LA Seragnoli" Department of Hematology and Oncology Sciences, S. Orsola-Malpighi Hospital, Bologna - Italy.
4
Medical Oncology Unit, Palliative Care Service, San Matteo Hospital IRCCS, Pavia - Italy.
5
European Institute of Oncology, Milan - Italy.
6
Department of Hematology and Oncology, Medical Oncology Unit, Piacenza Hospital, Piacenza - Italy.
7
Medical Oncology Unit, Fatebenefratelli-Isola Tiberina Hospital, Rome - Italy.
8
Medical Oncology Unit, Fatebenefratelli Hospital, Milan - Italy.
9
Department of Oncology, S. Maria Annunziata Hospital-AUSL 10, Bagno a Ripoli (Florence) - Italy.
10
Medical Oncology Unit, SS. Trinità Hospital, Sora (Frosinone) - Italy.
11
Medical Oncology Unit INI Grottaferrata, Rome - Italy.
12
Oncology Department, Sacro Cuore-Don Calabria Hospital, Negrar (Verona) - Italy.
13
Palliative Care Unit, Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori IRCCS, Meldola (Forlì-Cesena) - Italy.
14
Clinical and Molecular Medicine Department, Medical Oncology Unit, Sapienza University, Sant'Andrea Hospital, Rome - Italy.
15
Department of Medical Oncology, University of Cagliari, Cagliari - Italy.
16
Medical Oncology Unit, SS. Giovanni e Paolo Hospital, Venezia - Italy.
17
Medical Oncology Unit, S. Orsola-Malpighi Hospital, Bologna - Italy.
18
Medical Oncology Unit, Fondazione Poliambulanza Hospital, Brescia - Italy.
19
Medical Oncology & Breast Unit, "A. Perrino" Hospital, Brindisi - Italy.
20
Department of Oncology, San Pietro Fatebenefratelli Hospital, Rome - Italy.
21
Medical Oncology Unit, S.Anna Hospital, Ferrara - Italy.
22
Clinical Oncology Unit, Department of Internal Medicine, Catholic University, Rome - Italy.
23
Medical Oncology Unit, "Tor Vergata" University Hospital, Rome - Italy.
24
Medical Oncology Unit, S. Maria Misericordia Hospital, Udine - Italy.
25
Medical Oncology Unit, Campus Bio-Medico University, Rome - Italy.
26
Palliative Care Unit, Veneto Institute of Oncology IOV-IRCCS, Padua - Italy.
27
Oncology Department, Azienda Ospedaliera di Lodi, Lodi - Italy.
28
Unit of Medical Oncology, Cancer Center Azienda Ospedaliera Papa Giovanni XXIII, Bergamo - Italy.
29
Medical Oncology Unit, Azienda Ospedaliero-Universitaria di Parma Maggiore Hospital, Parma - Italy.
30
Medical Oncology, Università Politecnica delle Marche, Azienda Ospedaliero-Universitaria Ospedali Riuniti, Ancona - Italy.

Abstract

One of the priorities of personalized medicine regards the role of early integration of palliative care with cancer-directed treatments, called simultaneous care. This article, written by the Italian Association of Medical Oncology (AIOM) Simultaneous and Continuous Care Task Force, represents the position of Italian medical oncologists about simultaneous care, and is the result of a 2-step project: a Web-based survey among medical oncologists and a consensus conference. We present the opinion of more than 600 oncologists who helped formulate these recommendations. This document covers 4 main aspects of simultaneous care: 1) ethical, cultural, and relational aspects of cancer and implications for patient communication; 2) training of medical oncologists in palliative medicine; 3) research on the integration between cancer treatments and palliative care; and 4) organizational and management models for the realization of simultaneous care. The resulting recommendations highlight the role of skills and competence in palliative care along with implementation of adequate organizational models to accomplish simultaneous care, which is considered a high priority of AIOM in order to grant the best quality of life for cancer patients and their families.

PMID:
28009422
DOI:
10.5301/tj.5000593
[Indexed for MEDLINE]

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