4.6 Article

Palliative care in onco-hematology: a perspective

Journal

SUPPORTIVE CARE IN CANCER
Volume 29, Issue 5, Pages 2251-2253

Publisher

SPRINGER
DOI: 10.1007/s00520-020-05895-y

Keywords

Hematology; Palliative care; Specialization

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Palliative care for hematologic patients presents unique challenges and requires more health education programs and policy reforms to enhance specialized care in hematology.
Palliative care (PC) is focused on individualized symptomatic control, psychological help, and support in the context of severe disease. Oncologic patients are still the most referred to PC and hematologic patients are only 7%. This is a commentary about PC applied to hematologic patients. There is evidence supporting that these patients behave as a special group in PC when compared with other tumors: there is a smaller number of referrals, with more advanced disease status, more symptomatology expressed, and less time between the last treatment date and the referral date or death. This article also expresses the experience of an oncologic palliative care unit. More health education programs in PC are needed for specialized professionals in hematology, as well as a change of nowadays health politics, in order to increase the participation of this specialized care in hematology.

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