American society of clinical oncology statement

Toward individualized care for patients with advanced cancer

Jeffrey M. Peppercorn, Thomas J. Smith, Paul Helft, David J. DeBono, Scott R. Berry, Dana S. Wollins, Daniel M. Hayes, Jamie H. Von Roenn, Lowell E. Schnipper

Research output: Contribution to journalArticle

299 Citations (Scopus)

Abstract

Patients with advanced incurable cancer face complex physical, psychological, social, and spiritual consequences of disease and its treatment. Care for these patients should include an individualized assessment of the patient's needs, goals, and preferences throughout the course of illness. Consideration of disease-directed therapy, symptom management, and attention to quality of life are important aspects of quality cancer care. However, emerging evidence suggests that, too often, realistic conversations about prognosis, the potential benefits and limitations of disease-directed therapy, and the potential role of palliative care, either in conjunction with or as an alternative to disease-directed therapy, occur late in the course of illness or not at all. This article addresses the American Society of Clinical Oncology's (ASCO's) vision for improved communication with and decision making for patients with advanced cancer. This statement advocates an individualized approach to discussing and providing diseasedirected and supportive care options for patients with advanced cancer throughout the continuum of care. Building on ASCO's prior statements on end-of-life care (1998) and palliative care (2009), this article reviews the evidence for improved patient care in advanced cancer when patients' individual goals and preferences for care are discussed. It outlines the goals for individualized care, barriers that currently limit realization of this vision, and possible strategies to overcome these barriers that can improve care consistent with the goals of our patients and evidence-based medical practice.

Original languageEnglish
Pages (from-to)755-760
Number of pages6
JournalJournal of Clinical Oncology
Volume29
Issue number6
DOIs
StatePublished - Feb 20 2011
Externally publishedYes

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Medical Oncology
Patient Care
Neoplasms
Palliative Care
Continuity of Patient Care
Terminal Care
Needs Assessment
Quality of Health Care
Evidence-Based Practice
Therapeutics
Decision Making
Communication
Quality of Life
Psychology

ASJC Scopus subject areas

  • Cancer Research
  • Oncology

Cite this

Peppercorn, J. M., Smith, T. J., Helft, P., DeBono, D. J., Berry, S. R., Wollins, D. S., ... Schnipper, L. E. (2011). American society of clinical oncology statement: Toward individualized care for patients with advanced cancer. Journal of Clinical Oncology, 29(6), 755-760. https://doi.org/10.1200/JCO.2010.33.1744

American society of clinical oncology statement : Toward individualized care for patients with advanced cancer. / Peppercorn, Jeffrey M.; Smith, Thomas J.; Helft, Paul; DeBono, David J.; Berry, Scott R.; Wollins, Dana S.; Hayes, Daniel M.; Von Roenn, Jamie H.; Schnipper, Lowell E.

In: Journal of Clinical Oncology, Vol. 29, No. 6, 20.02.2011, p. 755-760.

Research output: Contribution to journalArticle

Peppercorn, JM, Smith, TJ, Helft, P, DeBono, DJ, Berry, SR, Wollins, DS, Hayes, DM, Von Roenn, JH & Schnipper, LE 2011, 'American society of clinical oncology statement: Toward individualized care for patients with advanced cancer', Journal of Clinical Oncology, vol. 29, no. 6, pp. 755-760. https://doi.org/10.1200/JCO.2010.33.1744
Peppercorn, Jeffrey M. ; Smith, Thomas J. ; Helft, Paul ; DeBono, David J. ; Berry, Scott R. ; Wollins, Dana S. ; Hayes, Daniel M. ; Von Roenn, Jamie H. ; Schnipper, Lowell E. / American society of clinical oncology statement : Toward individualized care for patients with advanced cancer. In: Journal of Clinical Oncology. 2011 ; Vol. 29, No. 6. pp. 755-760.
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