Literature Review

Is extending life by weeks worth the toll some cancer drugs take? Doctors push for 'common-sense oncology' CBC News, by Amina Zafar and Christine Birak; 3/11/24 People may celebrate a 2-week improvement in survival without acknowledging costs. When a treatment buys a few weeks or months but comes with with a lot of side-effects, then the perspectives of people with cancer may differ, says Dr. Christopher Booth. ... The goal of what they call "common-sense oncology" is to prioritize treatments that meaningfully improve survival and quality of life. They aim to address what they see as problems in the field, such as a lack of critical thinking in oncology training, falling standards for drug approvals and avoidance of end-of-life discussions.

Navigating Aging: Does our society simply not care about our vulnerable older population? KFF Health News, by Judith Graham; 3/10/24 ... The pandemic made things worse. Prejudice against older adults is nothing new, but “it feels more intense, more hostile” now than previously, said Karl Pillemer, 69, a professor of psychology and gerontology at Cornell University. “I think the pandemic helped reinforce images of older people as sick, frail, and isolated — as people who aren’t like the rest of us,” he said. “And human nature being what it is, we tend to like people who are similar to us and be less well disposed to ‘the others.'" 

Telehealth preferences among patients with advanced cancer in the post COVID-19 vaccine eraJournal of Pain and Symptom Management; by Kawoswi K Shih, MD; Adrienne B Arechiga; Xi Chen PhD; Diana L. Urbauer, MS; Aline Rozman De Moraes, MD; Ashley J Rodriquez; Lisa Thomas; Penny A Stanton; Eduardo Bruera, MD; and David Hui MD; 3/10/24 Background: Few studies have examined patient preferences for telehealth in palliative care after the availability of COVID-19 vaccines. We examined patient preferences for video versus in-person visits and factors contributing to preferences in the post-vaccine era. Conclusion: Patients expressed strong preference for video over in-person visits in the outpatient palliative care setting.

Healthcare technology regulatory update - March 2024 JD Supra, by Justin Chavez and Vimala Devassy; 3/8/24Federal and state agencies are actively proposing and enacting health technology-related legislation and regulations. 

Oncology hospitalists improve hospice transitions for patients with advanced cancers Yale School of Medicine, by Osman Moneer; 3/11/24Unplanned hospitalizations for patients with advanced cancer often trigger discussions about care goals and transitions to hospice. Late referrals to hospice, particularly near the end of life, have been associated with reduced quality of life and increased healthcare costs. A new research study published in Cancer investigates the impact of oncology hospitalists on the timing of hospice transitions for patients with advanced cancers. 

What deathbed visions teach us about livingDNYUZ; 3/12/24Chris Kerr was 12 when he first observed a deathbed vision. His memory of that summer in 1974 is blurred, but not the sense of mystery he felt at the bedside of his dying father. ... It would be more than 40 years before Kerr felt compelled to speak about that evening in the hospital room. He had followed his father, and three generations before him, into medicine and was working at Hospice & Palliative Care Buffalo, where he was the chief medical officer and conducted research on end-of-life visions.

Paintings by famous artists reimagined in exhibition showcasing end-of-life care

Spiritual care key to addressing disparities among underserved black communities Hospice News, by Holly Vossel; 3/11/24Spiritual hospice care providers are an important link to building bridges of access and trust among underserved African American populations. ... Having a historical context of understanding around the faith-based barriers among African American populations is a significant part of improving utilization, according to Wayman Scott, associate director of diversity, equity, inclusion and community relations at Maryland-based Gilchrist. Scott also has a background in hospice chaplaincy and serves as chair of the diversity committee at the Hospice & Palliative Network of Maryland.

Hospice provider experience underscores urgency of program integrity efforts: Findings reveal current audit process' shortcomings HomeCare News; 3/12/24 Following a series of meetings with the Centers for Medicare & Medicaid Services (CMS) and Members of Congress on efforts to improve and protect hospice program integrity, four national hospice organizations—LeadingAge, the National Association for Home Care & Hospice (NAHC), the National Hospice and Palliative Care Organization (NHPCO) and the National Partnership for Healthcare and Hospice Innovation (NPHI)—released findings of a hospice provider survey that the organizations say underscores the urgency and need for CMS and Congress to act. 

When health care is woven in our family fabric, we find support in unexpected places Oncology Nursing Society (ONS) Voice, by Suzanne M. Mahon, DNS, RN, AOCN®, AGN-BC, FAAN; 3/7/24... We have a built-in support system in our family. We understand all of those feelings and stressors in each other. We just get it. ... Where is your dinner table of support? Who is your go-to person who just gets it and listens? My husband and daughters support me, and I also have friends from nursing school, the workplace, and ONS who support me. They make all the difference in the world. Today, take time to thank your own support team.

Pennsylvania health systems are partnering up Becker's Hospital Review, by Andrew Cass; 3/8/24Kittanning, Pa.-based Armstrong County Memorial Hospital signed a definitive agreement March 6 to join Pennsylvania Mountains Care Network, marking the latest in a series of partnerships, mergers and acquisitions between hospitals and health systems in the Keystone State.

Operating in the red: Half of rural hospitals are losing money, as many cut servicesSource NM, by Jazmin Orozoco Rodriguez (KFF Health News); 3/7/24As half of rural hospitals lose money, many are cutting services

CT bill would create a statewide pediatric hospice program: 'Make this a reality for our children' The Darien Times, by Cris Villalonga-Vivoni; 3/11/24There are only a handful of agencies specifically providing end-of-life care to children in the state, said Moss, who is also the founder of Connecticut Children’s Hospital palliative care team, the Sunflower Kids. “Every dying child in the state of Connecticut deserves this expertise and support of the hospice program,” Moss said. “It is time we make this a reality for our children.” The need for pediatric hospice care is felt throughout the state, even if the volume of people seeking out these services is often low, said Tracy Wodatch, president and chief executive officer of the Connecticut Association for Healthcare at Home.