Literature Review

Study examines biological causes of cancer deaths: Tumors invading large blood vessels may be to blame, UTSW researchers say UT Southwestern Medical Center, Dallas, TX; by Newsroom; 10/16/25 The ultimate cause of death from cancer may not be metastatic disease, as researchers have long surmised, but an infiltration of tumors into major blood vessels that cause blood clots and multiorgan failure, a one-of-a-kind clinical study led by UT Southwestern Medical Center suggests. These findings, published in Nature Medicine, could spur interventions that extend the lives of patients with advanced cancers. 

Teaching end-of-life care: A Q&A with Matthew Ellman, MD Yale School of Medicine; by Mahima Samraik, MS; 10/16/25 Every year, thousands of families sit in hospital rooms hearing words no one wants to hear: “We have done everything we can.” What happens next, whether doctors stay engaged or step away, can transform one of life's most difficult moments for patients and their families. ... We talked with Ellman about the importance of human connection in end-of-life care and how YSM is empowering the next generation of physicians to be actively present when their patients need them the most.

The government shutdown’s impact on Medicare Advantage: As clear as mud? JD Supra; by Jeffrey Davis and Lynn Nonnemaker; 10/16/25 Over the last couple of weeks, stakeholders have raised many questions about how the government shutdown will affect different healthcare initiatives and programs, and Medicare Advantage (MA) is no exception. The Centers for Medicare & Medicaid Services (CMS) has provided guidance related to Medicare claims processing, telehealth services, and other operations, but most of that has pertained to Medicare fee-for-service (traditional Medicare). MA plans have been largely responsible for figuring out how the information applies to them. About half of Medicare beneficiaries are in MA, meaning more than 35 million Medicare beneficiaries and the providers who care for them rely on MA plans to communicate how benefits and coverage have, or have not, changed. As the shutdown drags on, CMS’s work to establish future MA policies and payment rates through rulemaking and notices also could be impeded. To discuss some of the ways that the shutdown has impacted MA and may continue to do so, I’m bringing in my colleague Lynn Nonnemaker. ...

Conspiracy of verticals:  Rethinking healthcare models with Peter Benjamin Teleios collaborative Network (TCN); video/podcast hosted by Chris Comeaux with Peter Benjamin; 10/8/25 In this conversation, Peter Benjamin and Chris Comeaux discuss the impact of COVID-19 on mortality rates, particularly the concept of 'death pull forward' and its implications for Hospice Care. Peter highlights the significant role of assisted living facilities in Hospice days and explores macro trends in healthcare, emphasizing the shift from vertical to horizontal care models. The discussion also covers the evolution of Palliative Care, frail elderly practices, and institutional special needs plans (iSNPs), while stressing the importance of measuring quality of care, particularly in pain management. 

LGBTQ+ history project: The need to preserve LGBTQ+ histories of rural America Watermark Out News; by Lauren Rowello; 10/14/25 ... Resources importantly emerged as people formally organized — bringing critical health care and hospice networks during the HIV/AIDS crisis, for instance, and launching LGBTQ+ voices into expansive advocacy careers. Across the US, some of the most impactful voices for change have come from rural regions. ... Editor's Note: For more on this interface with the birth of hospice care in the US, examine "The AIDS Epidemic’s Lasting Impact on Hospice Care for LGBTQ+ Populations," by Holly Vossel, Hospice News, 6/28/24. Pair these with today's post, "Inside the hospice that feels like home: How Omega House catches those who fall through the cracks." 

Telepalliation creates a sense of security: A qualitative study of patients with cancer receiving palliative carePalliative Medicine; by Jarl Voss Andersen Sigaard, Elisabet Dortea Ragnvaldsdóttir Joensen, Una Rósa Birgisdóttir, Helle Spindler, Birthe Dinesen; 10/7/25 ... The aim of this study was to explore patients' experiences with the functionality of the Telepalliation program while receiving specialized palliative care. ... Results: Four key themes emerged: "Sense of coherence," "Telepal platform," "Roles of spouse/partner and relatives," and "Cross-sector collaboration." The program improved patients' sense of security and coherence by enhancing communication with healthcare professionals. ... The platform also successfully integrated relatives into the care process. Editor's Note: While this research was conducted in Denmark, it surely resonates with patient care in the US. Reference articles in the uncertainties of government shutdowns, legislative needs to extend telehealth, and more: 

[Global] Top designs revealed in buildner’s Fourth Annual Hospice – Home for the Terminally Ill competition ArchDaily; 10/13/25 Buildner has announced the results of its fourth annual Hospice - Home for the Terminally Ill international architecture ideas competition. This global call for ideas continues to explore how architecture can support end-of-life care with empathy, dignity, and contextual sensitivity. The competition invited architects and designers to move beyond clinical requirements and envision spaces that offer emotional warmth, social connection, and a profound sense of place. ... An international jury reviewed the submissions for their design clarity, emotional resonance, and architectural depth. 

CFO tenures at the 10 largest health systems Becker's Hospital Review; by Andrew Cass; 10/9/25 Healthcare CFOs’ tenures last an average of 4.7 years, according to a September report from Crist Kolder Associates. Here are the tenures of the CFOs at the 10 largest health systems in the U.S. (Health system size is determined by the number of hospitals, based on organizational data as of December.)

Text to Voice OptionsHospice & Palliative Care Today; by Cordt Kassner; 10/8/25Listening to written content can be a great way to stay informed while multitasking. Whether it’s a webpage, article, or email (like Hospice & Palliative Care Today), the following tools can convert text to speech on Chrome, iPhones, and Android devices (click here for additional information).

Hospice Research Information 10/11/25

Where comfort and nutrition meet: A case series of children with severe neurologic impairment receiving home parenteral nutrition at the end of lifeNutrition in Clinical Practice; by Dana Steien, Erin Alexander, Molissa Hager, Andrea Armellino, Megan Thorvilson; 9/25Increasingly, home parenteral nutrition (HPN) ... is used for intractable feeding intolerance (IFI), which can occur near the end of life (EOL) in children with severe neurological impairment (SNI). [Four cases were retrospectively examined and we] found that the pediatric palliative care team (PPCT) was involved in all cases during HPN decision-making and planning. The pediatric nutrition support team (PNST) and PPCT collaborated to provide individualized, goal-directed care. All [patients] were enrolled in hospice while receiving HPN. HPN at EOL requires careful ethical consideration, particularly of autonomy because families often find comfort in providing nutrition.

Perinatal bereavement rooms: A narrative review of physical space in perinatal griefArchives of Gynecology and Obstetrics; by Ruby Castilla-Puentes, Azul F. Isidoro, Alfonsina Orosito, Samantha Eaton, Manuela Goyeneche, Liliana González Cabrales, Gabriela Santaella; 9/25 Perinatal loss is a profoundly complex form of grief, often linked to heightened risk of prolonged bereavement and adverse mental health outcomes. Perinatal grief rooms—private, supportive spaces within healthcare settings—aim to help families process their loss, spend time with their baby, and create meaningful memories in a respectful environment. Despite increasing recognition of the importance of bereavement care, dedicated grief rooms remain under-researched and inconsistently implemented. Advancing this field will require rigorously designed studies, development of design standards, and collaborative partnerships among healthcare providers, researchers, policymakers, and design experts to ensure equitable access to therapeutic spaces for grieving families.Assistant Editor's note: It strikes me that those experiencing grief of any kind, not just perinatal grief, could benefit from a grief room--a private, comfortable, inviting space--where loved ones can be together and grieve. Many hospice in-patient facilities have such a room. Wouldn't it be wonderful if every hospital, nursing home, assisted living facility, etc., had a grief room?! Perhaps hospice organizations could explore a multi-facility collaboration to make that happen. 

Pulse check: Status update on pediatric palliative and hospice community-based coverageJournal of Palliative Medicine; by Meaghann S Weaver, Alix Ware, Deborah Fisher, Betsy Hawley, Holly Davis, Lisa C Lindley, Steven M Smith, Conrad S P Williams, Tej Chana, Christy Torkildson; 9/25Half (49%) of [the country's surveyed hospice and palliative] organizations reported increasing the number of pediatric patients accepted into their care over the past five years. Programs are less likely to include perinatal (61%) patients compared to infants through young adults (94%). Trauma increased as a reason for pediatric enrollment. Nonmetro geographies are less likely to provide services for children. The pediatric palliative average annual census was 271, and the pediatric hospice average annual census was 74. The pediatric patient's average length of stay for palliative care was 154 days and for hospice was 96 days, [with] Medicaid (47%) [being] ... the most common form of reimbursement. Lack of trained personnel, low referrals, and funding were depicted as the most common barriers.