Literature Review

Palliative care utilization and timing for patients undergoing solid organ transplantation in a large multicenter cohortTransplantation; by Matthew W Kenaston, Ryan Baldeo, Tyler K Murphy; 1/26Palliative care ... referrals in transplant programs are infrequent, often reactive, and the benefits remain unclear. We retrospectively studied 12,676 heart, liver, lung, and kidney transplants across 3 Mayo Clinic sites (2018-2024). PC encounters were classified as pretransplant (≤1 y before admission), peritransplant (during hospitalization), or posttransplant (≤1 y after discharge). Only 8.3% engaged PC, with patterns varying by organ and timing. Timing of inpatient consultation showed a strong positive correlation with hospital length of stay, and pretransplant PC coincided with higher rates of goals-of-care discussions and fewer hospital interventions. Adapting screening criteria to focus on high-risk recipients, PC was associated with fewer short-term readmissions for heart and lung recipients.

[Colombia] Early palliative care integration in end-stage liver disease: A narrative review of clinical strategies for symptom control and quality of lifeJournal of Pain & Palliative Care Pharmacotherapy; by Daniela Sarria-Gómez, Cristhian Camilo Martínez Torres, Diana Estrada-Bermúdez, Liliana Saavedra; 1/26End-stage liver disease (ESLD) is associated with a high symptom burden, poor prognosis, and limited access to curative disease. Despite growing evidence supporting the role of palliative care (PC), its integration into the routine management of ESLD remains limited and inconsistent. Key barriers to PC implementation include misconceptions about its use being limited to terminal phases, lack of referral criteria, and insufficient coordination between specialties. Evidence shows that early PC involvement improves symptom control (pain, dyspnea, pruritus, encephalopathy), decreases avoidable hospitalizations, and facilitates shared decision-making.

What my sister Ellen taught me about dignity and the importance of being seen: A powerful reflection on person-centered care, bias, and the true meaning of human dignity in medicine Good Men Project; by Harvey Max Chochinov; 2/23/26 Several years before her death at the age of 55 years due to complications of cerebral palsy, my sister Ellen was again in hospital, this time in intensive care and on the brink of respiratory collapse.  ... I’ve spent my entire career as a psychiatrist working in palliative care. This has included leading a large program of research, examining most aspects of end-of-life experience for patients nearing death. Recently I have recast the Golden Rule for healthcare professionals, reminding them they must aspire to a higher standard. I have coined this The Platinum Rule: do unto others as they would want done unto themselves. This means that healthcare professionals can’t presume to know what is in the patient’s best interest based on what they themselves would want in those circumstances; in other words, they need to take the time to consider the patient’s goals, hopes and wishes.

Hospice use rising for seniors following ICU stays U.S. News & World Report; by Deanna Neff, HealthDay News; 2/25/26For many older Americans, the intensive care unit (ICU) is a place of aggressive, life-saving intervention. However, a new national study reveals that more seniors are choosing a different path — transitioning from the high-tech world of the ICU to the comfort-focused environment of hospice. ... Between 2011 and 2023, the number of Medicare beneficiaries discharged to hospice after an ICU stay increased significantly, researchers from Boston University’s School of Medicine found. This shift occurred even as overall death rates remained steady, suggesting that the change in setting wasn’t tied to more people dying, but rather about how and where people spent their final days.Editor's Note: We posted a similar article on 2/23/26. We post this article for your awareness and use, due to its high profile in U.S. News & World Report.

Palliative care and quality outcomes in patients with brain metastases and poor prognosis: A multi-institutional analysis JCO Oncology Practice - An American Society of Clinical Oncology Journal; by Rohit Singh, MD, Camilo E. Fadul, MD, Emily Kopp, MS, Guneet Sarai, MD, Roger Anderson, PhD, Ryan F. Amidon, MD, Samantha Schuetz, MD, Amy Chang, MD, Ausia N. Iqbal, MD, Joseph A. Bovi, MD, and Alissa A. Thomas, MD; 2/23/26 Purpose: To analyze the patterns of palliative care (PC) consultation for patients with brain metastases (BMETs) and its association with treatment, overall survival (OS), and quality metrics (eg, advance directives [ADs], hospice enrollment). Conclusion: The involvement of PC services correlated with higher completion rates of ADs and increased hospice utilization, without compromising survival or significantly altering other treatment options. There is an unmet need for PC among patients with BMETs with poor prognosis.

Hollywood Health System, Inc. announces major expansion of palliative care services amid record demand The America Watch, Toluca, CA; Press Release; 2/20/26 Hollywood Health System, Inc. (HHS), a leading provider of comprehensive post-acute clinical care, today announced a significant increase in patient enrollment within its Palliative Care Services division. To meet this rising demand due to shifting demographics, the company is methodically expanding its clinical staffing and specialized resources, reinforcing its commitment to high-quality supportive care. ... To support the growing patient census, Hollywood Health System, Inc. has increased its clinical headcount by 25% over the last two quarters. 

Co-designing a framework to communicate patient-centred outcomes in palliative care: involving patients and the public to reframe understanding Journal of Patient-Reported Outcomes; by Mevhibe B Hocaoglu, Adejoke Oluyase, Deb Smith, Rashmi Kumar, Sarah Perman, Matthew Maddocks, Sian Best, Chloe Nast, Sabrina Bajwah, Katherine E Sleeman, Irene J Higginson; 2/21/26 online ahead of print Conclusions: This study found that communication of patient-centred outcomes and Patient-Reported outcome (PRO) evidence can be strengthened through meaningful patient and public involvement and engagement (PPIE). This approach helps to reframe public understanding of palliative care, highlighting its broader relevance beyond end-of-life settings. While developed in the context of palliative care, the framework offers transferable strategies for communicating complex outcomes in other often misunderstood or stigmatised areas, such as mental health and dementia care.

Hospice use after ICU admission increased across the US from 2011–2023 Medical Xpress; by Boston University School of Medicine, edited by Gaby Clark; 2/19/26 ... In a new study from Boston University Chobanian & Avedisian School of Medicine, researchers have found that more older adults in the U.S. are being discharged to hospice after an ICU stay than in the past, and this increase happened even as overall short-term death rates stayed stable. This research is the first to quantify hospice use after ICU stays on a national scale, and suggests a real shift in how end-of-life care is delivered to the seriously ill. These findings appear online in the Annals of the American Thoracic Society.

[UK] Parental experiences of perinatal loss, with a focus on hospice provision: A thematic analysisPalliative & Supportive Care; Rhiannon Latham, Katrina Williams, Keeley Guest, Fauzia Paize, Robyn Lotto; 1/26Perinatal palliative care (PPC) offers holistic support to families of babies with life-limiting conditions, addressing emotional, psychological, and practical needs alongside ensuring dignity for the baby. Five key themes were identified [in this study]: the significance of language used by healthcare professionals when discussing the baby's condition; the importance of timely introduction to hospice care; recognition that grief is a personal and evolving process; the role of shared experiences in building relationships; and the importance of creating lasting memories. Findings highlight the importance of improving healthcare professionals' communication skills and integrating multidisciplinary palliative care services early in the care pathway. Parents expressed gratitude for the hospice support, particularly the opportunity to spend quality time with their baby and make lasting memories.

Cindy Mensik on hospice care: When to shift focus? Investors Hangout; by Lucas Young; 2/17/26 Families in Texas City, TX, are facing a critical decision as loved ones enter the later stages of life. A recent article featuring insights from hospice care expert Cindy Mensik outlines when it’s time to pivot from aggressive treatment methods to hospice care. The reality is stark: this shift isn’t about surrendering; it’s about prioritizing comfort and quality of life during challenging times.

How to plan for a ‘good death,’ according to a VCU researcher VCU News, Virginia Commonwealth University; by Madeline Reinsel; 2/16/26 People talk a lot more about death than dying. That’s according to Yifan Lou, Ph.D., a Virginia Commonwealth University School of Social Work assistant professor who studies how expectations around death and end-of-life care differ across cultures. ... “My job is really trying to understand different populations and then help design a policy and health care system that can support their value of the good death.” Planning for a good death requires patients and families to make decisions around hospice care, pain management, quality of life, financial affairs and long-term care, ideally alongside a social worker.

Geographic and sociodemographic disparities in access to hospice in Pennsylvania American Journal of Hospice and Palliative Medicine; by Jacob Whitman, PhD, Dylan Nagy, MS, Harsheni Sudakar, BSPH, Coleman Drake, PhD, Lindsay Sabik, PhD, and Yael Schenker; 2/14/26 online ahead of print Results: In total, 2.3 million Pennsylvanians, or 17% of the state population, reside in census tracts classified as cold spots. Cold spots were concentrated in rural and socioeconomically disadvantaged regions. Compared with other tracts, cold spot tracts were lower income, less educated, older, more reliant on public insurance, and less racially diverse. Patterns were consistent when restricting to high quality hospice and nonprofit hospices. Conclusion: Geographic disparities in hospice access compound existing sociodemographic inequities. Addressing these inequities will require efforts to expand high-quality hospice availability in underserved communities.