Literature Review

Hospice, palliative care, and care experiences among Medicare beneficiaries with cancerJournal of Geriatric Oncology; by Lisa M Lines, Miku Fujita, Kim N Danforth, Daniel H Barch, Michael T Halpern, Michelle A Mollica, David T Eton, Ashley Wilder Smith; 11/25Among 37,025 Medicare beneficiaries with cancer, 11.1 % received hospice (with or without PC) and 7.4 % received PC only. Nearly 30 % of the sample died within five years of diagnosis; fewer than one-third of decedents received hospice. Factors associated with receiving hospice included increasing age, non-Hispanic ethnicity, American Indian/Alaska Native and multiracial identities, living in higher-income neighborhoods, survey-completion proxy assistance, fair/poor general health, advanced stage at diagnosis, and more illness burden. Independent predictors of PC encounters included age 75-79, female identification, no dual enrollment, no proxy assistance, and more illness burden. Differences in care experience associated with hospice or PC use were shown for two care experience measures: doctor communication scores and doctor rating scores were higher among beneficiaries who received neither hospice nor PC relative to beneficiaries who received hospice.

From WhatsApp chat to worldwide connectionehospice; 11/25/25 When palliative care physician Ros Taylor reflected on the Global Palliative Doctors Network (GPDN) WhatsApp group, her words captured its essence — five guiding principles for a happier life: being connected, staying curious, continuing to learn, giving knowledge and support, and keeping the mind active. These principles lie at the heart of GPDN — a community built on connection, curiosity, and collective growth. What began as a simple WhatsApp chat among doctors has evolved into a global movement that transcends borders and brings together physicians dedicated to improving palliative care worldwide. [Click here for photo]

'Rehabbed to death’: Bringing more palliative, hospice care to SNFs Hospice News; by Kristin Easterling; 11/26/25 Patients in skilled nursing facilities (SNFs) can become trapped in a “rehabbed to death” cycle that could be prevented with better access to palliative care and hospice. The Patient Driven Payment Model (PDPM) used by SNFs could be harnessed to enable more palliative care and earlier admission to hospice, according to a study published in the Journal of the American Geriatrics Society.Editor's Note: Click below for the study and related articles we've posted.

UConn Health’s palliative care growth continues: Expanding staff and services in both hospital and outpatient settings UConn; by Chris DeFrancesco; 12/1/25 Health’s expanded palliative care services continue to grow, spanning hospital patients to ambulatory patients, with or without cancer. Palliative care referrals in the Carole and Ray Neag Comprehensive Cancer Center are up 31% from last year, and 600% since inception in 2017. Referrals for inpatient palliative care consultations, which started two years ago, are up 35% from last year. A year ago, Dr. Mary Buss and Dr. Germaine Soliman established an outpatient palliative care clinic for patients dealing with conditions other than cancer. Since opening, it has seen more than 130 patients over nearly 450 visits.

S41 Delayed palliative care consultation among veterans with pancreatic cancer: An analysis of patterns and outcomesThe American Journal of Gastroenterology; by Adla, Akhil; Walker, Hayes; Whitwell, Samantha; Yn, Louis; Tombazzi, Claudio; 10/25Pancreatic cancer is characterized by a rapid disease progression, and poor overall prognosis, necessitating a comprehensive approach to care. The American Society of Clinical Oncology strongly recommends early palliative care consultation for all advanced pancreatic cancer patients, at the time of diagnosis or within the 8-12 weeks of diagnosis. Timely palliative care involvement has been shown to improve symptom management, mood, and improved survival. Despite these benefits, palliative care referrals are often delayed, limiting the potential impact on patient outcomes. This study reveals a dramatic percentage of patients who did not have palliative care consultations in a timely fashion as recommended by American Society of Clinical Oncology. 

[Canada] Examining compassion satisfaction and work-related stress within a hospice for the homeless (H4H) organization: Results from a multi-method surveyAmerican Journal of Hospice & Palliative Care; by Celina Carter, Mary Anne Olalia, Justine Giosa; 10/25Communities in Canada have created targeted hospice palliative care strategies such as facility-based hospices for the homeless (H4H) to promote equitable access to care. We developed and administered an anonymous 26-item survey to 104 providers including both staff (eg, nurses, administrators) and volunteers at a facility-based H4H in Ontario. Requests for additional resources to foster workplace wellbeing included educational, process-related, spiritual/psychological, and social supports. Respondents storied that positive workplace wellbeing includes being able to provide quality care, and having supportive relationships, personal fulfillment, and a respectful culture within the workplace. Provider participants were satisfied with their ability to be effective carers, yet chronic multi-level work-related stressors can erode a sense of meaning in H4H work.

Enhancing palliative care integration in the Cardiac Surgical Intensive Care Unit: A multidisciplinary quality improvement projectAmerican Journal of Hospice and Palliative Medicine; by Crystal Hope Bennett Schiano; 10/25The rate of unmet palliative care (PC) needs is high in critical care areas, especially in the surgical patient population, where PC involvement is notoriously late in the patient’s clinical progression. This quality improvement project aimed to evaluate the ability of education, workflow delineation, and an evidence-based assessment tool to improve the integration of PC in a cardiac surgical intensive care unit (TICU). The intervention included education, workflow delineation, and an evidence-based frailty assessment (FA) implementation. The outcomes of this project were similar to those of the existing literature, further revealing that ICUs are challenging care settings in which to connect patients with PC for the first time. Future studies on the effects of FA in the cardiac surgical patient population are warranted to find the most appropriate settings for assessment and associated interventions based on identifying a patient’s frailty.

Providing specialised palliative care to families with ethnic minority background: Perspectives, experiences, and approaches Omega (Westport); by Josefine Maria Bruun, Mikkel Rytter, Jahan Shabnam, Morten Sodemann, Mogens Grønvold, Merete Paludan, Mathilde Adsersen, Jesper Grau Eriksen, Mette Asbjoern Neergaard; 11/17/25 online ahead of print ... While some participants employed informal strategies of cross-cultural palliative care, these were rarely grounded in formal training or guidelines. We therefore recommend the integration of ongoing cultural humility training into the education of palliative care professionals to better support equitable and responsive care in diverse clinical settings.

States’ promising practices to improve care of serious illness National Academy for State Health Policy (NASHP); by Stacie Sinclair (Center to Advance Palliative Care) and Wendy Fox-Grage; 11/17/25 Every state has taken meaningful action in some capacity to improve care for residents facing serious illness, affirms a recent publication from the Center to Advance Palliative Care (CAPC). The report documents how states are using a wide array of policy levers — such as legislation, Medicaid innovation, public education, and workforce development — to improve access to and quality of palliative care. 

Balancing caregiving and personal well-being: The role of palliative care WISHTV.com-8, Indianapolis, IN; by Alfonso Ruvalcaba Trujillo; 11/17/25 Nearly 60 million Americans are providing unpaid care for loved ones facing serious illness, often without the necessary support, according to recent reports. ... Dr. Michael Gabriel, National Medical Director for Carelon Palliative Care, explains that palliative care offers an extra layer of support alongside regular medical treatment, focusing on improving quality of life by addressing physical, emotional, and spiritual needs.

UofL oncology social work expert leads national effort to transform cancer patient support The Lane Report, Louisville, KY; by Holly Hinson; 11/17/25 ... Tara Schapmire, an associate professor in the University of Louisville (UofL) Department of Medicine, Division of Palliative Medicine, and an associate professor at the UofL Kent School of Social Work and Family Science, has worked decades to help individuals and families impacted by cancer. Schapmire was recently awarded a five-year, $1.6 million grant from NCI to lead a national training initiative aimed at transforming psychosocial and palliative care in oncology. The grant will support an intensive training and mentorship program, and 50 social workers from across the U.S. will be competitively selected each year to receive fully funded palliative oncology training and structured mentorship.

Sage advice on aging and dying from a Colorado geriatrician CPR News; by Andrea Dukakis; 11/17/25 Geriatricians – doctors trained to treat older adults – are a scarce commodity across the country and in Colorado. The state has about a million residents aged 65 and older and, according to the most recent data available, only 110 geriatricians. ... Here are five things we learned about aging from Dr. Erika Altneu, a geriatrician in Salida: