缓和医疗，版本 1.2014。NCCN 指南的特色更新。

Palliative care, Version 1.2014. Featured updates to the NCCN Guidelines.

机构信息

From Fox Chase Cancer Center; The Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins; Roswell Park Cancer Institute; Fred Hutchinson Cancer Research Center/Seattle Cancer Care Alliance; St. Jude Children's Research Hospital/The University of Tennessee Health Science Center; Dana-Farber/Brigham and Women's Cancer Center; Moffitt Cancer Center; The University of Texas MD Anderson Cancer Center; Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine; University of Colorado Cancer Center; University of Alabama at Birmingham Comprehensive Cancer Center; Vanderbilt-Ingram Cancer Center; UC San Diego Moores Cancer Center; Fred & Pamela Buffett Cancer Center at The Nebraska Medical Center; Stanford Cancer Institute; Duke Cancer Institute; The Ohio State University Comprehensive Cancer Center - James Cancer Hospital and Solove Research Institute; Massachusetts General Hospital Cancer Center; Memorial Sloan Kettering Cancer Center; University of Michigan Comprehensive Cancer Center; City of Hope Comprehensive Cancer Center; Huntsman Cancer Institute at the University of Utah; and National Comprehensive Cancer Network.

出版信息

J Natl Compr Canc Netw. 2014 Oct;12(10):1379-88. doi: 10.6004/jnccn.2014.0136.

DOI:10.6004/jnccn.2014.0136

PMID:25313178

Abstract

The NCCN Guidelines for Palliative Care provide interdisciplinary recommendations on palliative care for patients with cancer. These NCCN Guidelines Insights summarize the NCCN panel's discussions and guideline updates from 2013 and 2014. These include modifications/additions to palliative care screening and assessment protocols, new considerations for discussing the benefits and risks of anticancer therapy, and approaches to advance care planning. Recent updates focus on enhanced patient-centered care and seek to promote earlier integration of palliative care and advance care planning in oncology.

摘要

美国国家综合癌症网络（NCCN）姑息治疗指南为癌症患者提供姑息治疗方面的多学科建议。本 NCCN 指南解读概要总结了 2013 年和 2014 年 NCCN 专家组的讨论和指南更新内容。其中包括姑息治疗筛查和评估方案的修改/补充，讨论抗癌治疗获益和风险时的新考量，以及开展预先医疗照护计划的方法。近期更新侧重于增强以患者为中心的护理，并努力促进姑息治疗和预先医疗照护计划在肿瘤学中的更早整合。