Tumor Is Not the Only Target: Ensuring Equitable Person-Centered Supportive Care in the Era of Precision Medicine

Author:

Sedhom Ramy123ORCID,Bates-Pappas Gleneara E.4,Feldman Jill5,Elk Ronit67,Gupta Arjun8,Fisch Michael J.9,Soto-Perez-de-Celis Enrique10

Affiliation:

1. Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA

2. Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA

3. Penn Center for Cancer Care Innovation, Abramson Cancer Center, Penn Medicine, Philadelphia, PA

4. Department of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY

5. Co-Founder, EGFR Resisters, Deerfield, MA

6. Center for Palliative and Supportive Care, University of Alabama at Birmingham, Birmingham, AL

7. Division of Geriatrics, School of Medicine, University of Alabama at Birmingham, Birmingham, AL

8. Division of Hematology, Oncology, and Transplantation, University of Minnesota, Minneapolis

9. Carelon Medical Benefits Management, Chicago, IL

10. Department of Geriatrics, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico

Abstract

Communication in oncology has always been challenging. The new era of precision oncology creates prognostic uncertainty. Still, person-centered care requires attention to people and their care needs. Living with cancer portends an experience that is life-altering, no matter what the outcome. Supporting patients and families through this unique experience requires careful attention, honed skills, an understanding of process and balance measures of innovation, and recognizing that supportive care is a foundational element of cancer medicine, rather than an either-or approach, an and-with approach that emphasizes the regular integration of palliative care (PC), geriatric oncology, and skilled communication.

Publisher

American Society of Clinical Oncology (ASCO)

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