Practical considerations when providing palliative care to patients with neuroendocrine tumors in the context of routine disease management or hospice care

Author:

Del Rivero Jaydira1ORCID,Mailman Josh2,Rabow Michael W3,Chan Jennifer A4,Creed Sarah5,Kennecke Hagen F6,Pasieka Janice7,Zuar Jennifer8,Singh Simron9,Fishbein Lauren10ORCID

Affiliation:

1. Developmental Therapeutics Branch, National Cancer Institute, National Institutes of Health, Bethesda, USA

2. NorCal CarciNET Community, Oakland, California, USA

3. Department of Internal Medicine, Division of Palliative Medicine, University of California, San Francisco, San Francisco, California, USA

4. Harvard Medical School, Program in Carcinoid and Neuroendocrine Tumors, Department of Medical Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts, USA

5. Good Shepherd Community Care, Harvard Kennedy School, Natick, Massachusetts, USA

6. Providence Cancer Institute Franz Clinic, Portland Providence Medical Center, Portland, Oregon, USA

7. Department of Surgery, Section of General Surgery, University of Calgary, Cumming School of Medicine, Calgary, Canada

8. Department of Internal Medicine, Division of Geriatrics and Palliative Medicine, Alpert Medical School, Providence, Rhode Island, USA

9. Odette Cancer Centre, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada

10. Department of Medicine, Division of Endocrinology, Metabolism and Diabetes, Department of Biomedical Informatics, University of Colorado School of Medicine, Aurora, Colorado, USA

Abstract

This serves as a white paper by the North American Neuroendocrine Tumor Society (NANETS) on the practical considerations when providing palliative care to patients with neuroendocrine tumors in the context of routine disease management or hospice care. The authors involved in the development of this manuscript represent a multidisciplinary team of patient advocacy, palliative care, and hospice care practitioners, endocrinologist, and oncologists who performed a literature review and provided expert opinion on a series of questions often asked by our patients and patient caregivers affected by this disease. We hope this document serves as a starting point for oncologists, palliative care teams, hospice medical teams, insurers, drug manufacturers, caregivers, and patients to have a frank, well-informed discussion of what a patient needs to maximize the quality of life during a routine, disease-directed care as well as at the end-of-life.

Publisher

Bioscientifica

Subject

Cancer Research,Endocrinology,Oncology,Endocrinology, Diabetes and Metabolism

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