Outpatient Oncology Records Lack Goals-of-Care Documentation for Most Older Adults
A retrospective study of 7,743 patients found that only 43% had documented goals-of-care conversations in their electronic health records.
Palliative Telecare Fails to Improve Goal Concordance in Cardiopulmonary Disease
A randomized trial of nurse and social worker-led phone interventions found no change in treatment alignment or patient uncertainty.
GPT-4o Identifies Oncology Communication Domains in Clinical Notes
A feasibility study shows large language models can audit advanced cancer notes in seconds with accuracy comparable to manual review.
Bereaved Family ACP Participation Boosts Own Planning and Interpersonal Trust
Participation in a loved one's end-of-life planning increases the likelihood of survivors' own advance care planning and reduces anxiety.
Telehealth Integration Does Not Prevent Quality of Life Decline in Palliative Care
A randomized trial of 182 patients found no significant differences in symptom burden or security between telehealth and standard care.
Self-Mixed Morphine Gel Reduces Pain and Systemic Opioid Use in Cancer
A 0.125% topical morphine gel mixed by patients reduced pain scores by 61.8% and significantly lowered daily oral morphine requirements.
Mechanism-Based Care Relieves Peripheral Edema in Advanced Cancer
A scoping review of 2,223 patients suggests targeted interventions like stenting and fluid management improve short-term symptom burden.