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Patients with advanced cancer often never have a clear conversation about what to expect and what matters to them. A structured conversation guide, taught to clinicians and prompted by the record, makes these talks happen earlier.
The Serious Illness Care Program (Ariadne Labs) combines clinician training in a structured conversation guide with electronic prompts and documentation. A cluster-randomised trial in oncology showed earlier, more frequent, and more patient-centred conversations and reduced anxiety and depression. Adoption remains limited. Making the programme a standard component of oncology practice would improve goal-concordant care at low cost.
Shares Pain relief and palliative care are unavailable to most, Patients lack understanding, navigation and agency.
Shares Pain relief and palliative care are unavailable to most, Patients lack understanding, navigation and agency.
Shares Pain relief and palliative care are unavailable to most, Patients lack understanding, navigation and agency.