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Seventeen years of progress for supportive care services: A resurvey of National Cancer Institute–designated comprehensive cancer centers

Published online by Cambridge University Press:  03 July 2014

Sheila L. Hammer ,
Karen Clark ,
Marcia Grant  and
Matthew J. Loscalzo
Sheila L. Hammer*
Affiliation:
Cancer Support Community Santa Monica, Santa Monica, California City of Hope National Medical Center, Duarte, California
Karen Clark
Affiliation:
City of Hope National Medical Center, Duarte, California
Marcia Grant
Affiliation:
City of Hope National Medical Center, Duarte, California
Matthew J. Loscalzo
Affiliation:
City of Hope National Medical Center, Duarte, California
*
Address correspondence and reprint requests to: Sheila L. Hammer, Clinical Program Director, Cancer Support Community Santa Monica, 1990 South Bundy Drive, Suite 100, Los Angeles, California 90025. E-mail: [email protected]
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Abstract

Objective:

We replicated a 1994 study that surveyed the state of supportive care services due to changes in the field and the increased need for such services. We provide an updated assessment, comparing the changes that have occurred and describing the current status of supportive care services in comprehensive cancer settings.

Method:

We used Coluzzi and colleague's 60-question survey from their 1995 Journal of Clinical Oncology article to frame the 98-question survey employed in the current study. Medical and palliative care directors for the 2011 National Cancer Institute (NCI) comprehensive cancer centers were surveyed regarding their supportive care services and their subjective review of the overall effectiveness of the services provided.

Results:

We achieved a 76% response rate (n = 31). The data revealed increases in the number of cancer beds in the hospitals, the degree of integration of supportive care services, the availability of complementary services, and the number of pain and palliative care services offered. There was also an overall shift toward centers becoming more patient centered, as 65% reported now having a patient and family advisory council. Our findings revealed a growing trend to offer distress screening for both outpatients and inpatients. Medical and palliative care directors' evaluations of the supportive care services they offered also significantly improved. However, the results revealed an ongoing gap in services for end-of-life care and timely referrals for hospice services.

Significance of results:

Overall, both the quantity and quality of supportive care services in the surveyed NCI-designated cancer centers has improved.

Keywords

Supportive careOncologyDistress screeningEnd-of-life carePalliative care
Type
Original Articles
Information
Palliative & Supportive Care , Volume 13 , Issue 4 , August 2015 , pp. 917 - 925
Copyright
Copyright © Cambridge University Press 2014 

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