Life-altering fatigue will affect 80% of people getting chemotherapy or radiation therapy, plus most people who have metastatic cancer, and even many survivors long after treatment is done.

Yet fatigue in cancer patients has been under-reported, under-diagnosed, and under-treated, according to an expert panel convened by the National Comprehensive Cancer Network (NCCN) a decade ago to recommend cancer-related fatigue treatment guidelines.

Some good news: A recent Dutch study published in the Journal of Clinical Oncology found that advanced cancer patients can get significant relief from serious fatigue, when their fatigue and other symptoms are regularly monitored and treated according to guidelines.

Some less good news: A small U.S. study published in Support Care Cancer found that even at an excellent cancer center, most metastatic cancer patients did not get any of the recommended treatments for even severe fatigue. Read the rest of this entry »

Early discussions about desired end-of-life care, among patients with incurable cancer, were associated with less aggressive treatment in the last month of life, according to a study published this week in the Journal of Clinical Oncology (Nov. 13 online ahead of print).

The American Society of Clinical Oncology (ASCO) highlighted this study for providing “the first-of-its-kind scientific evidence that timing of end-of-life discussions affects decisions” and actual treatment given at the end of a patient’s life.

The study found that nearly 40% of end-of-life discussions with cancer patients happened in the last 30 days of life. Among patients who had such discussions earlier, they were much more likely to receive hospice care and less likely to be treated aggressively at the end of life. Read the rest of this entry »

Fight Colorectal Cancer’s September 2012 patient webinar focused on issues that run rampant with misunderstanding and fear: palliative and hospice care.

Dr. Jim Meadows, Director of Palliative and Hospice Care at Tennessee Oncology, led the webinar. He spoke at length about palliative care, but not surprisingly, the majority of questions toward the end of the webinar focused on hospice care.

One listener had a good question that elicited a great response from Dr. Meadows. We wanted to share it with you.

Q: Isn’t hospice ‘end of life’ care? Why are you saying it prolongs life when I have heard of many people having to watch for days and even weeks while their loved one wastes away and dies? Why say it prolongs life, at what emotional cost to patient and family?

Read the rest of this entry »

Soon after diagnosing a patient with advanced cancer, a doctor should begin discussing options for palliative care—the management of symptoms—according to a new policy statement from the American Society of Clinical Oncology (ASCO).  ASCO also released a new, free guide called Advanced Cancer Care Planning for patients to help initiate those conversations.

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Should cancer care focused on quality of life wait until all treatment ends?  Or can it be integrated with medical treatment as soon as someone is diagnosed with a life-threatening illness?

In a study of 150 advanced lung cancer patients, starting palliative care along with standard life-prolonging treatment when patients were first diagnosed not only improved their mood and quality of life, it actually increased the time they lived.

Although patients who received early palliative care received less aggressive treatment at the end of life, they lived almost 3 months longer than patients who didn’t have such early support. Read the rest of this entry »