SUPPORTIVE CARE: Edited by Jean KlasterskyEarly palliative care for patients with metastatic cancerGaertner, Jana,b,c; Wolf, J.d; Voltz, R.a,b,cAuthor Information aDepartment of Palliative Care, University Hospital Cologne bCenter for Integrated Oncology Cologne/Bonn cCologne Clinical Trials Center dDepartment of Internal Medicine I, University Hospital Cologne, Cologne, Germany Correspondence to Dr Jan Gaertner, Department of Palliative Care, University Hospital Cologne, 50924 Cologne, Germany. Tel: +49 221 478 3361; fax: +49 221 478 89300; e-mail: [email protected] Current Opinion in Oncology: July 2012 - Volume 24 - Issue 4 - p 357-362 doi: 10.1097/CCO.0b013e328352ea20 Buy Metrics Abstract Purpose of review At present, clinicians and healthcare providers are increasingly urged to advance the provision of state-of-the-art palliative care for patients with incurable cancer. This review provides an overview about the recent findings and practical suggestions. Recent findings In the last decade, the awareness about the logistic and personal resources needed to meet the somatic and psychological needs of patients with progressive and life-threatening diseases has increased and in parallel, palliative care concepts and expertise have evolved substantially. Care concepts for patients with metastatic cancer emphasized the potential of interdisciplinary care. For example, in 2010, a randomized trial reported a benefit for patients with lung cancer who received early palliative care in addition to routine care. It is discussed that this was because of increased quality of life and detailed exploration of patient preferences. Summary Patients, families and physicians benefit from shared care concepts of oncology and specialized palliative care. Although this concept is already becoming increasingly implemented in tertiary (comprehensive cancer-) care settings, the potential of this approach should be explored for other clinical settings such as office-based oncology. © 2012 Lippincott Williams & Wilkins, Inc.