Early, integrated palliative care for people with chronic respiratory disease: lessons learnt from lung cancer

Lung cancer and chronic non-malignant respiratory disease cause pervasive, multifactorial suffering for patients and informal carers alike. Palliative care aims to reduce suffering and improve quality of life for patients and their families. An established evidence base exists that has demonstrated...

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Main Authors: Anne M. Walker, Donald R. Sullivan, Phan Nguyen, Anne E. Holland, Natasha Smallwood
Format: Article
Language:English
Published: SAGE Publishing 2025-02-01
Series:Therapeutic Advances in Respiratory Disease
Online Access:https://doi.org/10.1177/17534666241305497
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author Anne M. Walker
Donald R. Sullivan
Phan Nguyen
Anne E. Holland
Natasha Smallwood
author_facet Anne M. Walker
Donald R. Sullivan
Phan Nguyen
Anne E. Holland
Natasha Smallwood
author_sort Anne M. Walker
collection DOAJ
description Lung cancer and chronic non-malignant respiratory disease cause pervasive, multifactorial suffering for patients and informal carers alike. Palliative care aims to reduce suffering and improve quality of life for patients and their families. An established evidence base exists that has demonstrated the essential role of specialist palliative care for people with lung cancer. Emerging evidence supports similar benefits among people with chronic respiratory disease. Many lessons can be learnt from lung cancer care, particularly as the model of care delivery has transformed over recent decades due to major advances in the diagnostic pathway and the development of new treatments. This narrative review aims to summarize the evidence for specialist palliative care in lung cancer and chronic respiratory disease, by highlighting seven key lessons from lung cancer care that can inform the development of proactive, integrated models of palliative care among those with chronic respiratory disease. These seven lessons emphasize (1) managing challenging symptoms; (2) the efficacy of specialist palliative care; (3) the importance of providing specialist palliative care integrated with disease-directed care according to patients’ needs not prognosis; (4) the need for new models of collaborative palliative care, (5) which are culturally appropriate and (6) able to evolve with changes in disease-directed care. Finally, we discuss (7) some of the critical research gaps that persist and reduce implementation in practice.
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spelling doaj-art-304505f50ca6416aa3d6eca07c22618c2025-02-08T14:03:27ZengSAGE PublishingTherapeutic Advances in Respiratory Disease1753-46662025-02-011910.1177/17534666241305497Early, integrated palliative care for people with chronic respiratory disease: lessons learnt from lung cancerAnne M. WalkerDonald R. SullivanPhan NguyenAnne E. HollandNatasha SmallwoodLung cancer and chronic non-malignant respiratory disease cause pervasive, multifactorial suffering for patients and informal carers alike. Palliative care aims to reduce suffering and improve quality of life for patients and their families. An established evidence base exists that has demonstrated the essential role of specialist palliative care for people with lung cancer. Emerging evidence supports similar benefits among people with chronic respiratory disease. Many lessons can be learnt from lung cancer care, particularly as the model of care delivery has transformed over recent decades due to major advances in the diagnostic pathway and the development of new treatments. This narrative review aims to summarize the evidence for specialist palliative care in lung cancer and chronic respiratory disease, by highlighting seven key lessons from lung cancer care that can inform the development of proactive, integrated models of palliative care among those with chronic respiratory disease. These seven lessons emphasize (1) managing challenging symptoms; (2) the efficacy of specialist palliative care; (3) the importance of providing specialist palliative care integrated with disease-directed care according to patients’ needs not prognosis; (4) the need for new models of collaborative palliative care, (5) which are culturally appropriate and (6) able to evolve with changes in disease-directed care. Finally, we discuss (7) some of the critical research gaps that persist and reduce implementation in practice.https://doi.org/10.1177/17534666241305497
spellingShingle Anne M. Walker
Donald R. Sullivan
Phan Nguyen
Anne E. Holland
Natasha Smallwood
Early, integrated palliative care for people with chronic respiratory disease: lessons learnt from lung cancer
Therapeutic Advances in Respiratory Disease
title Early, integrated palliative care for people with chronic respiratory disease: lessons learnt from lung cancer
title_full Early, integrated palliative care for people with chronic respiratory disease: lessons learnt from lung cancer
title_fullStr Early, integrated palliative care for people with chronic respiratory disease: lessons learnt from lung cancer
title_full_unstemmed Early, integrated palliative care for people with chronic respiratory disease: lessons learnt from lung cancer
title_short Early, integrated palliative care for people with chronic respiratory disease: lessons learnt from lung cancer
title_sort early integrated palliative care for people with chronic respiratory disease lessons learnt from lung cancer
url https://doi.org/10.1177/17534666241305497
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