Recommendation 8: NCI should convene a State of the Science Meeting2on palliative care and symptom control. It should invite other National Institutes of Health, and government research agencies with shared inter ests should be invited to collaborate. The meeting should result in a high- profile strategic research agenda that can be pursued by NCI and its research partners over the short and long terms.

Recommendation 9: NCI should establish the most appropriate institu tional locus (or more than one) for palliative care, symptom control, and end-of-life research, possibly within the Division of Cancer Treatment and Diagnosis.

Recommendation 10: NCI should review the membership of its advisory bodies to ensure representation of experts in cancer pain, symptom man agement, and palliative care.

2  

In 1999, NCI initiated State of the Science Meetings focused on specific types of cancer “to bring together the Nation’s leading multidisciplinary experts, to identify the important research questions for a given disease and help define the scientific research agenda that will assist us in addressing those questions.”

REFERENCES

Agency for Healthcare Research and Quality (AHRQ). 2001. Management of Cancer Pain. Summary, Evidence Report/Technology Assessment: Number 35. AHRQ Publication No. 01-E033, January 20001. Rockville, MD: Agency for Healthcare Research and Quality, http://www.ahrq.gov/clinic/canpainsum.htm.

American Society of Clinical Oncology (ASCO). Cancer care during the last phase of life. JCO 1998; 16(5):1986–1996.


Begg L. NCI Cancer Training Branch. Personal communication to Hellen Gelband, June 2000.


Cassel CK, Foley KM. 1999. Principles for Care of Patients at the End of Life: An Emerging Consensus among the Specialties of Medicine. New York: Milbank Memorial Fund, 32 pp.

Christ GH, Sormanti M. Advancing social work practice in end-of-life care. Social Work in Health Care 1999; 30(2):81–99.

Christakis NA, Escarce JJ. Survival of Medicare patients after enrollment in hospice programs. New England Journal of Medicine 1996; 338:172–178.

Colbert K. National Cancer Institute Budget Office. Personal communication to Hellen Gelband, August 2000.


Donnelly S, Walsh D. The symptoms of advanced cancer. Semin Oncol 1995; 22:67–72.


Emanuel, EJ. National Cancer Institute. Unpublished data, 2000.

Emanuel EJ, Fairclough D, Clarridge BC, Blum D, Bruera E, Penley WC, Schnipper LE, Mayer RJ. Attitudes and practices of U.S. oncologists regarding euthanasia and physician-assisted suicide. Ann Intern Med 2000a Oct 3; 133(7):527–532.



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