TY - JOUR T1 - Developing a model for embedded palliative care in a cancer clinic JF - BMJ Supportive & Palliative Care JO - BMJ Support Palliat Care SP - 247 LP - 250 DO - 10.1136/bmjspcare-2016-001304 VL - 7 IS - 3 AU - Susan DeSanto-Madeya AU - David McDermott AU - Jessica A Zerillo AU - Nancy Weinstein AU - Mary K Buss Y1 - 2017/09/01 UR - http://spcare.bmj.com/content/7/3/247.abstract N2 - Objectives Describe the development and key features of a model for embedded palliative care (PC) for patients with advanced kidney cancer or melanoma seen in a cancer clinic.Methods Retrospective chart review of patients following an initial phase and then a prospective review following the implementation of a model for embedded PC.Results In the initial phase, 18 patients were seen for a total of 53 visits; 78% were seen more than once, with a mean of three visits per patient. In the model phase, 46 patients were seen for a total of 163 visits; 74% were seen more than once, with a mean of 3.5 visits. Demographics were similar between the two groups. Content of the first PC visit in the initial and model phases was symptom management (61% and 57%), psychosocial support/relationship building (28% and 35%) and advance care planning/decision-making support (11% and 8%), respectively.Conclusions The initial phase demonstrated acceptability and feasibility of a model for embedded PC for patients and the oncology team. Establishment of specific eligibility criteria and screening to identify eligible patients in the model phase led to an increased uptake of PC for patients with advanced kidney cancer and melanoma in a cancer clinic. ER -