{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,9]],"date-time":"2026-05-09T08:12:19Z","timestamp":1778314339984,"version":"3.51.4"},"reference-count":14,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T00:00:00Z","timestamp":1778112000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Palliative Medicine"],"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Family separation due to immigration policies may act as a powerful social determinant of psychological suffering in patients with advanced cancer.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case Description:<\/jats:title>\n                    <jats:p>Two patients are described. Case 1: A late teenage male with advanced cancer is unable to receive maternal support due to border denial, navigating severe pain and isolation with limited English proficiency and access to care. Case 2: A woman with advanced cancer whose husband and primary caregiver was deported, leaving her solely responsible for childcare, finances, and decision-making amid grief and institutional barriers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>These cases illustrate how systemic separation from key attachment figures can amplify distress and complicate palliative care. Recommendations include virtual family involvement, designated in-person surrogate supporters, and integration of independent community advocates to support decision-making and emotional resilience.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10966218261448289","type":"journal-article","created":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T09:27:26Z","timestamp":1778146046000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Left Behind: Addressing the Impact of Family Separation Due to Immigration Policies on the Suffering of Patients with Advanced Cancer"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4308-0883","authenticated-orcid":false,"given":"Monica","family":"Agosta","sequence":"first","affiliation":[{"name":"Department of Palliative, Rehabilitation &amp; Integrative Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gladys Janice","family":"Jimenez-Torres","sequence":"additional","affiliation":[{"name":"Department of Palliative, Rehabilitation &amp; Integrative Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eduardo","family":"Bruera","sequence":"additional","affiliation":[{"name":"Department of Palliative, Rehabilitation &amp; Integrative Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cindy","family":"Carmack","sequence":"additional","affiliation":[{"name":"Department of Palliative, Rehabilitation &amp; Integrative Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,5,7]]},"reference":[{"key":"e_1_3_1_2_2","unstructured":"U.S. Immigration and Customs Enforcement. (2025). \u201cYear in Review: ICE Fiscal Year 2024 Annual Report.\u201d 2025. Available from: https:\/\/www.ice.gov\/information-library\/annual-report"},{"key":"e_1_3_1_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2024.116995"},{"key":"e_1_3_1_4_2","doi-asserted-by":"publisher","DOI":"10.1634\/theoncologist.2014-0274"},{"key":"e_1_3_1_5_2","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2020.02356"},{"key":"e_1_3_1_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2025.118540"},{"key":"e_1_3_1_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2023.04.027"},{"issue":"6","key":"e_1_3_1_8_2","first-page":"687","article-title":"\u201cImpact of parental cancer on children: Differences by child\u2019s age and parent\u2019s disease stage","volume":"11","author":"Migliaccio G","year":"2024","unstructured":"Migliaccio G, , Petrillo M, , Abate V, et al. \u201cImpact of parental cancer on children: Differences by child\u2019s age and parent\u2019s disease stage. 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