{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T10:09:26Z","timestamp":1790762966286,"version":"4.1.0"},"reference-count":32,"publisher":"American Society of Clinical Oncology (ASCO)","content-domain":{"domain":["ascopubs.org"],"crossmark-restriction":true},"short-container-title":["JCO Oncol Pract"],"abstract":"<jats:sec>\n                    <jats:title>PURPOSE<\/jats:title>\n                    <jats:p>To understand from patients, care partners (P\/CPs), and physicians the ideal timing of specialty palliative care (SPC) involvement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>Using a framework of phenomenology and care ethics, we analyzed interviews through a thematic analysis approach. Two investigators independently coded transcripts of recorded interviews. P\/CPs were recruited from a single hospital clinic from multiple different oncologists. Physicians were recruited via purposeful snowball sampling based on their knowledge and expertise.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>Thirty-one participants were recruited: 14 (45%) P\/CPs and 17 (55%) clinicians. The mean age of P\/CP was 49 years, whereas clinicians' mean age was 44 years. Half of P\/CPs were female, and a similar portion of clinicians (53%) were female. More than half of patients had gliomas (57%), and all clinicians were physicians who had practiced neuro-oncology for a mean of 12 years. We identified four themes: (1) Participants felt patients would have benefited from earlier SPC, but there were slight differences in timing based on brain tumor type and grade; (2) neuro-oncology patients have unique supportive care needs compared to other cancers; (3) specialty knowledge of neuro-oncology is important to P\/CP for advance care planning, prognostication, and anticipatory guidance; and (4) the broadly intensive role played by care partners in neuro-oncology means they have equally heavy supportive needs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION<\/jats:title>\n                    <jats:p>This is one of the first studies to explore timing of SPC for patients with CNS tumors. P\/CPs and clinicians agreed that early, time-based SPC is beneficial for management of high-grade tumors. Increasing knowledge of neuro-oncology among SPC clinicians working with this population is an area for further study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1200\/op-25-01360","type":"journal-article","created":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T19:59:06Z","timestamp":1776283146000},"update-policy":"https:\/\/doi.org\/10.1200\/crossmark","source":"Crossref","is-referenced-by-count":1,"title":["When Is the Right Time? A Qualitative Study of Timing of Specialty Palliative Care in Patients With Brain Tumors"],"prefix":"10.1200","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2081-5667","authenticated-orcid":true,"given":"John Y.","family":"Rhee","sequence":"first","affiliation":[{"name":"Department of Medical Oncology, Center for Neuro-Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA"},{"name":"Division of Adult Palliative Care, Department of Supportive Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-8572-7183","authenticated-orcid":true,"given":"Paul","family":"Miller","sequence":"additional","affiliation":[{"name":"Division of Adult Palliative Care, Department of Supportive Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6181-1833","authenticated-orcid":true,"given":"Zachary","family":"Tentor","sequence":"additional","affiliation":[{"name":"Division of Adult Palliative Care, Department of Supportive Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-2243-1783","authenticated-orcid":true,"given":"Justin","family":"Vinh","sequence":"additional","affiliation":[{"name":"Division of Adult Palliative Care, Department of Supportive Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7458-0453","authenticated-orcid":true,"given":"James A.","family":"Tulsky","sequence":"additional","affiliation":[{"name":"Division of Adult Palliative Care, Department of Supportive Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5922-4154","authenticated-orcid":false,"given":"Amanda","family":"Reich","sequence":"additional","affiliation":[{"name":"Center for Surgery and Public Health, Brigham and Women's Hospital, Harvard Medical School, Boston, MA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9776-7114","authenticated-orcid":true,"given":"Alexi A.","family":"Wright","sequence":"additional","affiliation":[{"name":"Division of Population Sciences, Department of Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2090-2039","authenticated-orcid":true,"given":"Charlotta","family":"Lindvall","sequence":"additional","affiliation":[{"name":"Division of Adult Palliative Care, Department of Supportive Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"233","published-online":{"date-parts":[[2026,4,15]]},"reference":[{"key":"e_1_3_7_2_2","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21693"},{"key":"e_1_3_7_3_2","first-page":"308","article-title":"Palliation of brain metastases: Analysis of prognostic factors affecting overall survival","volume":"24","author":"Rastogi K","year":"2018","unstructured":"Rastogi K, Bhaskar S, Gupta S, et al: Palliation of brain metastases: Analysis of prognostic factors affecting overall survival. 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