{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T12:22:56Z","timestamp":1770985376797,"version":"3.50.1"},"reference-count":26,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T00:00:00Z","timestamp":1770940800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Pancreatic Cancer Canada"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Current Oncology"],"abstract":"<jats:p>(1) Background: Pancreatic cancer causes significant morbidity and mortality, and guidelines recommend early integration of palliative care alongside active treatment. As access to palliative care is often mediated by oncology clinicians, this survey sought to understand these clinicians\u2019 perspectives on barriers and facilitators to clinician palliative care referral and patient palliative care access. (2) Methods: An online survey was distributed via community and academic institutions across Canada to oncology clinicians who were able to refer a pancreatic cancer patient to palliative care (e.g., oncology nurses, medical oncologists). (3) Results: Of 134 clinicians from ten provinces, almost all (97%) believe that palliative care is \u2018very important\u2019 in pancreatic cancer care. The greatest perceived barriers to patient palliative care access included patient-family reluctance to accept palliative care (73%), lack of knowledge about services (50%), and lack of support from other healthcare professionals (40%). Perceived barriers to referring included patient-family reluctance to accept palliative care (57%) and lack of available specialist services (58%). Most providers suggested patient education as a strategy to overcome barriers (85%). (4) Conclusions: Perceptions about public acceptance may preclude oncology clinicians from referring to palliative care, despite nearly universal belief in its importance. The findings highlight service and education gaps for future intervention.<\/jats:p>","DOI":"10.3390\/curroncol33020113","type":"journal-article","created":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T10:52:21Z","timestamp":1770979941000},"page":"113","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Canada Cancer Clinicians\u2019 Perceptions of Palliative Care in Pancreatic Cancer: A National Survey"],"prefix":"10.3390","volume":"33","author":[{"given":"Kamesha","family":"Valoo","sequence":"first","affiliation":[{"name":"Department of Family Medicine, McGill University, Montreal, QC H3S 1Z1, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6036-1420","authenticated-orcid":false,"given":"Brigitte N.","family":"Durieux","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, McGill University, Montreal, QC H3S 1Z1, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kajamathy","family":"Subramaniam","sequence":"additional","affiliation":[{"name":"Research Institute of the McGill University Health Centre, Montreal, QC H4A 3S9, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ting","family":"Du","sequence":"additional","affiliation":[{"name":"Research Institute of the McGill University Health Centre, Montreal, QC H4A 3S9, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4849-8616","authenticated-orcid":false,"given":"Samara","family":"Perez","sequence":"additional","affiliation":[{"name":"Research Institute of the McGill University Health Centre, Montreal, QC H4A 3S9, Canada"},{"name":"Department of Oncology, McGill University, Montreal, QC H4A 3T2, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7479-1560","authenticated-orcid":false,"given":"James","family":"Downar","sequence":"additional","affiliation":[{"name":"Division of Palliative Care, University of Ottawa, Ottawa, ON K1N 5C8, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karin","family":"Fink","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, McGill University, Montreal, QC H3S 1Z1, Canada"},{"name":"Research Institute of the McGill University Health Centre, Montreal, QC H4A 3S9, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Justin J.","family":"Sanders","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, McGill University, Montreal, QC H3S 1Z1, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2026,2,13]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"E615","DOI":"10.1503\/cmaj.240095","article-title":"Projected Estimates of Cancer in Canada in 2024","volume":"196","author":"Brenner","year":"2024","journal-title":"CMAJ"},{"key":"ref_2","doi-asserted-by":"crossref","unstructured":"Caban, M., and Ma\u0142ecka-Wojciesko, E. 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