(058) 24871515(int. 2226) clinicagastrouru@hc.edu.uy

Project ECHO: An Effective Means of Increasing Palliative Care Capacity

Sanjeev Arora, MD; Tracy Smith, BS; Jennifer Snead, PhD; Sarah Zalud-Cerrato, MPH; Lisa Marr, MD; Max Watson, MBChB; Sriram Yennu, MD; Amy Bruce, MPP; Chris Piromalli, DO; Stacy Kelley, MPH; Nandini Vallath, MD; Gabriela Píriz, MD; Gabriel Sehabiaga, MD; and Alvaro Méndez, MD


Globally, the need for integrated palliative care has never been greater. Populations are aging, and rates of terminal non-communicable diseases continue to progress. Approximately half of all patients with cancer, for example, will eventually succumb to their disease—nearly one-third of cancer deaths happen within 6 months of diagnosis.1 Organizations, such as the National Academies of Science, Engineering, and Medicine (formerly Institute of Medicine) and the American Society of Clinical Oncology, recommend full integration of palliative care as a routine component of comprehensive cancer care.2 Integrated palliative care—which encompasses coordination of care for multiple severe, complex conditions; behavioral health concerns; and end-of-life care—can provide symptom control, psychosocial support, and coordinated transitions of care for patients and their families.