ASH Clinical News December 2016 | Page 97

FEATURE B:15.5” T:15.25” and grow as palliative-care consults become more common, Dr. El-Jawahri said. During the HCT study, she and her colleagues noticed that transplant clinicians began paying closer attention to the recommendations offered during the palliative-care consults and symptom management. For instance, transplant physicians were more likely to use antipsychotics for the management of nausea in patients assigned to the intervention arm and, after the study, the researchers also noted a higher use of these drugs in patients getting standard care. “The transplant clinicians involved in the study saw that this treatment was beneficial and started to apply it to patients who were receiving standard care – and to patients outside of the study,” she explained. G:.5” Primary palliative care is not a onesize-fits-all approach, so education will need to be tailored to the needs of hematologists, nurse practitioners, transplant physicians, and other members of the care team – as well as to the needs of the patients they treat. “A huge part of that is going to be taking successful interventions examined in studies like ours, distilling them to their essential components, and conducting studies that integrate those components into clinical practice,” she added. Patients also will need education about palliative care and, according to Dr. LeBlanc, that will need to come from their physicians. “When a referral to a palliative-care clinician is needed, it will be important for hematologists to understand the benefits and the reasons S:6.75” BOSULIF offers proven efficacy for patients with resistance or intolerance to prior therapy2 In 2nd-line treatment, after imatinib (n=266 evaluable)a 34 % of patients 53 % of patients achieved MCyR at 6 months achieved MCyR with a minimum follow-up of 23 months (95% CI: 28.2, 39.9) Median duration of MCyR was not reached at the time of analysis 53% of patients with MCyR maintained MCyR for at least 18 months (with a minimum follow-up of 23 mon