Scholarlink

Purpose of review <p>This narrative examines how palliative care can be effectively integrated into routine management of advanced liver disease (ALD). It evaluates the gap between evidence supporting palliative care and its limited adoption in hepatology practice, focusing on implementation needs.</p> Recent findings <p>The multisite cluster randomized PAL-LIVER trial demonstrated that integrated palliative care improves quality of life, symptom burden, and patient satisfaction in ALD. However, uptake in routine practice remains inconsistent because of challenges involving patient identification, workforce capacity, workflow integration, reimbursement, and inequities in access.</p> Summary <p>Evidence supports the benefits of palliative care integration in ALD, but translation into clinical practice remains limited. Key priorities for future research include developing scalable care models, improving workforce training, redesigning workflows, establishing quality metrics, integration into transplant and addressing reimbursement barriers. An implementation-focused research agenda is needed to support sustainable and equitable integration of palliative care into hepatology practice.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

From Efficacy to Implementation: Integrating Palliative Care after the PAL-LIVER Trial

  • 期刊论文

  • 发表日期：

    2026年6月25日

查看全文
  • Manisha Verma,
  • Tamar Taddei,
  • Michael Volk,
  • Victor Navarro

摘要

Purpose of review

This narrative examines how palliative care can be effectively integrated into routine management of advanced liver disease (ALD). It evaluates the gap between evidence supporting palliative care and its limited adoption in hepatology practice, focusing on implementation needs.

Recent findings

The multisite cluster randomized PAL-LIVER trial demonstrated that integrated palliative care improves quality of life, symptom burden, and patient satisfaction in ALD. However, uptake in routine practice remains inconsistent because of challenges involving patient identification, workforce capacity, workflow integration, reimbursement, and inequities in access.

Summary

Evidence supports the benefits of palliative care integration in ALD, but translation into clinical practice remains limited. Key priorities for future research include developing scalable care models, improving workforce training, redesigning workflows, establishing quality metrics, integration into transplant and addressing reimbursement barriers. An implementation-focused research agenda is needed to support sustainable and equitable integration of palliative care into hepatology practice.