Table 4.

Palliative Care Introduction Time Points and Triggers

Time points for palliative care concept presentation	n = 111
No uniform times	56 (50.5%)
At disease-specific time point (e.g., relapse)	46 (41.4%)
At diagnosis	9 (8.1%)
Triggers for automatic consideration of palliative carea	n = 91
No trigger diagnoses	40 (44%)
Difficult to manage symptoms or high symptom burden	34 (37.4%)
Diagnosis of refractory disease	30 (32%)
Diagnosis of recurrent disease	28 (30.8%)
Upon consultation to bone marrow transplant	28 (30.8%)
Patients needing discussion of advanced directives	22 (24.2%)
Difficult social situation or family having difficulty coping	21 (23.1%)
“Low likelihood” of anticipated event-free survival above certain percent	20 (22%)
Phase I trial referral	8 (8.8%)
New cancer diagnosis (any type)	4 (4.4%)

^aMore than one response allowed for this question.