PALliative Care Yields Cancer welLbEing Support

Project Details


Challenge: Many patients with advanced cancer in the final phase of life leave hospitals without proper continuity and coordination of care. Solution: PAL-CYCLES, a transitional palliative care (PC) program for patients with advanced cancer, adaptable to different healthcare systems. The program consists of 5 key components: (1) identification of patients with PC needs; (2) compassionate communication with patients and families; (3) collaborative multidimensional care plan and follow-up in the home setting; (4) periodic evaluation of the care plan; (5) identification of the terminal phase, with appropriate intensification of end-of-life care, including ethically sensitive issues. Plan: To develop, adapt, implement, and evaluate the PAL-CYCLES program in 7 European countries using a stepped wedge randomized controlled trial design. Patients, relatives, and healthcare professionals' experiences, as well as ethical and equity issues will be addressed using qualitative research methods. Impact: PAL-CYCLES will facilitate patient-centred communication and continuity of PC in the community, reducing unplanned hospital admissions and improving quality of life for patients with advanced cancer at the end-of-life.
Effective start/end date1/09/2231/08/27

Collaborative partners

  • Universidade Católica Portuguesa
  • Radboud University Medical Center (Leading Institution) (lead)
  • Universitaetsklinikum Bonn (Participating Institution)
  • Lancaster University (Associate Partner)
  • University of Pecs (Participating Institution)
  • University of Zielona Gora (Participating Institution)
  • Hospice Casa Sperantei (Participating Institution)
  • European Association for Palliative Care (Participating Institution)
  • Universidad de Navarra (Participating Institution)
  • European Cancer Patient Coalition (Participating Institution)

UN Sustainable Development Goals

In 2015, UN member states agreed to 17 global Sustainable Development Goals (SDGs) to end poverty, protect the planet and ensure prosperity for all. This project contributes towards the following SDG(s):

  • SDG 3 - Good Health and Well-being
  • SDG 10 - Reduced Inequalities
  • SDG 17 - Partnerships for the Goals


  • Health policy and services
  • Palliative care
  • Transitional care
  • Communication
  • Cancer
  • Ethics


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