P22.03.A ASSESSING PALLIATIVE CARE APPROACHES IN NEUROONCOLOGY: INSIGHTS FROM GERMANY

Abstract BACKGROUND This study aims to assess the palliative care practices across neurooncology centres in Germany, focusing on the variations in integration, timing, and involvement in tumour board discussions. By pinpointing gaps in care, it seeks to contribute to discussions on refining optimal palliative care strategies. MATERIAL AND METHODS Surveys were distributed to both DKG-certified neurooncology centres and non-certified university neurooncology centres in Germany to investigate their palliative care frameworks and practices. The survey examined department availability, participation in tumour boards, timing of integration, and the use of standardised screening tools for assessing palliative burden and psycho-oncological distress. RESULTS Out of 57 centres contacted, 46 responded (81% response rate). The findings indicate that 76.1% of centres have dedicated palliative care departments, but only 34.8% include specialists in tumour board discussions. There is notable variability in the initiation of palliative care, with early integration occurring in only 30.4% of centres at the diagnosis stage. The survey also reveals a lack of standardised spiritual care assessments and minimal use of advanced care planning. Discrepancies in documenting and treating palliative care symptoms and social complaints highlight the need for comprehensive care approaches. CONCLUSION This study underscores the diverse landscape of palliative care provision within German neurooncology centres and stresses the importance of standardised practices and early integration. It suggests the imperative need for developing standard protocols and guidelines to enhance the quality and uniformity of palliative care, ultimately improving patient-centred care in neurooncology.