Specialty Compared to Oncology Delivered Palliative Care for Patients With Acute Myeloid Leukemia

Prior treatment

• Patients with AML receiving supportive care alone
• Patients seen by a palliative care clinician (MD, DO, APP) during two previous hospitalizations in the six months prior to enrollment

Other illness

• Patients with psychiatric or cognitive conditions which the treating clinicians believe prohibits informed consent or compliance with study procedures

Other

• \- Patient Exclusion Criteria
• Patients with a diagnosis of acute promyelocytic leukemia (APML)
• Patients expected to be discharged within 2 days

• Patient Inclusion Criteria
  • Hospitalized patients (age ≥ 18 years) with high-risk AML defined as:
  • Patients with new diagnosis ≥ 60 years of age
  • An antecedent hematologic disorder
  • Therapy related-disease
  • Relapsed or primary refractory AML
  • Within five business days of initiating therapy with either a) intensive chemotherapy (7+3) or modification of this regimen on a clinical trial, or a similar intensive regimen requiring prolonged hospitalization; or b) hypomethylating agents +/- additional agents or modification of this regimen on a clinical trial.
• Caregiver Inclusion Criteria
  • Adult (≥18 years) relative or friend of a participating patient who the patient identifies as living with or has in-person contact with them at least twice per week.