Focus And Scope

American Journal of Palliative Medicine & Care, published by American Medical Publication collaborates with American Medical Association. are dedicated to providing physicians with the best research and important information in the world of medical research and science and to present the information in a format that is understandable and clinically useful. Committed to publishing multidisciplinary research that spans the entire spectrum of healthcare and medicine access, American Journal of Palliative Medicine & Care aims at an international audience of pharmacists, clinicians, medical ethicists, regulators, and researchers, providing an online forum for the rapid dissemination of recent research and perspectives in this area.

American Journal of Palliative Medicine & Care Evidence seeks to advance clinical trial research and clinical practice by:

• Publishing high-quality studies from the front lines of medical research.
• Challenging the medical community to take new approaches to clinical trial design and execution that yield more powerful clinical evidence.
• Sparking debate and conversation around areas of medicine where clinical decisions are made without sufficient evidence.
• Engaging physicians in a more sophisticated and meaningful way with clinical evidence.

Adhering to the rigorous peer-review and quality standards expected from American Journal of Palliative Medicine & Care Evidence publishes:

• Original research, clinical trials, and other clinically grounded work (e.g., epidemiology studies, first-in-human trials, meta-analyses) that validate or challenge prior clinical findings.
• Standard reviews, systematic reviews, and other review types that contextualize research findings with the aim of accelerating clinical adoption of new evidence.
• Case studies and reviews of clinical trial methodology that enhance understanding of trial strengths and weaknesses.
• Curbside consult series that addresses common patient care issues.
• Morning Report series solicited case presentation articles that are delivered in a morning report format.

Generation of Evidence

The process of generating evidence is a key area of focus for American Journal of Palliative Medicine & Care Evidence. We encourage readers to evaluate the reasoning behind the complex decisions that investigators make in trial design and execution, and to assess the quality of evidence produced in trials. Our goal is to build a community that takes a rigorous approach to evaluating evidence and assessing its impact on clinical decision-making.

Statistical Methods

American Journal of Palliative Medicine & Care Evidence guides readers toward a deeper understanding of the statistical methods used in trials. We provide concise, digestible explanations of research methods to inform the interpretation of the resulting data. In addition, we introduce readers to emerging statistical methods and types of data that will play an increasingly prominent role in future trials.

Multidisciplinary Coverage

American Journal of Palliative Medicine & Care Evidence publishes content relevant across all medical disciplines to advance the discussion of how to generate evidence that informs patient care. Physician-scientists, trialists, and general medicine and subspecialty clinicians will all benefit from this publication.

American Journal of Palliative Medicine & Care covers themes including, but not limited to:

• Symptom Science and Clinical Management

• Pain assessment and management (acute, chronic, cancer-related, neuropathic).
• Pharmacological and non-pharmacological interventions for symptom control.
• Management of non-pain symptoms (e.g., dyspnea, nausea, fatigue, delirium, constipation, anorexia-cachexia).
• Evidence-based practice in clinical palliative medicine.
• Palliative sedation and management of refractory symptoms.

• Psychosocial, Spiritual, and Ethical Dimensions

• Psychological and emotional support for patients and families.
• Coping mechanisms, resilience, and psychiatric morbidity in advanced disease.
• Spiritual care, religiosity, and addressing existential distress.
• Grief, bereavement support, and family counseling.
• Ethical dilemmas at the end of life (e.g., withholding/withdrawing treatment, futility).
• Legal aspects of palliative care, including advance directives and capacity assessment.

• Communication and Decision-Making

• Communication skills training and practice (e.g., breaking bad news).
• Goals of care conversations and shared decision-making processes.
• Advance care planning and its implementation.
• Cultural competence and cross-cultural communication in end-of-life care.

• Models of Care and Health Systems Integration

• Hospice care and end-of-life care models.
• Hospital-based palliative consultation services.
• Outpatient, community-based, and home-based palliative care programs.
• Early integration of palliative care in oncology and other specialties.
• Continuity of care and transitions between care settings.
• Health policy, economics, and resource allocation in palliative care.
• Telehealth and digital innovations in palliative care delivery.

• Palliative Care for Specific Populations and Conditions

• Pediatric and adolescent palliative care.
• Geriatric palliative care and care for the frail elderly.
• Palliative care in non-malignant diseases (e.g., advanced heart failure, COPD, end-stage renal disease, neurodegenerative diseases like ALS and dementia).
• Palliative care in critical care settings (ICU).
• Care for vulnerable populations and addressing health disparities at the end of life.

• Education, Quality Improvement, and Research

• Curriculum development and training for healthcare professionals in palliative care.
• Interprofessional education and practice.
• Quality improvement initiatives and measurement of care quality in palliative services.
• Methodological approaches and challenges in palliative care research.
• Caregiver burden, support, and well-being.