RESEARCH

New Cancer Care Horizons in South Africa

Early integration of palliative care alongside active treatment is no longer a question of philosophy — the outcomes data is consistent and compelling.
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Palliative care, when integrated alongside curative-intent treatment from the start, improves quality of life, eases symptom burden, and in many settings supports better clinical outcomes too.

What Integration Looks Like

Genuine integration goes beyond a late-stage referral. It means embedding palliative-care expertise into oncology teams from diagnosis onward, supporting shared decision-making, symptom management, and care planning that follows the patient through every transition.

Systems that have succeeded share a few common ingredients: visible institutional leadership, dedicated training pathways, and care models that respect local cultural norms.

When palliative care arrives at the first appointment rather than the last, the patient experience and clinical pathway change in measurable ways.

Building Adoption

Sustainable adoption requires investment in workforce training, clear referral pathways, and outcome measurement so teams can demonstrate value and build the case for continued investment.

Lead Authors

Jose M. Martin-Moreno, MD, PhD

Jose M. Martin-Moreno, MD, PhD

SENIOR ESMO PUBLIC POLICY COMMITTEE

Received his medical and public health education and training from the University of Granada (Spain) and Harvard University (USA). His main speciality is preventive medicine and public health, with particular emphasis on health policy and cancer control.

Eduardo Cazap, MD, PhD, FASCO

Eduardo Cazap, MD, PhD, FASCO

DEPUTY CHAIR, ESMO EMERGING COUNTRIES COMMITTEE

Founder and first President of the Latin American and Caribbean Society of Medical Oncology (SLACOM). Immediate Past President of the Union for International Cancer Control (UICC-Geneva) and member of the Executive Committee of the National Cancer Institute of Argentina.