Pediatric palliative care aims to alleviate suffering and improve the quality of life of children with serious disease and increase support for their parents and other family members. Integration of palliative care into the routine care of children, adolescents, and young adults with cancer has resulted in improved outcomes in patients and their families. The field of pediatric palliative oncology-encompassing primary palliative care provided by the multidisciplinary oncology team as well as subspecialty palliative care provided by the palliative care team for more complex cases-is unique from palliative care in adults given its focus on care of the child and the larger family. In this review, we focus on advancements in the specific domains within pediatric palliative oncology care including family-centered communication, assessment and management of physical symptoms and distress, psychosocial concerns, and spiritual considerations of the patient, parents, and siblings.

中文翻译：

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肿瘤学中的儿科姑息治疗

儿科姑息治疗旨在减轻患有严重疾病的儿童的痛苦并提高他们的生活质量，并增加对父母和其他家庭成员的支持。将姑息治疗融入儿童、青少年和年轻癌症患者的日常护理中，已经改善了患者及其家人的预后。儿科姑息肿瘤学领域——包括由多学科肿瘤学团队提供的初级姑息治疗以及姑息治疗团队为更复杂的病例提供的亚专科姑息治疗——与成人姑息治疗不同，因为它专注于儿童和更大的家庭。在这篇综述中，我们专注于儿科姑息性肿瘤护理特定领域的进展，包括以家庭为中心的沟通、