Thomas J. Smith
托马斯·史密斯
MD, FACP, FASCO
Director, Palliative Medicine; Professor of Oncology; Harry J. Duffey Family Professor of Palliative Medicine姑息医学主任;肿瘤学教授;Harry J. Duffey家族姑息医学讲席教授
👥Biography 个人简介
Thomas J. Smith is the nation's leading voice for integrating palliative care into standard oncology, co-authoring the foundational ASCO palliative care guidelines. His research on goals-of-care conversations, high-value care, and reducing low-value interventions at end of life has transformed oncology practice and quality standards.
🧪Research Fields 研究领域
🎓Key Contributions 主要贡献
ASCO Palliative Care Guidelines
Co-authored the 2012 and 2017 ASCO clinical practice guidelines recommending early integration of palliative care for all patients with advanced cancer, guidelines now embedded in oncology accreditation standards worldwide.
High-Value/Low-Value Cancer Care
Led ASCO's Choosing Wisely campaign contributions, identifying and disseminating evidence-based practices to reduce low-value interventions in oncology—reducing patient harm while improving end-of-life quality.
Goals-of-Care Intervention Research
Developed and tested structured goals-of-care conversation tools for oncology patients, demonstrating improved alignment between patient preferences and care received at end of life.
Representative Works 代表性著作
American Society of Clinical Oncology Provisional Clinical Opinion: The Integration of Palliative Care into Standard Oncology Care
Journal of Clinical Oncology (2012)
Landmark ASCO guideline recommending early palliative care integration for all patients with advanced cancer, reshaping oncology practice standards globally.
High-Value, Cost-Conscious Cancer Care: Recommendations from the American Society of Clinical Oncology
Journal of Clinical Oncology (2012)
Foundational ASCO Choosing Wisely recommendations to avoid low-value cancer interventions, guiding quality improvement and stewardship.
Early Palliative Care for Patients with Metastatic Non-Small-Cell Lung Cancer
New England Journal of Medicine (2010)
Seminal Temel et al. trial (with Smith as key contributor) showing early PC improves QoL, reduces aggressive EOL care, and extends survival.
🏆Awards & Recognition 奖项与荣誉
📄Data Sources 数据来源
Last updated: 2026-01-15 | All information from publicly available academic sources
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Sara M. Tolaney
Dana-Farber Cancer Institute / Harvard Medical School
Carlos H. Barrios
PUCRS (Pontifical Catholic University of Rio Grande do Sul) / Hospital São Lucas, Porto Alegre, Brazil
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