Should early referral to palliative care be standard of care for all patients with metastatic cancer?  

I know that some would argue that healthy patients with an excellent performance status may not need an early palliative care referral, but wouldn't it be most valuable for patients to have these conversations when they are at their best PS and health? 

Answer from: Radiation Oncologist at Community Practice

Answer from: Medical Oncologist at Academic Institution

Answer from: Medical Oncologist at Community Practice