search for


Review Article
Pediatric Palliative Care
Clin Pediatr Hematol Oncol 2020;27:55-60.
Published online April 30, 2020
© 2020 Korean Society of Pediatric Hematology-Oncology

Min Sun Kim

Department of Pediatrics, Seoul National University College of Medicine, Seoul, Korea
Correspondence to: Min Sun Kim
Department of Pediatrics, Seoul National University Hospital, 101 Daehak-ro, Jongno-gu, Seoul 03080, Korea
Tel: +82-2-2072-4192
Fax: +82-2-743-3455
Received April 6, 2020; Revised April 22, 2020; Accepted April 23, 2020.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
In modern medical environment, death rates of newborn babies, children, and adolescents have decreased while the survival rate of life-threatening diseases has increased drastically. The relative 5 year survival rates of pediatric cancer have increased to over 80% in 21st century, however, the prognosis of certain types of pediatric cancer still remains unfavorable, causing patients and families face physical, psychosocial, and spiritual challenges due to complications as well as intensive treatments such as stem cell transplantation. Pediatric Palliative Care (PPC) is a specific system with a philosophy of care to respond to psychosocial and spiritual needs of patients and families as well as control pain and symptoms offered in order to satisfy unique and special needs of children and adolescents living with life-threatening disease, to ensure health-related human rights of children and adolescents. Essential elements of PPC, communication with the child or adolescent patient and family, pain and symptom control and care for the time of death and bereavement have been described.
Keywords: Palliative care, Pediatric palliative care, Cancer survivor
  1. Park HJ, Moon EK, Yoon JY, et al. Incidence and survival of childhood cancer in Korea. Cancer Res Treat 2016;48:869-82.
    Pubmed KoreaMed CrossRef
  2. Himelstein BP, Hilden JM, Boldt AM, Weissman D. Pediatric palliative care. N Engl J Med 2004;350:1752-62.
    Pubmed CrossRef
  3. WHO Fact sheets: Palliative care. Geneva, Switzerland: World Health Organization, 2017. (Accessed April 1, 2020, at
  4. A guide to the development of children’s palliative care services. London, UK: Association for Children’s Palliative Care, 1997.
  5. Feudtner C, Christakis DA, Connell FA. Pediatric deaths attributable to complex chronic conditions: a population-based study of Washington State, 1980-1997. Pediatrics 2000;106:205-9.
  6. Kim MS, Lim NG, Kim HJ, Kim C, Lee JY. Pediatric deaths attributed to complex chronic conditions over 10 years in Korea: Evidence for the need to provide pediatric palliative care. J Korean Med Sci 2018;33:e1.
    Pubmed KoreaMed CrossRef
  7. Bergstraesser E. Pediatric palliative care-when quality of life becomes the main focus of treatment. Eur J Pediatr 2013;172:139-50.
    Pubmed CrossRef
  8. WHO Definition of palliative care. Geneva, Switzerland: World Health Organization, 2012. (Accessed April 1, 2020, at
  9. Snaman J, McCarthy S, Wiener L, Wolfe J. Pediatric palliative care in oncology. J Clin Oncol 2020;38:954-62.
    Pubmed CrossRef
  10. Downing J, Jassal SS, Mathews L, Brits H, Friedrichsdorf SJ. Pediatric pain management in palliative care. Pain Manag 2015;5:23-35.
    Pubmed CrossRef
  11. Taylor M, Jakacki R, May C, Howrie D, Maurer S. Ketamine PCA for treatment of end-of-life neuropathic pain in pediatrics. Am J Hosp Palliat Care 2015;32:841-8.
    Pubmed CrossRef

April 2020, 27 (1)
Full Text PDF
Send to a friend

Cited By Articles
  • CrossRef (0)

Author ORCID Information
  • Min Sun Kim