Civantos AM, Prasad A, Carey RM, et al. - Researchers conducted this retrospective study to explore factors that shape palliative care (PC) utilization and implications for overall survival in stage IVc head and neck cancer patients. From 2004 and 2015, patients with stage IVc head and neck cancer in the National Cancer Database were analyzed. Seven thousand seven hundred ninety-four cases met inclusion criteria, of which 19.3% received PC. PC use grew over time and was linked to demographic and clinical factors. There is still room for improvement in the optimal implementation of palliative care.