The study took place at the Princess Margaret Cancer Centre ( Toronto , ON , Canada ) , between Dec @ , @ , and Feb @ , @ medical oncology clinics were cluster randomised ( in a @:@ ratio , using a computer-generated sequence , stratified by clinic size and tumour site -LSB- four lung , eight gastrointestinal , four genitourinary , six breast , two gynaecological -RSB- ) , to consultation and follow-up ( at least monthly ) by a palliative care team or to standard cancer care .