Palliative Care in Advanced Cancer Patients: How and When?

被引:80
作者
Bruera, Eduardo [1 ]
Yennurajalingam, Sriram [1 ]
机构
[1] Univ Texas MD Anderson Canc Ctr, Unit 1414, Dept Palliat Care & Rehabil Med, Houston, TX 77030 USA
基金
美国国家卫生研究院;
关键词
Early palliative care; Efficacy of palliative care; Symptom control; Cost of care; Quality care; Supportive care; CELL LUNG-CANCER; RANDOMIZED CONTROLLED-TRIAL; CHEMORADIATION THERAPY; SYMPTOM BURDEN; OUTCOMES; CONSULTATION; TEAM; IMPACT; LIFE; DISTRESS;
D O I
10.1634/theoncologist.2011-0219
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Cancer patients develop severe physical and psychological symptoms as a result of their disease and treatment. Their families commonly suffer great emotional distress as a result of caregiving. Early palliative care access can improve symptom control and quality of life and reduce the cost of care. Preliminary results show that early palliative care access can also extend survival. Unfortunately, only a minority of cancer centers in the U.S. have the two most important resources for palliative care delivery: outpatient palliative care centers and inpatient palliative care units. In this article, we use a case presentation to discuss the impact of early palliative care access in light of the currently available evidence, and we recommend ways to improve early access to palliative care through education and research. The Oncologist 2012;17:267-273
引用
收藏
页码:267 / 273
页数:7
相关论文
共 55 条
[1]  
American Society of Clinical Oncology Quality Oncology Practice Initiative (ASCO QOPI), 2009, ASCO QOPI SUMM MEAS
[2]   Review: Hypothalamic pituitary adrenal function during critical illness: Limitations of current assessment methods [J].
Arafah, Baha M. .
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 2006, 91 (10) :3725-3745
[4]   Effects of a Palliative Care Intervention on Clinical Outcomes in Patients With Advanced Cancer The Project ENABLE II Randomized Controlled Trial [J].
Bakitas, Marie ;
Lyons, Kathleen Doyle ;
Hegel, Mark T. ;
Balan, Stefan ;
Brokaw, Frances C. ;
Seville, Janette ;
Hull, Jay G. ;
Li, Zhongze ;
Tosteson, Tor D. ;
Byock, Ira R. ;
Ahles, Tim A. .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2009, 302 (07) :741-749
[5]   Symptom Burden and Performance Status in a Population-Based Cohort of Ambulatory Cancer Patients [J].
Barbera, Lisa ;
Seow, Hsien ;
Howell, Doris ;
Sutradhar, Rinku ;
Earle, Craig ;
Liu, Ying ;
Stitt, Audra ;
Husain, Amna ;
Sussman, Jonathan ;
Dudgeon, Deborah .
CANCER, 2010, 116 (24) :5767-5776
[6]   Symptoms of depression, acute myocardial infarction, and total mortality in a community sample [J].
Barefoot, JC ;
Schroll, M .
CIRCULATION, 1996, 93 (11) :1976-1980
[7]   Trends in inpatient treatment intensity among Medicare beneficiaries at the end of life [J].
Barnato, AE ;
McClellan, MB ;
Kagay, CR ;
Garber, AM .
HEALTH SERVICES RESEARCH, 2004, 39 (02) :363-375
[8]   Characteristics, findings, and outcomes of palliative care inpatient consultations at a comprehensive cancer center [J].
Braiteh, Fadi ;
El Osta, Badi ;
Palmer, J. Lynn ;
Reddy, Suresh K. ;
Bruera, Eduardo .
JOURNAL OF PALLIATIVE MEDICINE, 2007, 10 (04) :948-955
[9]  
Bruera E, 2000, J Palliat Med, V3, P181, DOI 10.1089/10966210050085241
[10]   Multidisciplinary symptom control clinic in a cancer center: a retrospective study [J].
Bruera, E ;
Michaud, M ;
Vigano, A ;
Neumann, CM ;
Watanabe, S ;
Hanson, J .
SUPPORTIVE CARE IN CANCER, 2001, 9 (03) :162-168