Quality of emergency oncological surgery: time for advanced oncological life support.
Rev Assoc Med Bras (1992)
; 70(suppl 1): e2024S109, 2024.
Article
de En
| MEDLINE
| ID: mdl-38865529
ABSTRACT
OBJECTIVE:
In the emergency care of cancer patients, in addition to cancer-related factors, two aspects influence theoutcome:
(1) where the patient is treated and (2) who will perform the surgery. In Brazil, a significant proportion of patients with surgical oncological emergencies will be operated on in general hospitals by surgeons without training in oncological surgery.OBJECTIVE:
The objective was to discuss quality indicators and propose the creation of an urgent oncological surgery advanced life support course.METHODS:
Review of articles on the topic.RESULTS:
Generally, nonelective resections are associated with higher rates of morbidity and mortality, as well as lower rates of cancer-specific survival. In comparison to elective procedures, the reduced number of harvested lymph nodes and the higher rate of positive margins suggest a compromised degree of radicality in the emergency scenario.CONCLUSION:
Among modifiable factors is the training of the emergency surgeon. Enhancing the practice of oncological surgery in emergency settings constitutes a formidable undertaking that entails collaboration across various medical specialties and warrants endorsement and support from medical societies and educational institutions. It is time to establish a national registry encompassing oncological emergencies, develop quality indicators tailored to the national context, and foster the establishment of specialized training programs aimed at enhancing the proficiency of physicians serving in emergency services catering to cancer patients.
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Tumeurs
Limites:
Humans
Pays/Région comme sujet:
America do sul
/
Brasil
Langue:
En
Journal:
Rev Assoc Med Bras (1992)
Année:
2024
Type de document:
Article
Pays d'affiliation:
Brésil
Pays de publication:
Brésil