Indications and use of palliative surgery-results of Society of Surgical Oncology survey.
Ann Surg Oncol
; 9(1): 104-12, 2002.
Article
em En
| MEDLINE
| ID: mdl-11829424
ABSTRACT
BACKGROUND:
Despite increasing attention to end-of-life care in oncology, palliative surgery (PS) remains poorly defined. A survey to test the definition, assess the extent of use, and evaluate attitudes and goals of surgeons regarding PS was devised.METHODS:
A survey of Society of Surgical Oncology (SSO) members.RESULTS:
419 SSO members completed a 110-item survey. Surgeons estimated 21% of their cancer surgeries as palliative in nature. Forty-three percent of respondents felt PS was best defined based on pre-operative intent, 27% based on post-operative factors, and 30% on patient prognosis. Only 43% considered estimated patient survival time an important factor in defining PS, and 22% considered 5-year survival rate important. The vast majority (95%) considered tumor still evident following surgery in a patient with poor prognosis constituted PS. Most surgeons felt PS could be procedures due to generalized illness related to cancer (80%) or related to cancer treatment complications (76%). Patient symptom relief and pain relief were identified as the two most important goals in PS, with increased survival the least important.CONCLUSION:
PS is a major portion of surgical oncology practice. Quality-of-life parameters, not patient survival, were identified as the most important goals of PS.
Buscar no Google
Base de dados:
MEDLINE
Assunto principal:
Cuidados Paliativos
/
Sociedades Médicas
/
Oncologia
/
Neoplasias
Tipo de estudo:
Prognostic_studies
Limite:
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Ano de publicação:
2002
Tipo de documento:
Article