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Stereotactic Radiosurgery for Gynecologic Cancer
Published on: April 17, 2012
Palliative care in gynecologic oncology
Daniel Karlin1, Peter Phung, Christopher Pietras
1Palliative Care Program, Department of Medicine, UCLA David Geffen School of Medicine, Los Angeles, California, USA.
Purpose Of Review:
Patients with gynecologic malignancies face many difficult issues in the course of their diseases, ranging from physical symptoms to advance care planning in light of a poor prognosis. This review examines the evidence supporting integration of palliative care early in the course of disease and symptom management, and provides a framework for difficult conversations.
Recent Findings:
Palliative care has been demonstrated to improve quality of life and promote survival if integrated early in the course of disease. An evidence-based approach should guide symptom management, such as pain and nausea. Advance care planning and goals of care discussions are enhanced by a framework guiding discussion and the incorporation of empathetic responses.
Summary:
Palliative care is a diverse multidisciplinary field that can provide significant benefit for patients with gynecologic malignancies.
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