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Selecting Patients for Palliative Procedures in Oncology.
Cassandra S Parker1, Thomas J Miner1
1Department of Surgery, Rhode Island Hospital, Warren Alpert Medical School of Brown University, 593 Eddy Street, APC 443, Providence, RI 02903, USA.
Surgical Oncology Clinics of North America
|May 31, 2021
Summary
Surgical palliation in oncology improves symptoms in advanced cancers but carries risks. Careful patient selection and risk-benefit analysis are crucial for optimizing outcomes in end-of-life care.
Area of Science:
- Oncology
- Surgical Oncology
- Palliative Care
Background:
- Surgical palliation is key in end-of-life care for advanced malignancies.
- These procedures aim to alleviate symptoms, not cure cancer.
Purpose of the Study:
- To define surgical palliation in oncology.
- To emphasize the importance of patient selection for palliative interventions.
Main Methods:
- Defining surgical palliation based on non-curative intent and symptom improvement.
- Highlighting the need for careful patient selection.
- Discussing the prediction of benefits and risks to determine the therapeutic index.
Main Results:
- Palliative interventions offer significant benefits but involve high risks.
- Careful patient selection can minimize morbidity and mortality.
Conclusions:
- Optimizing patient selection is essential for maximizing the benefits of surgical palliation.
- A thorough assessment of the therapeutic index guides surgical decisions in palliative oncology.
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