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Palliative care of older glioblastoma patients in neurosurgery
Daniel Berthold1, Anna Pedrosa Carrasco2, Eberhard Uhl3
1Clinic for Internal Oncology, Haematology and Palliative Care, University Hospital of Giessen and Marburg, Giessen Site, Giessen, Germany. daniel.berthold@innere.med.uni-giessen.de.
Purpose:
The care of older neurosurgical patients at the end life is a particularly demanding challenge. Especially, the specific needs of very old patients with glioblastoma at the end of life are at risk of being deprived of adequate care.
Methods:
Based on a narrative literature review, this article aims to explore key issues of the thematic intersection of geriatric glioblastoma patients, palliative care and neurosurgery.
Results And Discussion:
Four key issues were identified: patient-centeredness (need orientation and decision making), early palliative care, advance care planning, and multi-professionalism. Possible benefits and barriers are highlighted with regard to integrating these concepts into neurosurgery.
Conclusions:
Palliative care complements neurosurgical care of geriatric glioblastoma multiforme patients to optimise care for this highly vulnerable category of patients.
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