Mitchell Geoff, Currow David
University of Queensland Centre for General Practice, Centre for Palliative Care Education and Research, Queensland, Australia.
Aust Fam Physician. 2002 Feb;31(2):129-33.
Patients diagnosed with cancer are often treated with chemotherapy and radiotherapy with curative intent. The transition from curative to palliative intent involves re-evaluation of treatment, and has to take into account the attitudes, beliefs and life aims of the patient.
To discuss the difficulties in determining when to cease chemotherapy and radiotherapy in patients with advanced cancer.
The concept of treatment evaluation using a 'burden versus benefit' paradigm is discussed. Treatment aims must be in concordance with those of the patient, which are often couched in functional terms or linked to future significant life events. Chemotherapy and radiotherapy can offer patients in the palliative phase of cancer illness, benefits in terms of relief of symptoms and meaningful prolongation of life, and should be considered in appropriate circumstances.
被诊断患有癌症的患者通常接受旨在治愈的化疗和放疗。从治愈性意图到姑息性意图的转变涉及重新评估治疗，并且必须考虑患者的态度、信念和生活目标。
探讨确定晚期癌症患者何时停止化疗和放疗的困难。
讨论了使用“负担与益处”范式进行治疗评估的概念。治疗目标必须与患者的目标一致，患者的目标通常用功能术语表述或与未来重大生活事件相关。化疗和放疗可为处于癌症姑息治疗阶段的患者带来缓解症状和有意义地延长生命方面的益处，在适当情况下应予以考虑。
