Division of Medical Oncology, Mayo Clinic, Rochester, MN, USA.
Semin Oncol. 2011 Jun;38(3):439-42. doi: 10.1053/j.seminoncol.2011.03.020.
The decision to utilize parenteral nutrition in patients with advanced cancer is difficult. There are variable opinions in the literature. Those who routinely care for cancer patients often confront the challenges of discussing these interventions with patients and their families. We review results from previous randomized controlled trials, published guidelines, and recent work that describes the emotional challenges patients and families face as they make such decisions with their healthcare providers.
在晚期癌症患者中使用肠外营养的决定是困难的。文献中有不同的意见。那些经常照顾癌症患者的人经常面临与患者及其家属讨论这些干预措施的挑战。我们回顾了以前的随机对照试验、已发布的指南的结果,以及最近描述患者和家属在与医疗保健提供者做出此类决策时所面临的情绪挑战的工作。