Department of Palliative Medicine, University Medical Center, Göttingen, Germany.
Support Care Cancer. 2012 Oct;20(10):2385-9. doi: 10.1007/s00520-011-1349-8. Epub 2011 Dec 24.
Anticancer therapies gain increasing attention and discussion in specialized palliative care institutions. Frequency, indication, attitude of team members, and modes of these therapies implemented in specialized palliative care settings are still under investigation.
Descriptive analysis of the nationwide Hospice and Palliative Care Evaluation 2007 that collected data from palliative medicine, hospice care, and oncology institutions concerning the use of anticancer therapies.
Three thousand one hundred eighty-four patients from 67 palliative care units, eight oncology wards, and other in- and outpatient institutions were registered. Two hundred eleven therapeutic interventions, mostly i.v. chemotherapy (28.9%), have been documented in all institutions except from inpatient hospices. Although all institutions were asked to keep records from "palliative patients", those patients treated in oncology services differed from patients on palliative care units with respect to prognosis, therapeutic intention (symptom control versus tumor remission), and team attitude.
Anticancer therapies are incorporated into palliative care concepts. The described differences in palliative patients that are treated in specialized palliative care as compared to oncology services will have to be discussed with regard to selection of patients for specialized palliative care and the range of suitable treatment modalities in palliative care concepts.
在专业的姑息治疗机构中，癌症治疗越来越受到关注和讨论。在专业姑息治疗环境中实施的这些治疗的频率、适应证、团队成员的态度和方式仍在研究中。
对 2007 年全国临终关怀和姑息治疗评估进行描述性分析，该评估从姑息治疗、临终关怀和肿瘤学机构收集了有关使用抗癌治疗的数据。
在 67 个姑息治疗单位、8 个肿瘤科病房和其他门诊和住院机构中登记了 3184 名患者。除住院临终关怀机构外，所有机构都记录了 211 项治疗干预措施，主要是静脉内化疗（28.9%）。尽管所有机构都被要求从“姑息治疗患者”中保留记录，但在肿瘤服务中治疗的患者与姑息治疗单位的患者在预后、治疗意图（症状控制与肿瘤缓解）和团队态度方面存在差异。
抗癌治疗被纳入姑息治疗概念。与在肿瘤学服务中治疗的专业姑息治疗患者相比，在专业姑息治疗中治疗的姑息治疗患者存在差异，这需要就选择患者进行专业姑息治疗以及姑息治疗概念中合适的治疗方式范围进行讨论。
