Department of Medicine V, Hematology, Oncology and Rheumatology, University of Heidelberg, Heidelberg, Germany.
Cancer Center, Clinique de Genolier, Genolier, Switzerland.
Ann Oncol. 2018 Jan 1;29(1):36-43. doi: 10.1093/annonc/mdx757.
Oncology has come a long way in addressing patients' quality of life, together with developing surgical, radio-oncological and medical anticancer therapies. However, the multiple and varying needs of patients are still not being met adequately as part of routine cancer care. Supportive and palliative care interventions should be integrated, dynamic, personalised and based on best evidence. They should start at the time of diagnosis and continue through to end-of-life or survivorship. ESMO is committed to excellence in all aspects of oncological care during the continuum of the cancer experience. Following the 2003 ESMO stand on supportive and palliative care (Cherny N, Catane R, Kosmidis P. ESMO takes a stand on supportive and palliative care. Ann Oncol 2003; 14(9): 1335-1337), this position paper highlights the evolving and growing gap between the needs of cancer patients and the actual provision of care. The concept of patient-centred cancer care is presented along with key requisites and areas for further work.
肿瘤学在提高患者生活质量方面取得了长足的进步，同时也发展了手术、放射肿瘤学和医学抗癌疗法。然而，作为常规癌症护理的一部分，患者的多种不同需求仍未得到充分满足。支持性和姑息性护理干预措施应该是综合的、动态的、个性化的，并基于最佳证据。这些措施应该从诊断时开始，并贯穿整个癌症治疗过程，包括临终关怀和生存随访。欧洲肿瘤内科学会致力于在癌症治疗全过程中，在肿瘤学护理的各个方面都达到卓越水平。继 2003 年欧洲肿瘤内科学会对支持性和姑息性护理的立场声明（Cherny N, Catane R, Kosmidis P. ESMO takes a stand on supportive and palliative care. Ann Oncol 2003; 14(9): 1335-1337）之后，本立场文件强调了癌症患者的需求与实际护理之间不断扩大的差距。本文介绍了以患者为中心的癌症护理的概念，以及进一步工作的关键要求和领域。
