1 Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Duke University , Durham, North Carolina.
2 Division of Medical Oncology, Duke Cancer Institute, Duke Fuqua School of Business, Duke University , Durham, North Carolina.
J Palliat Med. 2018 Feb;21(2):250-254. doi: 10.1089/jpm.2017.0679. Epub 2018 Jan 10.
The vast majority of women diagnosed with ovarian cancer present with advanced-stage disease with a five-year survival rate less than 50%. Studies have shown that in the past, gynecologic oncologists were not routinely collaborating with palliative care physicians resulting in goals of care planning often not occurring until the last 30 days before death. In recent years, professional societies have been increasingly more vocal about the importance of incorporating palliative care early in a patient's disease course. As these calls increase, palliative care clinicians will be likely to comanage patients with ovarian cancer and may benefit from additional targeted education on this unique population. We brought together a team of gynecologic oncology and palliative care experts to collate practical pearls for the care of women with epithelial ovarian cancer. In this article, we use a "Top 10" format to highlight issues that may help palliative care physicians understand a patient's prognosis, address common misconceptions about ovarian cancer, and improve the quality of shared decision making and goals-of-care discussions.
绝大多数被诊断为卵巢癌的女性都处于晚期疾病，五年生存率低于 50%。研究表明，过去，妇科肿瘤医生并没有定期与姑息治疗医生合作，导致护理目标的规划通常直到死亡前 30 天才开始。近年来，专业协会越来越关注在患者疾病过程中尽早纳入姑息治疗的重要性。随着这些呼吁的增加，姑息治疗临床医生可能会共同管理卵巢癌患者，并可能受益于针对这一独特人群的额外针对性教育。我们召集了一组妇科肿瘤学和姑息治疗专家，为上皮性卵巢癌患者的护理收集实用要点。在本文中，我们使用“十大”格式来突出可能有助于姑息治疗医生了解患者预后的问题，解决关于卵巢癌的常见误解，并提高共享决策和护理目标讨论的质量。
