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血液系统恶性肿瘤患者的姑息治疗:我们是否足够早地满足了患者的需求?

Palliative care for patients with hematologic malignancies: are we meeting patients' needs early enough?

作者信息

Kayastha Neha, LeBlanc Thomas W

机构信息

Department of Medicine, Duke University School of Medicine, North Carolina, USA.

Division of Hematologic Malignancies and Cellular Therapy, Duke University School of Medicine, North Carolina, USA.

出版信息

Expert Rev Hematol. 2022 Sep;15(9):813-820. doi: 10.1080/17474086.2022.2121696. Epub 2022 Sep 12.

Abstract

INTRODUCTION

Palliative care for patients with cancer, and more recently for patients with hematologic malignancies, has increasingly been shown to be beneficial, with mounting evidence pointing to its vast benefits both to patients and caregivers. Despite this, there is a significant gap in integration of palliative care into usual cancer care for patients with hematologic malignancies.

AREAS COVERED

In this paper, we will define palliative care and discuss its benefits broadly for patients with hematologic malignancies. We will then discuss the late access to palliative care, the unmet needs in this patient population, and some of the barriers to access to palliative care.

EXPERT OPINION

With all this information and the clear benefit for early integrated palliative care for patients with hematologic malignancies, there is a need for novel models of palliative care and cancer care integration. Given the various needs of patients with different hematologic malignancies, we propose how palliative care can meet the unique needs of patients with hematologic malignancy by disease subtype.

摘要

引言

癌症患者的姑息治疗,以及最近血液系统恶性肿瘤患者的姑息治疗,越来越多地被证明是有益的,越来越多的证据表明其对患者和护理人员都有巨大益处。尽管如此,在将姑息治疗纳入血液系统恶性肿瘤患者的常规癌症护理方面仍存在显著差距。

涵盖领域

在本文中,我们将定义姑息治疗,并广泛讨论其对血液系统恶性肿瘤患者的益处。然后,我们将讨论姑息治疗的延迟获取、该患者群体未满足的需求以及获取姑息治疗的一些障碍。

专家观点

鉴于所有这些信息以及早期综合姑息治疗对血液系统恶性肿瘤患者的明显益处,需要新的姑息治疗与癌症护理整合模式。考虑到不同血液系统恶性肿瘤患者的各种需求,我们提出姑息治疗如何根据疾病亚型满足血液系统恶性肿瘤患者的独特需求。

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