Persenaire Christianne, Spinosa Daniel L, Brubaker Lindsay W, Lefkowits Carolyn J
Division of Gynecologic Oncology, Department of Obstetrics & Gynecology, University of Colorado Anschutz Medical Campus, 1665 Aurora Court, Anschutz Cancer Pavilion, 2nd Floor, Aurora, CO, 80045, USA.
Curr Oncol Rep. 2023 Nov;25(11):1295-1305. doi: 10.1007/s11912-023-01457-7. Epub 2023 Oct 4.
This review serves to provide clarity on the nature, scope, and benefits of early palliative care integration into the management of patients with gynecologic malignancies.
There is increased recognition that timely referral to palliative care improves quality of life for patients and their families by providing goal-concordant care that reduces physical and emotional suffering and limits futile and aggressive measures at the end of life. Palliative care services rendered throughout the continuum of illness ultimately increase engagement with hospice services and drive down health expenditures. Despite these myriad benefits, misconceptions remain, and barriers to and disparities in access to these services persist and warrant continued attention. Palliative care should be offered to all patients with advanced gynecologic cancers early in the course of their disease to maximize benefit to patients and their families.
本综述旨在明确早期姑息治疗融入妇科恶性肿瘤患者管理的性质、范围和益处。
越来越多的人认识到，及时转诊至姑息治疗可通过提供目标一致的护理来改善患者及其家人的生活质量，这种护理可减轻身体和情感痛苦，并在生命末期减少无效和激进的措施。在疾病的整个过程中提供姑息治疗服务最终会增加临终关怀服务的参与度，并降低医疗费用。尽管有这些诸多益处，但误解仍然存在，获得这些服务的障碍和差异依然存在，值得持续关注。对于所有晚期妇科癌症患者，应在疾病早期提供姑息治疗，以使患者及其家人获得最大益处。
