肿瘤学中按治疗意图进行的治疗分类——对有意义定义的需求：治愈性、姑息性和潜在延长生命性。
Treatment Classification by Intent in Oncology-The Need for Meaningful Definitions: Curative, Palliative and Potentially Life-Prolonging.
作者信息
Fekete Zsolt, Fekete Andrea, Kacsó Gabriel
机构信息
Department of Oncology, "Iuliu Hațieganu" University of Medicine and Pharmacy, 400015 Cluj-Napoca, Romania.
"Prof. Dr. I. Chiricuță" Oncology Institute, 400012 Cluj-Napoca, Romania.
出版信息
J Pers Med. 2024 Aug 31;14(9):932. doi: 10.3390/jpm14090932.
BACKGROUND
Realistic cancer treatment goals should be used by health care professionals and communicated to patients, families, and the public. The current nomenclature on this subject is outdated and has not been changed since the advent of modern oncology in the middle of the 20th century.
METHODS
Based on the literature we propose a three-tier system composed of curative, palliative, and potentially life-prolonging (PLP) therapies, instead of the current two-tier system of only curative and palliative treatment.
RESULTS
The new system introduces the notion of prolonged survival. Furthermore, the negative connotation linked to palliative care is also eliminated in this setting.
CONCLUSION
The current terminology used to describe cancer treatment goals has not been updated since the mid-20th century and it is time for a more modern approach. We propose a three-tier system: (1) curative treatment, (2) palliative care, and (3) potentially life-prolonging therapy.
背景
医疗保健专业人员应采用切实可行的癌症治疗目标，并将其传达给患者、家属和公众。目前关于这一主题的术语已经过时，自20世纪中叶现代肿瘤学出现以来一直没有改变。
方法
基于文献，我们提出了一个由治愈性、姑息性和潜在延长生命（PLP）疗法组成的三层体系，以取代目前仅包括治愈性和姑息性治疗的两层体系。
结果
新体系引入了延长生存期的概念。此外，在这种情况下，与姑息治疗相关的负面含义也被消除了。
结论
自20世纪中叶以来，用于描述癌症治疗目标的现行术语一直没有更新，现在是采用更现代方法的时候了。我们提出一个三层体系：（1）治愈性治疗，（2）姑息治疗，（3）潜在延长生命疗法。
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