Department of Symptom Control and Palliative Care, The Royal Marsden NHS Foundation Trust, London, UK.
Department of Supportive and Palliative Care, The Clatterbridge Cancer Centre NHS Foundation Trust, Liverpool, UK.
Br J Hosp Med (Lond). 2024 Sep 30;85(9):1-11. doi: 10.12968/hmed.2024.0173. Epub 2024 Sep 12.
Palliative care, an integral component of supportive oncology, enhances the quality of life for patients living with cancer. Whilst palliative care has historically been synonymous with the provision of care at the end of life, it is increasingly playing a role earlier in a patient's cancer journey; frequently in conjunction with administration of anticancer treatment. Although early integration has been shown to improve patient outcomes, service development remains in its infancy and consideration of challenges bears relevance. Addressing issues pertaining to resource allocation in addition to adequate training of staff will aid to ensure the provision of care that aligns with the goals and priorities of patients. This review presents the role of early palliative care within the realm of supportive oncology with respect to the evidence of benefit and ethical, clinical and practical considerations. Relevant papers have been chosen for inclusion on the basis of clinical relevance, timeliness and relevance to cancer patients and clinical teams involved in their care.
姑息治疗是支持肿瘤学的一个组成部分，可提高癌症患者的生活质量。虽然姑息治疗在历史上一直等同于临终关怀，但它在患者癌症治疗过程中的早期阶段发挥着越来越重要的作用；通常与抗癌治疗同时进行。尽管早期整合已被证明可以改善患者的预后，但服务的发展仍处于起步阶段，考虑到面临的挑战具有现实意义。解决资源分配问题以及对员工进行充分培训，将有助于确保提供符合患者目标和优先事项的护理。本文回顾了姑息治疗在支持肿瘤学领域的作用，以及姑息治疗的获益证据、伦理、临床和实际考虑因素。相关文献的选择基于其临床相关性、及时性以及对参与其治疗的癌症患者和临床团队的相关性。
