A new comprehensive and stratified concept for supportive care in cancer patients

被引:0
作者
Klastersky, Jean [1 ,5 ]
Libert, Isabelle [1 ]
Libert, Yves [2 ,3 ]
Echterbille, Marie-Aline [1 ,4 ]
机构
[1] Univ Libre Bruxelles ULB, Hop Univ Bruxelles HUB, Inst Jules Bordet, Dept Med Oncol, Brussels, Belgium
[2] Univ Libre Bruxelles ULB, Hop Univ Bruxelles HUB, Inst Jules Bordet, Serv Psychol Sect Psychooncol, Brussels, Belgium
[3] Univ libre Bruxelles ULB, Fac Psychol Sci Educ & Logopedie, Unite Rech Psychosomat & Psychooncol URPP, Brussels, Belgium
[4] Univ Libre Bruxelles ULB, Hop Univ Bruxelles HUB, Inst Jules Bordet, Med Direct, Brussels, Belgium
[5] Inst Jules Bordet, Dept Med Oncol, Rue Meylemeersch 90, B-1070 Brussels, Belgium
关键词
advance care planning; cancer patients; incurable patients; integrative medicine; prognosis; supportive care; survivorship;
D O I
10.1097/CCO.0000000000001039
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Purpose of reviewSupportive care in oncology has evolved alongside effective anticancer treatments since the 1960s, beginning with the advent of chemotherapy for acute leukemia. It was initially focused on managing treatment-induced complications, and expanded to address broader aspects of patient well being; the scope of supportive care needs to be periodically re-assessed.Recent findingsEarly palliative care interventions, and more recently advance care planning emerged as vital components, improving patient outcomes and quality of life. Despite barriers, such as prognostic uncertainty, these approaches have demonstrated significant benefits for patients with advanced disease. Additionally, the management of cancer survivors requires ongoing medical surveillance and psycho-social support. In the last years, integrative medicine has also emerged as a complementary approach to address survivors' holistic needs.SummaryA proposed stratified model of supportive care emphasizes interventions based on patients' prognosis, with interdisciplinary collaboration ensuring comprehensive care across all stages of the cancer journey. This model provides a framework for the development of integrated supportive care units.
引用
收藏
页码:206 / 210
页数:5
相关论文
共 13 条
  • [1] RESPONSE TO REPEATED PLATELET TRANSFUSION FROM SAME DONOR
    FREIREICH, EJ
    MANTEL, N
    KLIMAN, A
    GAYDOS, LA
    FREI, E
    [J]. ANNALS OF INTERNAL MEDICINE, 1963, 59 (03) : 277 - +
  • [2] Quality of Cancer Pain Management: An Update of a Systematic Review of Undertreatment of Patients With Cancer
    Greco, Maria Teresa
    Roberto, Anna
    Corli, Oscar
    Deandrea, Silvia
    Bandieri, Elena
    Cavuto, Silvio
    Apolone, Giovanni
    [J]. JOURNAL OF CLINICAL ONCOLOGY, 2014, 32 (36) : 4149 - U382
  • [3] Definition of supportive care: does the semantic matter?
    Hui, David
    [J]. CURRENT OPINION IN ONCOLOGY, 2014, 26 (04) : 372 - 379
  • [4] Navigating and Communicating about Serious Illness and End of Life
    Jackson, Vicki A.
    Emanuel, Linda
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 2024, 390 (01) : 63 - 69
  • [5] UNMASKING MASCC
    KLASTERSKY, J
    [J]. SUPPORTIVE CARE IN CANCER, 1993, 1 (01) : 2 - 2
  • [6] Advance care planning in oncology: a scoping review and some recommendations
    Libert, Yves
    Choucroun, Lisa
    Razavi, Darius
    Merckaert, Isabelle
    [J]. CURRENT OPINION IN ONCOLOGY, 2023, 35 (04) : 261 - 275
  • [7] Palliative sedation for intolerable suffering
    Maltoni, Marco
    Scarpi, Emanuela
    Nanni, Oriana
    [J]. CURRENT OPINION IN ONCOLOGY, 2014, 26 (04) : 389 - 394
  • [8] Postow MA, 2018, NEW ENGL J MED, V378, P158, DOI [10.1056/NEJMra1703481, 10.1056/NEJMc1801663]
  • [9] An oral history of MASCC, its origin and development from MASCC's beginnings to 2009
    Rittenberg, Cynthia N.
    Johnson, Judith L.
    Kuncio, Gerald M.
    [J]. SUPPORTIVE CARE IN CANCER, 2010, 18 (06) : 775 - 784
  • [10] Rosenthal D.S., 2005, HEMATOL-AM SOC HEMAT, V2005, P491, DOI [10.1182/asheducation-2005.1.491, DOI 10.1182/ASHEDUCATION-2005.1.491]