Updates in palliative care of gynecologic oncology patients

被引:0
作者
Khoo, Teresa [1 ]
Karlin, Daniel [1 ]
Pietras, Christopher [1 ]
机构
[1] Univ Calif Los Angeles, Dept Med, Palliat Care, Los Angeles, CA USA
关键词
cervical cancer; gynecologic oncology; ovarian cancer; palliative care; symptom management; CANCER; LIFE; END; PACKAGE; TRENDS; DEATH; WOMEN;
D O I
10.1097/GCO.0000000000001000
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Purpose of reviewThis review assesses the impact of early integration of palliative care and the disparities that exist among patients with gynecologic malignancies. It also highlights the recent advances in symptom management, goals of care communication, and end of life care.Recent findingsAlthough palliative care has been utilized earlier, there are still barriers to its integration both nationally and worldwide, manifesting as predominantly late hospice referrals and aggressive care at the end of life. However, there are increasing efforts to promote earlier integration and discussion around goals of care through multidisciplinary approaches. Apart from symptom burdens, patients with gynecologic malignancies experience financial toxicity that impact various aspects of their lives, leading to potentially harmful choices to mitigate costs. A growing area of interest in palliative care is the realm of psychedelic-assisted therapy, which has shown benefits in treating advanced cancer patients with depression.SummaryWhile significant strides have been made in incorporating palliative care earlier, continued research in palliative care is needed to address symptomatic and psychosocial suffering worldwide.
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页码:1 / 4
页数:4
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