Definition of Palliative Surgery in Cancer Care: A Systematic Review

被引:0
作者
Min, Jolene Wong Si [1 ,2 ,3 ]
Low, Xinyi Casuarine [2 ,3 ,4 ]
Farber, Orly N. [1 ,5 ,6 ]
Mack, Jennifer W. [7 ]
Cooper, Zara [1 ,5 ,6 ]
Lilley, Elizabeth J. [1 ,5 ,6 ,8 ]
机构
[1] Brigham & Womans Hosp, Ctr Surg & Publ Hlth, Dept Surg, Boston, MA 02115, USA
[2] Natl Canc Ctr Singapore, Dept Sarcoma Peritoneal & Rare Tumors, Div Surg & Surg Oncol, Singapore City, Singapore
[3] Singapore Gen Hosp, Singapore City, Singapore
[4] Duke NUS Med Sch, Programme Hlth Serv & Syst Res, Singapore City, Singapore
[5] Brigham & Womans Hosp, Dept Surg, Boston, MA 02115, USA
[6] Harvard Med Sch, Dept Surg, Boston, MA 02115, USA
[7] Dana Farber Canc Inst, Dept Pediat Oncol, Boston, MA, USA
[8] Dana Farber Canc Inst, Dept Psychosocial Oncol & Palliat Care, Boston, MA 02115, USA
关键词
advanced cancer; malignant obstruction; palliative surgery; surgical palliative care; QUALITY-OF-LIFE; BOWEL OBSTRUCTION; SURGICAL PALLIATION; COLORECTAL-CANCER; GASTRIC-CANCER; ENDOSCOPIC STENT; BYPASS-SURGERY; WILL BENEFIT; OUTCOMES; GASTRECTOMY;
D O I
10.1002/jso.28016
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Palliative surgery is commonly performed in cancer centers worldwide. Yet, there is little agreement on the definition of palliative surgery or its relevant outcomes. This systematic review sought to characterize the definitions of palliative surgery and outcomes for patients with cancer undergoing thoraco-abdominal procedures. Following PRISMA guidelines, we conducted a search using PubMed, EMBASE and CINAHL databases to identify English-language publications between August 1, 2005, and December 31, 2023 reporting palliative thoraco-abdominal procedures for patients with cancer. Definitions of palliative surgery were coded and analyzed using an inductive approach. Outcomes were classified according to an outcome measures hierarchy. Among 92 articles met inclusion criteria and four themes emerged in how palliative surgery was defined throughout the literature: prognosis (incurable cancer diagnosis), purpose (intent to treat symptoms or improve quality of life), procedure type (specific operative interventions), or persistent disease following surgery (incomplete cytoreduction). Survival (90%) and perioperative complications/morbidity (72%) were the most commonly reported outcomes, whereas symptom relief, quality of life, and sustainability of success were infrequently reported. Definitions of palliative surgery vary across studies of patients with cancer undergoing thoracic or abdominal procedures and measured outcomes often do not align with the intent of surgery.
引用
收藏
页码:1439 / 1454
页数:16
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