Augmented Package of Palliative Care for Women With Cervical Cancer: Responding to Refractory Suffering

被引：10

作者：

Krakauer, Eric L. ^{[1
,2
,3
,4
]}

Kane, Khadidjatou ^{[1
,2
]}

Kwete, Xiaoxiao ^{[5
]}

Afshan, Gauhar ^{[6
]}

Bazzett-Matabele, Lisa ^{[7
,8
]}

Bien-Aime, Danta Dona Ruthnie ^{[3
,9
,10
]}

Borges, Lawrence F. ^{[11
,12
]}

Byrne-Martelli, Sarah ^{[1
]}

Connor, Stephen ^{[13
]}

Correa, Raimundo ^{[14
,15
]}

Devi, C. R. Beena ^{[16
]}

Diop, Mamadou ^{[17
]}

Elmore, Shekinah N. ^{[18
]}

Gafer, Nahla ^{[19
,20
]}

Goodman, Annekathryn ^{[21
,22
]}

Grover, Surbhi ^{[23
,24
]}

Hasenburg, Annette ^{[25
]}

Irwin, Kelly ^{[12
,26
]}

Kamdar, Mihir ^{[2
,27
]}

Kumar, Suresh ^{[28
]}

Quynh Xuan Nguyen Truong ^{[29
,30
,31
]}

Randall, Tom ^{[21
,22
]}

Rassouli, Maryam ^{[32
]}

Sessa, Cristiana ^{[33
]}

Spence, Dingle ^{[34
,35
]}

Trimble, Ted ^{[36
]}

Varghese, Cherian ^{[37
]}

Fidarova, Elena ^{[37
]}

机构：

[1] Massachusetts Gen Hosp, Div Palliat Care & Geriatr Med, 55 Fruit St,Founders 600, Boston, MA 02114 USA

[2] Harvard Med Sch, Dept Med, Boston, MA USA

[3] Harvard Med Sch, Dept Global Hlth & Social Med, Boston, MA 02115 USA

[4] Univ Med & Pharm Ho Chi Minh City, Dept Palliat Care, Ho Chi Minh City, Vietnam

[5] Harvard Sch Publ Hlth, Boston, MA USA

[6] Aga Khan Univ, Dept Anaesthesiol, Med Coll, Karachi, Pakistan

[7] Univ Botswana, Dept Obstet & Gynecol, Gaborone, Botswana

[8] Yale Univ, Sch Med, Dept Obstet & Gynecol, New Haven, CT 06510 USA

[9] Univ Episcopale dHaiti, Port Au Prince, Haiti

[10] Fac Sci Infirmieres Leogane, Leogane, Haiti

[11] Massachusetts Gen Hosp, Dept Neurosurg, Boston, MA 02114 USA

[12] Harvard Med Sch, Boston, MA 02115 USA

[13] Worldwide Hosp Palliat Care Alliance, Fairfax, VA USA

[14] Clin Las Condes, Gynecol Oncol Unit, Santiago, Chile

[15] Clin Las Condes, Palliat Care Serv, Santiago, Chile

[16] Normah Med Specialist Ctr, Sarawak, Malaysia

[17] Cheikh Anta Diop Univ, Canc Inst, Dakar, Senegal

[18] Univ N Carolina, Dept Radiat Oncol, Sch Med, Chapel Hill, NC USA

[19] Khartoum Oncol Hosp, Radiat & Isotope Ctr, Khartoum, Sudan

[20] Comboni Coll Sci & Technol, Khartoum, Sudan

[21] Massachusetts Gen Hosp, Div Gynecol Oncol, Boston, MA 02114 USA

[22] Harvard Med Sch, Dept Obstet & Gynecol, Boston, MA USA

[23] Univ Penn, Perelman Sch Med, Philadelphia, PA 19104 USA

[24] Botswana UPenn Partnership, Gaborone, Botswana

[25] Johannes Gutenberg Univ Mainz, Dept Gynecol & Obstet, Med Ctr, Maine, Germany

[26] Massachusetts Gen Hosp, Dept Psychiat, Boston, MA 02114 USA

[27] Massachusetts Gen Hosp, Div Palliat Care & Geriatr Med, Dept Anesthesiol Crit Care & Pain Med, Boston, MA 02114 USA

[28] Med Coll Calicut, Inst Palliat Med, Calicut, Kerala, India

[29] Chulalongkorn Univ, Coll Publ Hlth Sci, Bangkok, Thailand

[30] Boston Coll, Sch Social Work, Newton, MA USA

[31] Univ Med Ctr Ho Chi Minh City, Ho Chi Minh City, Vietnam

[32] Shahid Beheshti Univ Med Sci, Tehran, Iran

[33] Oncol Inst Southern Switzerland, Dept Med Oncol, Bellinzona, Switzerland

[34] Hope Inst Hosp, Kingston, Jamaica

[35] Univ West Indies, Kingston, Jamaica

[36] NCI, Bethesda, MD 20892 USA

[37] WHO, Dept Noncommunicable Dis, Geneva, Switzerland

来源：

JCO GLOBAL ONCOLOGY | 2021年 / 7卷

关键词：

ADVANCED PELVIC MALIGNANCIES; PUNCTATE MIDLINE MYELOTOMY; HYPOGASTRIC PLEXUS NEUROLYSIS; INTRACTABLE VISCERAL PAIN; SUBANESTHETIC KETAMINE; GYNECOLOGIC CANCER; PHASE-II; MANAGEMENT; BLOCK; RADIOTHERAPY;

D O I：

10.1200/GO.21.00027

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

The essential package of palliative care for cervical cancer (EPPCCC), described elsewhere, is designed to be safe and effective for preventing and relieving most suffering associated with cervical cancer and universally accessible. However, it appears that women with cervical cancer, more frequently than patients with other cancers, experience various types of suffering that are refractory to basic palliative care such as what can be provided with the EPPCCC. In particular, relief of refractory pain, vomiting because of bowel obstruction, bleeding, and psychosocial suffering may require additional expertise, medicines, or equipment. Therefore, we convened a group of experienced experts in all aspects of care for women with cervical cancer, and from countries of all income levels, to create an augmented package of palliative care for cervical cancer with which even suffering refractory to the EPPCCC often can be relieved. The package consists of medicines, radiotherapy, surgical procedures, and psycho-oncologic therapies that require advanced or specialized training. Each item in this package should be made accessible whenever the necessary resources and expertise are available. (C) 2021 by American Society of Clinical Oncology

引用

页码：886 / 895

页数：10

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