Annals of Surgical Oncology

, Volume 9, Issue 7, pp 696–703

A prospective evaluation of patients undergoing surgery for the palliation of an advanced malignancy

  • Thomas J. Miner
  • David P. Jaques
  • Craig D. Shriver
Original Articles

DOI: 10.1007/BF02574487

Cite this article as:
Miner, T.J., Jaques, D.P. & Shriver, C.D. Annals of Surgical Oncology (2002) 9: 696. doi:10.1007/BF02574487

Abstract

Background

Decisions regarding the use of surgical procedures for the palliation of symptoms caused by advanced malignancies require the highest level of surgical judgment. Prospective analysis of palliative surgical care may facilitate a more effective and representative evaluation of these patients.

Methods

Patients requiring surgery planned solely for the palliation of an advanced malignancy were offered entry onto this study. Outcome measurements were made before surgery and monthly thereafter until the patient’s death. Accepted techniques of pain assessment, quality of life, and functional status were used.

Results

Between May 1997 and December 1999, 26 patients were enrolled. Although 46% (12 of 26) of patients demonstrated improvement in pain control or quality of life after palliative surgery, these benefits lasted a median of only 3.4 months. Palliative surgery was associated with significant postoperative complications in 35% (9 of 26) patients.

Conclusions

Although many patients had no apparent demonstrable benefit from surgery, surgeons were able to identify a group of patients who experienced significant benefits after a palliative procedure. The relationships between the patient and family members and the surgeon play an important role in decision-making throughout the palliative phase of cancer treatment.

Key Words

CancerOutcome analysisPainPalliationQuality of lifeSurgery

Copyright information

© The Society of Surgical Oncology, Inc 2002

Authors and Affiliations

  • Thomas J. Miner
    • 2
  • David P. Jaques
    • 2
  • Craig D. Shriver
    • 1
  1. 1.General Surgery ServiceWalter Reed Army Medical CenterWashington, DC
  2. 2.Department of SurgeryMemorial Sloan-Kettering Cancer CenterNew York