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Through the patient’s eyes: an emphasis on patient-centered values in operative decision making in the management of malignant glioma

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Abstract

The Joint Section on Tumors of the American Association of Neurological Surgeons and the Congress of Neurological Surgeons is now in its 30th year. In many ways its growth and development has paralleled neurosurgery and medicine as a whole. This is most evident in our endeavor towards more patient-centered care and focus on quantity and quality of life. As the push towards evidence-based care continues, it is important to ensure that individualized care remains a guiding principle. Conscientious surgeons continue to refine techniques and develop technologies that push the boundaries of surgical efficacy while better defining the risks of surgery and the impacts of surgical complications. This article provides a review of the factors involved in minimizing risk and obtaining maximal outcomes for patients through insightful patient selection and evidence-based surgical decision-making. Herein, we present the philosophy and practice of the Hermelin Brain Tumor Center at the Henry Ford Health System as one type of approach to caring for the patient with a malignant glioma.

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Acknowledgments

We thank our patients and their families for the inspiration, joy and sense of purpose they impart to us on a daily basis. The support, confidence and passion for life evident with each visit are truly gifts. We would like to thank Sandra Remer and Julie Ingram for their invaluable roles as nurse navigators, and Bridget O’ Connor, Stephanie Mintoff, Josie Jackson, Linda Gifford, Connie Kick, Lisa Scarpace and Denise Leung for their parts in providing excellent patient care. Special thanks to William (Alive in our hearts) and Karen Davidson, Eugene and Marcia Applebaum, David (Alive in our hearts) and Doreen Hermelin and their family, Ed and Julie (Alive in our hearts) Levy, Jay and Maryanne (Alive in our hearts) Alix, Todd and Linda Herrick, Michael and Leslie (Alive in our hearts) Indenbaum, Art and Mary Ann Van Elslander, Mark and Gayle (Alive in our hearts) (Halperin) Kahn, The Jeffries Family, Steve (Alive in our hearts) and Fair Radam, Mort and Brigitte Harris, Harold and Penny Blumenstein, Prashant (Alive in our hearts) and Saloni Fadia, James and Nancy Grosfeld, Joseph and Suzanne (Alive in our hearts) Orley, William and Barbara Belzberg, Martin Goldman, Graham and Sally Orley, and Joseph and Rosalie Vicari (Alive in our hearts).

Conflict of interest

The authors declare that they have no conflicts of interest.

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Authors and Affiliations

  1. Department of Neurosurgery, Hermelin Brain Tumor Center, Henry Ford Hospital, 2799 West Grand Boulevard, Detroit, MI, 48202, USA

    Adam M. Robin, Steven N. Kalkanis, Jack Rock, Ian Lee & Mark L. Rosenblum

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  1. Adam M. Robin
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  2. Steven N. Kalkanis
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Correspondence to Mark L. Rosenblum.

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Robin, A.M., Kalkanis, S.N., Rock, J. et al. Through the patient’s eyes: an emphasis on patient-centered values in operative decision making in the management of malignant glioma. J Neurooncol 119, 473–479 (2014). https://doi.org/10.1007/s11060-014-1492-4

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  • DOI: https://doi.org/10.1007/s11060-014-1492-4

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