Impact of Surgical Palliation on Quality of Life in Patients with Advanced Malignancy: Results of the Decisions and Outcomes in Palliative Surgery (DOPS) Trial
- 188 Downloads
In the United States in 2005, 1.4 million people were diagnosed with and 550,000 died from cancer.1 This represents a significant increase over that in 2002 despite improved diagnosis, therapies, and prevention regimen. As patients progress in their disease and a cure is no longer possible, a variety of signs and symptoms occur. These are most often related to tumor location but can be due to factors secreted from the tumors or paraneoplastic syndromes. Regardless, the resulting symptoms are often debilitating and anxiety-provoking for patients. Patients derive a significant amount of distress from these symptoms and quality of life (overall, physical, psychologic, spiritual and social) is severely decreased.
As this happens, medical practitioners most often define treatment success in terms of survival. However, a patient’s quality of life is increasingly being used as justification in treatment decisions. Medical therapies are now being evaluated and approved using factors that...
KeywordsPalliation Surgical palliation Quality of life Distress Outcomes
- 1.American Cancer Society, Cancer Facts and Figures 2005Google Scholar
- 6.World Health Organization. National cancer programmes: policies and managerial guidelines, 2nd edn. Geneva, Switzerland: World Health Organization; 2002Google Scholar
- 7.Field MJ, Cassel CK. Approaching death: improving care at the end of life. Report of the Institute of Medicine Task Force. Washington, DC: National Academy Press; 1997Google Scholar