Palliative care: A surgical perspective

Inserra, Alessandro; Crocoli, Alessandro

doi:10.1002/pbc.27817

Cited by 4 publications

(1 citation statement)

References 13 publications

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“…are among the numerous questions that remain for surgical management of palliative care patients. Ethical conflict is vital, especially when choosing on tumor debulking and removal of malignant metastases in palliative patients: each decision must be founded on the child's and family's values and rights, as well as the beliefs, duties, and rights of all parties involved [11].…”

Section: The Application Of Palliative Care In Pediatric Patientsmentioning

confidence: 99%

Perspective Chapter: Palliative Surgery in Pediatric Cancer

Inserra¹,

Martucci²

2023

Supportive and Palliative Care and Quality of Life in Oncology

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Childhood can cer survival rates have lately improved (from 54% in 1980 to an actual 80%), and palliative care has taken on a larger role in the management of oncological kids, with many clinicians involved (including oncologists, radiologists, and surgeons). Palliative surgery has evolved from “noncurative” treatments to a variety of surgeries used to relieve organ dysfunction and provide the best possible quality of life in all aspects of life (clinical, psychological, and social).

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Section: The Application Of Palliative Care In Pediatric Patientsmentioning

confidence: 99%

Perspective Chapter: Palliative Surgery in Pediatric Cancer

Inserra¹,

Martucci²

2023

Supportive and Palliative Care and Quality of Life in Oncology

Self Cite

View full text Add to dashboard Cite

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Palliative Surgery for Pediatric Cancer Patients

Inserra

Shalkow

Martucci

2022

Pediatric Surgical Oncology

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Surgical Intervention in Patients Receiving Pediatric Palliative Care Services

et al. 2023

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BACKGROUND AND OBJECTIVES: Many patients receiving pediatric palliative care (PPC) present with surgically treatable problems. The role of surgery in the care of these patients, however, has not yet been defined. We conducted a cohort study of children receiving PPC to assess the incidence, type, and likely purpose of surgical interventions performed after the initiation of PPC. METHODS: We performed a cohort analysis of surgical interventions performed on children enrolled in an ongoing, multicenter, prospective cohort study. Patients aged <30 years receiving PPC services were eligible for inclusion in the study. Analyses included descriptive and comparative statistics, as well as logistic regression models. RESULTS: After initiation of PPC, 81.1% (n = 488) of patients had undergone at least 1 surgical intervention (range, 1–71) with a median of 4 interventions (interquartile range, 1–9). The most frequent surgical interventions were feeding tubes, endoscopic biopsy, tracheostomy, bone marrow biopsy, tunneled catheters, bronchoscopy, and chest tube placement, followed by sternum closure, abdominal closure, atrial and ventricular septal defect repairs, and heart transplantation. Children who underwent surgical interventions were statistically less likely to die while receiving PPC (29% vs 40%, P < .03). CONCLUSIONS: Most children receiving PPC services undergo at least 1 surgical intervention, and many undergo numerous interventions. Undergoing intervention is not futile because surgical intervention is associated with longer survival. Various patient populations that are more likely, as well as less likely, to undergo surgical intervention warrant specific focus.

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Palliative care: A surgical perspective

Cited by 4 publications

References 13 publications

Perspective Chapter: Palliative Surgery in Pediatric Cancer

Perspective Chapter: Palliative Surgery in Pediatric Cancer

Palliative Surgery for Pediatric Cancer Patients

Surgical Intervention in Patients Receiving Pediatric Palliative Care Services

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