Palliative Surgery: Incidence and Outcomes

Sun, Virginia; Krouse, Robert S.

doi:10.1016/j.soncn.2014.08.005

Cited by 12 publications

(12 citation statements)

References 43 publications

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“…For many patients with lung and colorectal cancer, surgery remains the treatment modality that confers the best chance of cure. In addition, for patients with symptomatic disease, surgery may provide symptom relief and improve quality of life …”

Section: Introductionmentioning

confidence: 99%

“…In addition, for patients with symptomatic disease, surgery may provide symptom relief and improve quality of life. 8,9 When considering treatment options, one of the most important discussions between patients with cancer and their health care providers involves the goal of any proposed therapy. 10 Goals of care may involve whether the objective of the proposed therapy is to alleviate symptoms, prolong life, or provide a reasonable chance at "true cure."…”

Section: Introductionmentioning

confidence: 99%

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Patient perceptions regarding the likelihood of cure after surgical resection of lung and colorectal cancer

Kim

Winner

Page

et al. 2015

Cancer

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BACKGROUND The objective of the current study was to characterize the prevalence of the expectation that surgical resection of lung or colorectal cancer might be curative. The authors sought to assess patient-level, tumor-level, and communication-level factors associated with the perception of cure. METHODS Between 2003 and 2005, a total of 3954 patients who underwent cancer-directed surgery for lung (30.3%) or colorectal (69.7%) cancer were identified from a population-based and health system-based survey of participants from multiple US regions. RESULTS Approximately 80.0% of patients with lung cancer and 89.7% of those with colorectal cancer responded that surgery would cure their cancer. Even 57.4% and 79.8% of patients with stage IV lung and colorectal cancer, respectively, believed surgery was likely to be curative. On multivariable analyses, the odds ratio (OR) of the perception of curative intent was found to be higher among patients with colorectal versus lung cancer (OR, 2.27). Patients who were female, with an advanced tumor stage, unmarried, and having a higher number of comorbidities were less likely to believe that surgery would cure their cancer; educational level, physical function, and insurance status were not found to be associated with perception of cure. Patients who reported optimal physician communication scores (reference score, 0–80; score of 80–100 [OR, 1.40] and score of 100 [OR, 1.89]) and a shared role in decision-making with their physician (OR, 1.16) or family (OR, 1.17) had a higher odds of perceiving surgery would be curative, whereas patients who reported physician-controlled (OR, 0.56) or family-controlled (OR, 0.72) decision-making were less likely to believe surgery would provide a cure. CONCLUSIONS Greater focus on patient-physician engagement, communication, and barriers to discussing goals of care with patients who are diagnosed with cancer is needed.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Patient perceptions regarding the likelihood of cure after surgical resection of lung and colorectal cancer

Kim

Winner

Page

et al. 2015

Cancer

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“…The oncology patient whose medical knowledge is limited, may have difficulty making an informed decision in this regard. Moreover, no tool among those listed addresses the decision to use palliative surgery, which can be complex and include a benefit/risk ratio sometimes difficult to assess (Sun & Krouse, 2014). Finally, no tool addresses the specific decision to choose a place to receive palliative care.…”

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confidence: 99%

Evaluation of decision support tools for patients with advanced cancer: A systematic review of literature

Tapp

Blais

2018

Pall Supp Care

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The tools were identified through PsycINFO, EMBASE, MEDLINE, and CINAHL databases; the inventory of tools to assist the decisions of the Ottawa Hospital Research Institute; and through the register of Cochrane trials. They were then evaluated using the third version of the International Patient Decision Aids Standards instrument.ResultSixteen tools were identified, which targeted five types of cancer and addressed a particular decision or the use of chemotherapy in addition to palliative care. The quality of the reviewed tools varies.Significance of resultsClinicians can use four decision support tools related to palliative care with an oncology population that meet a certain quality standard. Further studies are needed to develop new decision support tools targeting more types of cancer and decisions.

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“…Lung cancer is the second most common cause of cancer in the UK and the most common cause of cancer death (1). Surgery remains the only curative treatment and can also provide symptomatic relief improving quality of life (2). There are three surgical options depending on cancer stage (I) lobectomy (a lobe of the lung is removed), (II) pneumonectomy (the whole lung is removed), or (III) sublobar resection (a small section of the lung is removed).…”

Section: Introductionmentioning

confidence: 99%

Perceptions of early discharge following lung surgery: I’m a patient “get me out of here”

Harrison¹,

Watson

Milburn³

et al. 2019

J Hosp Manag Health Policy

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Background: Patients have been discharged from hospital one to two days post-surgery since the implementation of enhanced recovery after surgery programs. This study aimed to investigate the perceptions of individuals with a diagnosis of lung cancer on early discharge following a lung resection.Methods: A qualitative study using Deductive Thematic Analysis was conducted. Nine individuals with a diagnosis of lung cancer who had undergone a lung resection and were discharged one to two days following surgery participated in semi-structured interviews.Results: Five overarching themes were identified: (I) motivators for hospital discharge describing patients' desire to return home, (II) evolving feelings about early discharge and (III) coping at home post-surgery reporting heightened feelings of anxiety when faced with self-care and daily activities, (IV) the role of family members describing the physical and emotional support required from carers and (V) long-term recovery explaining the difficulty of re-engaging in activities due to symptoms associated with recovery and comorbidities.Conclusions: Early discharge following surgery for lung cancer was acceptable to the majority of patients.However, a follow up phone call maybe necessary to mitigate fears about pain and to encourage activity.

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Palliative Surgery: Incidence and Outcomes

Cited by 12 publications

References 43 publications

Patient perceptions regarding the likelihood of cure after surgical resection of lung and colorectal cancer

Patient perceptions regarding the likelihood of cure after surgical resection of lung and colorectal cancer

Evaluation of decision support tools for patients with advanced cancer: A systematic review of literature

Perceptions of early discharge following lung surgery: I’m a patient “get me out of here”

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