Early Integration of Palliative Care into Standard Oncology Care – Benefits, Limitations, Barriers and Types of Palliative Care

Česká verze

Authors: M. Sochor ¹; O. Sláma ²; M. Loučka ³
Authors place of work: Komplexní onkologické centrum, Krajská nemocnice Liberec, a. s. ¹; Ambulance podpůrné a paliativní péče, Klinika komplexní onkologické péče, Masarykův onkologický ústav, Brno ²; Centrum paliativní péče, Praha ³
Published in the journal: Klin Onkol 2015; 28(3): 171-176
Category: Přehledy
doi: https://doi.org/10.14735/amko2015171

Summary

Patients with advanced cancer experience a significant number of physical symptoms and psychological distress, which worsen their quality of life (QOL). Palliative care is oriented to prevent and relieve suffering and promote QOL of patients with advanced cancer. In oncology, the role of palliative care is traditionally perceived to be the treatment after the antineoplastic therapy is finished. A concept of early integration of palliative care into standard oncology practice has been recently introduced. There is a lot of data supporting this concept of parallel application of both oncology care and palliative care. Early palliative care has been shown to provide benefits in QOL, mood, symptoms, health care utilization and survival. In this review, we summarize published data about benefits and difficulties of early palliative care. We also discuss the model of general and specialized palliative care integrated into oncological practice, their differences and consequences.

Key words:
palliative care – supportive care – oncology – advanced cancer– survival – quality of life

The authors declare they have no potential conflicts of interest concerning drugs, products, or services used in the study.

The Editorial Board declares that the manuscript met the ICMJE “uniform requirements” for biomedical papers.

Submitted:
3. 9. 2014

Accepted:
14. 3. 2015

Zdroje

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