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Published in: Annals of Surgical Oncology 2/2007

01-02-2007

Impact of Surgical Palliation on Quality of Life in Patients with Advanced Malignancy: Results of the Decisions and Outcomes in Palliative Surgery (DOPS) Trial

Authors: Yale D. Podnos, MD, MPH, Gloria Juarez, RN, PhD, Colette Pameijer, MD, Kyong Choi, MA, Betty R. Ferrell, RN, PhD, Lawrence D. Wagman, MD, FACS

Published in: Annals of Surgical Oncology | Issue 2/2007

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Excerpt

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. …
Literature
1.
go back to reference American Cancer Society, Cancer Facts and Figures 2005 American Cancer Society, Cancer Facts and Figures 2005
2.
go back to reference Krouse RS, Nelson RA, Ferrell BR, Grube B, Juarez G, Wagman LD, Chu DZ. Surgical palliation at a cancer center: incidence and outcome. Arch Surg 2001; 136:773–8PubMedCrossRef Krouse RS, Nelson RA, Ferrell BR, Grube B, Juarez G, Wagman LD, Chu DZ. Surgical palliation at a cancer center: incidence and outcome. Arch Surg 2001; 136:773–8PubMedCrossRef
3.
go back to reference Miner TJ, Jaques DP, Shriver CD. A prospective evaluation of patients undergoing surgery for the palliation of an advanced malignancy. Ann Surg Oncol 2002; 9:696–703PubMedCrossRef Miner TJ, Jaques DP, Shriver CD. A prospective evaluation of patients undergoing surgery for the palliation of an advanced malignancy. Ann Surg Oncol 2002; 9:696–703PubMedCrossRef
4.
go back to reference McCahill L, Ferrell B. Palliative surgery for cancer pain. West J Med 2002; 176:107–10PubMed McCahill L, Ferrell B. Palliative surgery for cancer pain. West J Med 2002; 176:107–10PubMed
5.
go back to reference Ferrell BR, Chu DZ, Wagman L, et al. Online exclusive: patient and surgeon decision making regarding surgery for advanced cancer. Oncol Nurs Forum 2003; 30:E106–14PubMedCrossRef Ferrell BR, Chu DZ, Wagman L, et al. Online exclusive: patient and surgeon decision making regarding surgery for advanced cancer. Oncol Nurs Forum 2003; 30:E106–14PubMedCrossRef
6.
go back to reference World Health Organization. National cancer programmes: policies and managerial guidelines, 2nd edn. Geneva, Switzerland: World Health Organization; 2002 World Health Organization. National cancer programmes: policies and managerial guidelines, 2nd edn. Geneva, Switzerland: World Health Organization; 2002
7.
go back to reference 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; 1997 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; 1997
8.
go back to reference Cella DF, Tursky DS, Gray G, et al. The functional assessment of cancer therapy scale: development and validation of the general measure. J Clin Oncol 1993; 11:570–9PubMed Cella DF, Tursky DS, Gray G, et al. The functional assessment of cancer therapy scale: development and validation of the general measure. J Clin Oncol 1993; 11:570–9PubMed
9.
go back to reference Fayers P, Bottomley A. Quality of life research within the EORTC-the EORTC QLQ-C30. European Organization for Research and Treatment of Cancer. Eur J Cancer 2002; 38(Suppl):S125–33PubMedCrossRef Fayers P, Bottomley A. Quality of life research within the EORTC-the EORTC QLQ-C30. European Organization for Research and Treatment of Cancer. Eur J Cancer 2002; 38(Suppl):S125–33PubMedCrossRef
10.
go back to reference Carne PW, Frye JN, Robertson GM, Frizelle FA. Stents or open operation for palliation of colorectal cancer: a retrospective, cohort study of perioperative outcome and long-term survival. Dis Colon Rectum 2004; 47:1455–61PubMedCrossRef Carne PW, Frye JN, Robertson GM, Frizelle FA. Stents or open operation for palliation of colorectal cancer: a retrospective, cohort study of perioperative outcome and long-term survival. Dis Colon Rectum 2004; 47:1455–61PubMedCrossRef
11.
go back to reference Xinopoulos D, Dimitroulopoulos D, Theodosopoulos T, et al. Stenting or stoma creation for patients with inoperable malignant colonic obstructions? Results of a study and cost-effectiveness analysis. Surg Endosc 2004; 18:421–6PubMedCrossRef Xinopoulos D, Dimitroulopoulos D, Theodosopoulos T, et al. Stenting or stoma creation for patients with inoperable malignant colonic obstructions? Results of a study and cost-effectiveness analysis. Surg Endosc 2004; 18:421–6PubMedCrossRef
12.
go back to reference Law WL, Choi HK, Chu KW. Comparison of stenting with emergency surgery as palliative treatment for obstructing primary left-sided colorectal cancer. Br J Surg 2003; 90:1429–33PubMedCrossRef Law WL, Choi HK, Chu KW. Comparison of stenting with emergency surgery as palliative treatment for obstructing primary left-sided colorectal cancer. Br J Surg 2003; 90:1429–33PubMedCrossRef
13.
go back to reference Xinopoulos D, Dimitroulopoulos D, Moschandrea I, et al. Natural course of inoperable esophageal cancer treated with metallic expandable stents: quality of life and cost-effectiveness analysis. J Gastroenterol Hepatol 2004; 19:1397–402PubMedCrossRef Xinopoulos D, Dimitroulopoulos D, Moschandrea I, et al. Natural course of inoperable esophageal cancer treated with metallic expandable stents: quality of life and cost-effectiveness analysis. J Gastroenterol Hepatol 2004; 19:1397–402PubMedCrossRef
Metadata
Title
Impact of Surgical Palliation on Quality of Life in Patients with Advanced Malignancy: Results of the Decisions and Outcomes in Palliative Surgery (DOPS) Trial
Authors
Yale D. Podnos, MD, MPH
Gloria Juarez, RN, PhD
Colette Pameijer, MD
Kyong Choi, MA
Betty R. Ferrell, RN, PhD
Lawrence D. Wagman, MD, FACS
Publication date
01-02-2007
Publisher
Springer-Verlag
Published in
Annals of Surgical Oncology / Issue 2/2007
Print ISSN: 1068-9265
Electronic ISSN: 1534-4681
DOI
https://doi.org/10.1245/s10434-006-9238-y

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