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Palliative Surgery
Palliative surgery can improve quality of life for cancer patients, even when the patient's cancer is advanced and even when the necessary surgery is quite aggressive.
Betty R. Ferrell, Ph.D., reported at the annual American Cancer Society science writers seminar on a retrospective review of 1,915 cases involving patients undergoing surgery for cancer, of which 240 (12.5%) were considered palliative. These patients had a 30-day mortality of 12.2% and a 1-year mortality of 23.3%.
A review of medical records indicated that patients experienced significant quality of life improvements, including the relief of pain, control of symptoms, improved function, and the ability to enjoy their remaining lives, said Dr. Ferrell of City of Hope National Medical Center in Duarte, Calif.
Dr. Ferrell cautioned that a patient's goals and values are important in making decisions about palliative surgery The goal may be to be more functional or to live to attend a child's graduation or an upcoming wedding. Patients may have different values regarding pain control, or indignity, or the ability to continue to work or to function in their families.
Optimal Pain Control
Long-acting opioids, such as oxycodone, have received a bad rap in recent months from several mainstream press reports of their ...