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‘Curative’ Treatments And Palliative Care: The Lack Of Consensus

J. Gaertner, A. Knies, F. Nauck, R. Voltz, G. Becker, B. Alt-Epping
Published 2014 · Medicine

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Purpose of review A survey was performed to assess whether authors who report about palliative treatments or palliative care share a common understanding of ‘curative’ treatments. Recent findings Of 107 authors from publications about cancer who used both ‘palliative’ and ‘curative’ in the same abstract, 42 (39%) responded. The majority (n = 24; 57%) understood ‘curative’ treatments as ‘aimed at complete absence of disease for the rest of life’, but 43% (n = 18) did not share this view. For example, 19% (n = 7) stated that the term describes cancer-directed therapy for prolongation of life or even regardless of the aspired goal. Summary In the care for cancer patients, unambiguous terminology is essential for the participatory and interdisciplinary decision-making process. Clinicians, researchers and policy makers should be aware of the difference between curative and disease-modifying therapies. Otherwise, this may be a major source of misunderstandings as disease-modifying therapy may be indicated in the incurable stages of the disease as well. In these palliative situations, it is essential to identify the realistic aim(s) of the therapy: prolongation of life, alleviation of suffering or both.
This paper references
White Paper on standards and norms for hospice and palliative care in Europe : part 2.
L. Radbruch (2009)
Quill and Abernethy discuss that all physicians should acquire general palliative care expertise to care for patients who are not treated with curative intent
10.1200/JCO.2011.38.5161
American Society of Clinical Oncology provisional clinical opinion: the integration of palliative care into standard oncology care.
T. Smith (2012)
10.1001/jama.299.14.1698
Effectiveness of specialized palliative care: a systematic review.
C. Zimmermann (2008)
Papers of particular interest, published within the annual period of review, have been highlighted as: 1. World Health Organization. Palliative care
(2007)
10.1056/NEJMp1215620
Generalist plus specialist palliative care--creating a more sustainable model.
T. Quill (2013)
NCCN clinical practice guidelines in oncology: palliative care.
M. Levy (2009)
10.1164/rccm.200605-587ST
An official American Thoracic Society clinical policy statement: palliative care for patients with respiratory diseases and critical illnesses.
P. Lanken (2008)
10.1016/S0305-7372(96)90061-4
Treatment intention in hospitalized cancer patients in oncological wards in Norway: a national survey.
S. Kaasa (1996)
10.1016/j.jpainsymman.2011.04.016
The lack of standard definitions in the supportive and palliative oncology literature.
D. Hui (2012)
10.1016/J.SUPONC.2011.03.003
Does palliative care improve outcomes for patients with incurable illness? A review of the evidence.
A. El-Jawahri (2011)



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