PALLIATIVE INTERVENTIONS IN GYNECOLOGICAL CANCER PATIENTS AND ANALYSIS OF END OF LIFE THERAPY

2016 ◽  
Author(s):  
Miguel Henriques Abreu
Keyword(s):  
End Of Life ◽  
Cancer Patients ◽  
Gynecological Cancer ◽  
Life Therapy

scholarly journals 62 End of life (EOL) care in gynecological cancer patients – a population-based study in oslo county, norway

2019 ◽  
Author(s):  
T Paulsen ◽  
H Liland ◽  
B Kloppen ◽  
M Sylten Engh ◽  
M Turzer ◽  
...  
Keyword(s):  
End Of Life ◽  
Cancer Patients ◽  
Gynecological Cancer ◽  
Population Based ◽  
Population Based Study ◽  
Eol Care

Early referral to a palliative team improves end-of-life care among gynecological cancer patients: a retrospective, population-based study

2022 ◽  
pp. ijgc-2021-002898
Author(s):  
Torbjørn Paulsen ◽  
Heidi Liland ◽  
Tor Åge Myklebust ◽  
Kristina Lindemann
Keyword(s):  
Palliative Care ◽  
End Of Life ◽  
Cancer Patients ◽  
End Of Life Care ◽  
Gynecological Cancer ◽  
Population Based ◽  
Life Care ◽  
Early Palliative Care ◽  
Disease Trajectory ◽  
Norwegian Radium Hospital

ObjectiveTo assess end-of-life care among patients with gynecological cancer, and to describe the association between timing of palliative care referral and patterns of care.MethodsAll women with residence in Oslo, Norway, who died of gynecological cancer between January 1, 2015 and December 30, 2017 (36 months), were identified. Patients were primarily treated at the Norwegian Radium Hospital and clinical data on end-of-life care were retrospectively extracted from the medical records.ResultsWe identified 163 patients with median age 70.1 years at death (range 26–100) with the following diagnoses: ovarian (n=100), uterine (n=40), cervical (n=21), and vulvar cancer (n=2). 53 (33%) of patients died in a palliative care unit, 34 patients (21%) died in nursing homes without palliative care, and 48 (29%) patients died in hospital. Only 15 (9%) patients died at home. 25 (15%) patients received chemotherapy in the last 30 days before death, especially ovarian cancer patients (n=21, 21%). 103 patients (61%) were referred to a palliative team prior to death. Referral to a palliative team was associated with a significantly reduced risk of intensive care unit admission (OR 0.11, 95% CI 0.02 to 0.62) and higher likelihood of a structured end-of-life discussion (OR 2.91, 95% CI 1.03 to 8.25). Palliative care referral also seemed to be associated with other quality indicators of end-of-life care (less chemotherapy use, more home deaths).ConclusionsEnd-of-life care in patients with gynecological cancer suffers from underuse of palliative care. Chemotherapy is still commonly used towards end-of-life. Early palliative care referral in the disease trajectory may be an important step towards improved end-of-life care.

scholarly journals Six Gynecological Cancer Patients Infected With SARS-CoV-2 After Surgery or Radio-/Chemo-Therapy Treatment: Case Series

2020 ◽  
Vol 10 ◽  
Author(s):  
Chen Liu ◽  
Yuhan Huang ◽  
Tianyu Qin ◽  
Ensong Guo ◽  
Peng Wu ◽  
...  
Keyword(s):  
Cancer Patients ◽  
Gynecological Cancer ◽  
Case Series ◽  
Therapy Treatment
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