کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
8785523 | 1601049 | 2018 | 7 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
La réunion de concertation pluridisciplinaire onco-palliative : objectifs et préconisations pratiques
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کلمات کلیدی
موضوعات مرتبط
علوم پزشکی و سلامت
پزشکی و دندانپزشکی
تومور شناسی
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چکیده انگلیسی
Progress leads to increase life duration at the metastatic stage but metastatic disease is most often lethal. Decision-making is necessary for an increasing period of care, beyond evidence-based medicine, dealing with complexity and uncertain benefit/risk ratio. This requires to inform the patient realistically, to discuss prognostication, to develop anticipated written preferences. These changes mean to pass from a medicine based on informed consent to medicine based on respect of the patient wishes even if it can be complex to determine. A new multidisciplinarity is needed, centered on the meaning of the care, the proportionality of the care, the anticipated patient trajectory. The ASCO has published recommendations on early palliative care. The timing and the quality of the discussion between palliative care specialists and oncologists is crucial. We propose 10 steps to organize a multidisciplinary onco-palliative meeting, as it appears the key for the organization of care in non-curable disease.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Bulletin du Cancer - Volume 105, Issue 5, May 2018, Pages 458-464
Journal: Bulletin du Cancer - Volume 105, Issue 5, May 2018, Pages 458-464
نویسندگان
François Goldwasser, Nathalie Nisenbaum, Pascale Vinant, Elisabeth Balladur, Sarah Dauchy, Idriss Farota-Romejko, Isabelle Colombet, Marie-Laure Alby, Julie Giroux, Anne Larrouy, Elisabeth Destaintot, Luc Garcon, Danièle Legrand, Isabelle Marin,