Palliative care consultation in pediatric oncology
Palliative care consultation in pediatric oncology
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DOI：
10.1007/s00520-011-1152-6
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发表时间：
2012-04-01
影响因子：
3.1
通讯作者：
Vadeboncoeur, Christina
中科院分区：
文献类型：
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作者：
Johnston, Donna L.;Vadeboncoeur, Christina
儿科肿瘤患者受益于姑息治疗的参与。本研究探讨了姑息治疗咨询的时间。回顾性病历回顾性分析了所有来自东安大略儿童医院的恶性肿瘤诊断儿童。自2006年以来，50名癌症儿童被转诊到姑息治疗。诊断后平均转诊时间为461天，其中8例（16%）在诊断后30天内转诊，13例（26%）在复发前转诊，20例（40%）在首次复发后转诊，9例（18%）在千分之一日元2复发后转诊。在40名死亡的姑息治疗患者中，28%死于家中，30%死于医院，43%死于临终关怀。在研究期间死亡的49名肿瘤患者中，88%在死亡前接受了姑息治疗咨询。本研究中大多数死于癌症的儿童都接受了姑息治疗。肿瘤学家应该努力在疾病早期转诊患者。
Pediatric oncology patients benefit from the involvement of palliative care. This study examined the timing of palliative care consultation.A retrospective chart review was performed on all children from the Children's Hospital of Eastern Ontario with a diagnosis of malignancy.Since 2006, 50 children with cancer were referred to palliative care. The mean time of referral after diagnosis was 461 days, with 8(16%) referred within 30 days of diagnosis, 13(26%) before a relapse occurred, 20(40%) after the first relapse, and 9(18%) after a parts per thousand yen2 relapses. Of the 40 patients referred to palliative care who died, 28% died at home, 30% in hospital, and 43% in hospice. Of the 49 oncology patients who died during the study period, 88% received a palliative care consult prior to death.The majority of children in this study who died from cancer were referred to palliative care. Oncologists should strive to refer patients early in their disease.