Patient Reasoning in Palliative Surgical Oncology

Collins, Lindsey K.; Goodwin, Julia A.; Guevara, Caesar; Ferrell, Betty; McSweeney, Jean C.; Badgwell, Brian

doi:10.1016/j.jss.2011.11.749

Cited by 3 publications

(4 citation statements)

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“…Patients were willing to prioritize survival over intact sexual function in prostate cancer for instance . When patients with advanced cancer reached the end of their lives and had to endure pain and discomfort, 47% of patients chose to have palliative surgery to maintain or enhance their current health status and independence …”

Section: Resultsmentioning

confidence: 99%

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Quality of life versus length of life considerations in cancer patients: A systematic literature review

et al. 2019

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Objective Patients with cancer face difficult decisions regarding treatment and the possibility of trading quality of life (QoL) for length of life (LoL). Little information is available regarding patients' preferences and attitudes toward their cancer treatment and the personal costs they are prepared to exchange to extend their life. The aim of this review is to determine the complex trade‐offs and underpinning factors that make patients with cancer choose quality over quantity of life. Methods A systematic review of the literature was conducted using MeSH terms: cancer, longevity or LoL, QoL, decision making, trade‐off, and health utility. Articles retrieved were published between 1942 and October 2018. Results Out of 4393 articles, 30 were included in this review. Older age, which may be linked to declining physical status, was associated with a preference for QoL over LoL. Younger patients were more likely to undergo aggressive treatment to increase survival years. Preference for QoL and LoL was not influenced by gender, education, religion, having children, marital status, or type of cancer. Patients with better health valued LoL and inversely those with poorer physical status preferred QoL. Conclusion Baseline QoL and future expectations of life seem to be key determinants of preference for QoL versus LoL in cancer patients. In‐depth studies are required to understand these trade‐offs and the compromises patients are willing to make regarding QoL or LoL, especially in older patients with naturally limited life expectancy.

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Section: Resultsmentioning

confidence: 99%

“…18,44 When patients with advanced cancer reached the end of their lives and had to endure pain and discomfort, 47% of patients chose to have palliative surgery to maintain or enhance their current health status and independence. 37…”

Section: Symptom Trade-offmentioning

confidence: 97%

Quality of life versus length of life considerations in cancer patients: A systematic literature review

et al. 2019

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“…Another limitation is that symptoms may not have been the primary outcome of importance to some patients. Previous research has demonstrated that less than half of patients who receive palliative surgical consultation choose their management strategy based on a desire for improved quality of life or symptom improvement; rather, they choose their treatment based on their physician's recommendation or a desire to live longer . Therefore, in addition to the FACT‐G and/or an open‐ended questionnaire, a measure of treatment satisfaction that asks patients whether the surgical intervention was “worth it” or whether they would choose the same management strategy again might be a helpful outcome measure in palliative surgery.…”

Section: Discussionmentioning

confidence: 99%

Can patient reported outcomes help identify the optimal outcome in palliative surgery?

Badgwell

Bruera

Klimberg

2013

Journal of Surgical Oncology

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“…Similarly, retaining a high postsurgical quality of life was also a major factor both for electing to have surgery and for choosing a particular surgeon or hospital [49][50][51][52]. Quality information (QI) could be very useful to such patients, even though patients did not consider performance data as frequently as they did other surgeon-specific factors [14,30,53].…”

Section: Performance Datamentioning

confidence: 99%