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Palliative intent treatment for head and neck cancer: an analysis of practice and outcomes.
- Source :
- Journal of Laryngology & Otology; Apr2019, Vol. 133 Issue 4, p313-317, 5p
- Publication Year :
- 2019
-
Abstract
- Background: There is little consensus on how best to manage head and neck cancer with palliative intent. Predicting outcome is difficult and reported survival varies. The present study sought to delineate local practice and outcomes in patients treated with palliative intent. Methods: The clinical records of all head and neck cancer patients treated with palliative intent presenting between 2015 and 2016 to our multidisciplinary team were reviewed. Results: Eighty-four patients (21.5 per cent) were treated with palliative intent. All had squamous cell carcinoma. Mean survival time was 151 days (standard deviation = 121.1; range, 8–536 days). Of the patients, 83.3 per cent had a palliative care referral; 74.1 per cent had a hospice referral. Patients received a variety of interventions, and there was an associated complication in 8.2 per cent. The mean number of days spent in hospital for interventions was 11.9 days (standard deviation = 12.5; range, 0–41 days). Conclusion: Different interventions are used to manage head and neck cancer patients with palliative intent, and these may be associated with significant morbidity. Survival time is variable, often several months; thus, any treatment must take into account morbidity in conjunction with the patient's wishes. [ABSTRACT FROM AUTHOR]
- Subjects :
- HEAD & neck cancer treatment
CANCER treatment
SQUAMOUS cell carcinoma
HEAD & neck cancer
CONFERENCES & conventions
DISEASES
HEALTH care teams
MEDICAL records
MEDICAL referrals
MEDICAL practice
PALLIATIVE treatment
SURVIVAL
TREATMENT effectiveness
PATIENTS' attitudes
DESCRIPTIVE statistics
PROGNOSIS
Subjects
Details
- Language :
- English
- ISSN :
- 00222151
- Volume :
- 133
- Issue :
- 4
- Database :
- Complementary Index
- Journal :
- Journal of Laryngology & Otology
- Publication Type :
- Academic Journal
- Accession number :
- 136222902
- Full Text :
- https://doi.org/10.1017/S0022215119000574