Identifying the palliative care needs of patients living with cerebral tumors and metastases: A retrospective analysis Journal Article
| Authors: | Gofton, T. E.; Graber, J.; Carver, A. |
| Article Title: | Identifying the palliative care needs of patients living with cerebral tumors and metastases: A retrospective analysis |
| Abstract: | Primary tumors and metastatic involvement of the central nervous system (CNS) lead to a multitude of symptoms and care needs. Patients and caregivers struggle with physical and psychological impairments, a shortened life expectancy and diverse palliative care needs. This study assesses the symptom burden and palliative care needs of patients with primary brain tumors and with metastatic brain tumors requiring inpatient hospital care. It is a retrospective analysis of patients with primary CNS tumors or cerebral metastases over a 6 month period. The data analysed included physical symptom burden and end of life care decisions such as health care proxy, transition to hospice and do-notresuscitate orders. Hundred and sixty eight patients were included. The most common symptoms were gait impairment (65.5 %), cognitive/personality change (61.9 %), motor deficits (58.3 %), seizures (57.1 %) and delirium (27.4 %). Of the patients that died, 79 % had an appointed health care proxy, 79 %had hospice discussions, 70 %had a do-not-resuscitate order and 24 % received cancer directed therapy in the last month of life. There is a role for more aggressive palliative care support in patients living with primary or metastatic brain tumors. © 2012 Springer Science+Business Media, LLC. |
| Keywords: | adult; controlled study; aged; middle aged; primary tumor; retrospective studies; major clinical study; cancer patient; brain tumor; brain neoplasms; antineoplastic agent; cancer palliative therapy; palliative care; quality of life; pain; delirium; retrospective study; hospital care; dysphagia; terminally ill; depression; symptom; brain metastasis; hospital patient; cognitive defect; seizure; anxiety; headache; terminal care; metastasis potential; sensory dysfunction; motor dysfunction; aphasia; diplopia; decision making; cerebellar neoplasms; visual disorder; needs assessment; resuscitation; hospice care; caregiver burden; descriptive research; incontinence; falling; gait disorder; dysarthria; primary brain tumor; health care need; personality disorder; physical disease; metastatic tumor; end of life care; neoplasm grading; clinical neurology; spasticity |
| Journal Title: | Journal of Neuro-Oncology |
| Volume: | 108 |
| Issue: | 3 |
| ISSN: | 0167-594X |
| Publisher: | Springer |
| Date Published: | 2012-07-01 |
| Start Page: | 527 |
| End Page: | 534 |
| Language: | English |
| DOI: | 10.1007/s11060-012-0855-y |
| PROVIDER: | scopus |
| PUBMED: | 22467138 |
| DOI/URL: | |
| Notes: | --- - "Export Date: 1 August 2012" - "CODEN: JNODD" - "Source: Scopus" |
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