Publications by authors named "D Guyer"

Article Synopsis
  • - Hepatobiliary malignancies (HBMs), notably hepatocellular carcinoma (HCC) and cholangiocarcinoma (CCA), are characterized by poor prognosis, late diagnosis, and significant symptoms, with their incidence increasing for unknown reasons.
  • - Despite advancements in treatment, curative options for HBMs remain limited, highlighting the need for integrating palliative care early in the patient’s treatment to enhance their quality of life.
  • - The article reviews the specific needs of HBM patients, barriers to palliative care access, and offers recommendations for improving early palliative care integration throughout the disease trajectory.
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People with a substance use disorder (SUD) have shortened lifespans due to complications from their substance use and challenges engaging with traditional health care settings and institutions. This impact on life expectancy is especially prominent in patients with co-occurring SUDs and cancer, and often has a much worse prognosis from the cancer than a similar patient without a SUD. Palliative care teams are experts in serious illness communication and symptom management and have become increasingly embedded in the routine care of patients with cancer.

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Background And Objective: The World Health Organization endorses that palliative care has a significant impact on the outcomes of patients with cancer. Integration of palliative care into standard oncology practice has been shown to improve a variety of patient outcomes. In this article, we present our experience with the development of a palliative care tumor board.

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Background And Objective: Gastroesophageal junction (GEJ) cancer is a highly morbid disease with a poor prognosis. While uncommon in the United States, globally it is ranked as the sixth or seventh most common cancer depending on survey tool. GEJ cancer presents a unique and challenging symptom profile for patients at all disease stages, regardless of histology.

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Background: The evolution of psychiatric care for patients with cancer has played out over the last century. The first collaboration of psychiatry, oncology surgery, and radiation-oncology occurred in the mid-1950s and represented the early seeds of psycho-oncology. The role of a psychiatrist specializing in treating patients with cancer, a psychosocial oncologist or psycho-oncologist, spans the care continuum from prevention to end of life.

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