Frailty and Preoperative Palliative Care in Surgical Oncology.

Curr Probl Cancer

Department of Surgery, Oregon Health & Science University, Portland, Oregon; Section of Palliative Care, Division of Hematology & Medical Oncology, Oregon Health & Science University, Portland, Oregon. Electronic address:

Published: October 2023

AI Article Synopsis

  • The paper emphasizes the importance of integrating surgical palliative care into the preoperative process for cancer patients, focusing on frailty and its implications for decision-making.
  • It highlights how palliative care principles, like symptom management and communication, have historically influenced discussions around oncologic surgery for both palliative and curative purposes.
  • The authors suggest that understanding frailty and using specific measurement tools can improve risk assessment and enhance the overall quality of care and outcomes for patients undergoing cancer surgery.

Article Abstract

In this paper, we discuss surgical palliative care for patients with cancer through the lens of frailty and the preoperative context. Historically, palliative care principles such as complex symptom management, high-risk decision-making and communication have played an important role in preoperative discussions of oncologic surgery for both palliative and curative intent. There is increasing motivation among surgeons to integrate palliative care into the perioperative period in order to more effectively and comprehensively address potential adverse functional and quality of life outcomes. We discuss how the concept of frailty, and various instruments to measure frailty, have impacted perioperative decision-making, review the roots of surgical risk stratification and counseling on acceptable perioperative risk, and explore the preoperative setting as a possible avenue by which primary and specialty palliative care integration may have beneficial impact for patients considering oncologic resections.

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Source
http://dx.doi.org/10.1016/j.currproblcancer.2023.101021DOI Listing

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