Books > Medicine > Clinical & internal medicine > Diseases & disorders > Oncology
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Cancer - Treatment, Decision Making & Quality of Life (Hardcover)
Loot Price: R4,192
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Cancer - Treatment, Decision Making & Quality of Life (Hardcover)
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In early stages of cancer, patients are often presented with
treatment options and encouraged to have shared treatment decisions
with their oncologists. Shared decision making becomes particularly
important, as several treatment options with different possible
outcomes and adverse events exist. For example, women with early
breast cancer are counseled on the options of mastectomy versus
lumpectomy and radiation. The same principle should also apply in
late stages of cancer, where cure is usually not possible in
patients with widespread metastases. In these cases, the aim of
treatment should be to relieve symptoms and suffering. Improving
quality of life (QOL) rather than tumor control takes priority in
palliative care. QOL has also been identified as an important
endpoint for new cancer drugs, as determined by the Food and Drug
Administration (FDA); as such, cancer drug approval can be based on
improvement of QOL. The use of patient-reported QOL instrument
tools help clinicians determine if certain treatments improve QOL.
The research of palliative interventions should have QOL assessment
to assist clinicians, patients and their family members in shared
decision making.
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