Evaluation of Lung Cancer Patients Treated with Supportive Care Alone

Celikhisar Hakan, Celikhisar Aylin
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Abstract

Among lung cancer patients, receiving supportive care alone is not rare. However, the clinical characteristics of these patients were not thoroughly studied. The purpose of this study is to investigate the clinical characteristics of lung cancer patients treated with supportive care alone. We retrospectively analysed the rate of lung cancer patients receiving supportive care alone in 3 separate hospitals, along with the reasons for this practice. Additionally, we investigated the histological types, palliative treatment forms, hospital consultation outcomes and places of death. A total of 611 patients were diagnosed with lung cancer from April 2016 to March 2022. 80 (13%) were treated with supportive care alone. The primary reason underlying treatment with supportive care alone in almost half of the patients was poor performance. In general, 40% of the patients received supportive care and 17% were admitted to a palliative care unit. 17% of the patients died at home and 42% in the palliative care unit. This study has revealed that 13% of the lung cancer patients with cytologic diagnoses are treated with supportive care alone, due to poor performance. 40% of these patients received supportive care at home, showing that a more accessible home care system is required for the patients and their families.
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单纯支持治疗对肺癌患者的疗效评价
在肺癌患者中,单独接受支持性治疗并不罕见。然而,这些患者的临床特征并没有得到充分的研究。本研究的目的是探讨单纯支持治疗的肺癌患者的临床特点。我们回顾性分析了在3家不同的医院单独接受支持性治疗的肺癌患者的比率,以及这种做法的原因。此外,我们调查了组织学类型、姑息治疗形式、医院会诊结果和死亡地点。从2016年4月到2022年3月,共有611名患者被诊断为肺癌。80例(13%)单独接受支持性治疗。在几乎一半的患者中,单独支持治疗的主要原因是表现不佳。总的来说,40%的患者接受了支持性治疗,17%的患者住进了姑息治疗病房。17%的患者在家中死亡,42%在姑息治疗病房死亡。本研究显示,由于表现不佳,13%的细胞学诊断肺癌患者仅接受支持性治疗。这些患者中有40%在家中接受了支持性护理,这表明需要为患者及其家属提供更便利的家庭护理系统。
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