卵巢癌:避免在高强度化疗期间降低生活质量

S. Gibson, Jason Clark, D. Chase
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摘要

摘要:2008年,我们发表了支持性护理在卵巢癌患者中的应用,包括在治疗期间和/或治疗后对患者症状的护理,目的是为这些妇女提供改善的生活质量(QoL)。这个复杂的、多维的领域涉及所有的身体系统和多个医学专业之间的合作。涵盖领域:在这篇更新的综述中,我们纳入了调查卵巢癌生活质量和支持治疗的新数据,并将数据分为两类:肿瘤相关发病率和治疗相关发病率,保持了我们分析数据的格式。这些类别的主要主题包括恶心和呕吐、腹痛、焦虑和抑郁、疲劳和贫血、小肠梗阻、性功能障碍和周围神经病变等。专家评论:虽然所有这些组成部分都具有挑战性,但肿瘤学家必须充当调解人,要么解决这些需求,要么将患者送到能够解决这些问题的适当医疗保健提供者处。当我们努力满足这些支持性护理需求时,我们的目标是改善生活质量,并希望看到卵巢癌患者的生存结果得到改善。
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Ovarian cancer: avoiding compromising quality of life during intense chemotherapy sessions
ABSTRACT Introduction: In 2008, we published on the application of supportive care to ovarian cancer patients which involves caring for a patient’s symptoms during and/or after treatment with an objective of providing these women with an improved quality of life (QoL). This complex, multi-dimensional field involves all body systems and collaboration among multiple medical specialties. Areas Covered: In this updated review, we have incorporated new data investigating QoL and supportive care in ovarian cancer, maintaining our format of analyzing the data by separating it into two categories: tumor-related and treatment-related morbidities. The main themes within these categories include nausea and vomiting, abdominal pain, anxiety and depression, fatigue and anemia, small bowel obstruction, sexual dysfunction, and peripheral neuropathy, to name a few. Expert Commentary: While all of these components are challenging to manage, the oncologist must act as a facilitator who either addresses these needs or send the patient to the appropriate healthcare provider who can address these issues. As we work to meet these supportive care needs, the aim is to improve QoL and with that, hopefully see improved survival outcomes in ovarian cancer patients.
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