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Sadler EM, Hawley PH, Easson AM. Palliative care and active disease management are synergistic in modern surgical oncology. Surgery. 2017;163(4):950-953doi: 10.1016/j.surg.2017.10.001.
Sadler, E. M., Hawley, P. H., & Easson, A. M. (2018). Palliative care and active disease management are synergistic in modern surgical oncology. Surgery, 163(4), 950-953. https://doi.org/10.1016/j.surg.2017.10.001
Sadler, Erin M, et al. "Palliative care and active disease management are synergistic in modern surgical oncology." Surgery vol. 163,4 (2018): 950-953. doi: https://doi.org/10.1016/j.surg.2017.10.001
Sadler EM, Hawley PH, Easson AM. Palliative care and active disease management are synergistic in modern surgical oncology. Surgery. 2018 Apr;163(4):950-953. doi: 10.1016/j.surg.2017.10.001. Epub 2017 Dec 20. PMID: 29274940.
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Surgery. 2018 Apr;163(4):950-953. doi: 10.1016/j.surg.2017.10.001. Epub 2017 Dec 20.

Palliative care and active disease management are synergistic in modern surgical oncology.

Surgery

Erin M Sadler, Philippa H Hawley, Alexandra M Easson

Affiliations

  1. Department of Surgery, Division of General Surgery, University of Toronto, Toronto, Ontario, Canada. Electronic address: [email protected].
  2. BC Cancer, Vancouver, British Columbia, Canada; Department of Medicine, Division of Palliative Care, University of British Columbia, Vancouver, British Columbia, Canada.
  3. Department of Surgery, Division of General Surgery, University of Toronto, Toronto, Ontario, Canada; Division of Surgical Oncology, Princess Margaret Hospital, Toronto, Ontario, Canada; Division of General Surgery, Mount Sinai Hospital, Toronto, Ontario, Canada.

PMID: 29274940 DOI: 10.1016/j.surg.2017.10.001

Abstract

Palliative care has long been described in medical literature but only recently is being discussed in the surgical domain. Mounting evidence suggests that early integration of palliative care improves patient outcomes and this is especially true of oncology patients. Thus, the pendulum is swinging toward recognizing that palliative care and active disease management are not mutually exclusive but rather synergistic in modern surgical oncology. Here we use a patient vignette to demonstrate the new challenges and possibilities in modern surgical oncology, we then discuss the historic perspective of palliative care and describe how the paradigm is shifting. Finally, we introduce a model that may be beneficial in conceptualizing this new way of thinking about and integrating palliative care into surgical oncology.

Copyright © 2017 Elsevier Inc. All rights reserved.

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