Therapeutic impact of percutaneous pedicle screw fixation on palliative surgery for metastatic spine tumors

Conclusions: For patients with early-stage metastatic spine tumors, the use of PPS-based posterior stabilization combined with multidisciplinary adjuvant therapy has changed the age range of the patients indicated for surgery and caused significant improvements in surgical stress, postoperative survival time, and Barthel index.
Source: Indian Journal of Orthopaedics - Category: Orthopaedics Authors: Source Type: research

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ConclusionIncreasing patient age and caregiver ’s perceived spousal support may both have a positive effect on caregivers’ levels of depression. This can be utilized by clinicians in the process of empowering older patients and their spousal caregivers to confront the challenges of cancer treatment into advanced old age.
Source: Supportive Care in Cancer - Category: Cancer & Oncology Source Type: research
AbstractPurposeThe oldest old, described as those aged 85 and older, is a growing cancer population. There are limited studies evaluating the symptoms of the oldest old cancer patient population. Our study aimed to evaluate symptom frequency and clinical symptom change as assessed by the Edmonton Symptom Assessment System (ESAS) of the oldest old ( ≥ 85) compared to older adult (65–84) and general adult (18–64) outpatient cancer patients on initial consult and follow-up visit.MethodsRetrospective review of a total of 441 patients, 200 randomly sampled patients in the general and older adult group and ...
Source: Supportive Care in Cancer - Category: Cancer & Oncology Source Type: research
AbstractConstipation, one of the adverse effects of opioid therapy with a major impact on quality of life, is still an unmet need for cancer patients, particularly those with an advanced and progressive disease, and for non-cancer patients chronically treated with opioids. The awareness of this condition is poor among healthcare providers, despite the recent publication of guidelines and consensus conferences. An early multidisciplinary approach of opioid-induced bowel dysfunction (OIBD), based on available therapies of proven effectiveness, could support clinicians in managing this condition, thus increasing patients &rsq...
Source: Supportive Care in Cancer - Category: Cancer & Oncology Source Type: research
Conditions:   Cancer;   Palliative Radiotherapy Interventions:   Radiation: Lattice stereotactic body radiation therapy;   Procedure: Peripheral blood Sponsor:   Washington University School of Medicine Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Hey, I recall reading something about a NICU attending letting a resident work on and keep a baby alive overnight... meanwhile the attending knew the patient was going to die. I had something similar happen in the adult world. It's infinitely easier to let go there on a 90 year old. I would have stopped care on this patient in their early 70's and had a palliative discussion. Instead, got re-intubated and then LVEF 5% from the 10% it was... for whatever that's worse. On massive doses of... Letting your fellow/resident work on someone despite probable futility...
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Critical Care Source Type: forums
Cachexia is a complex and multifactorial syndrome defined as severe weight loss and muscle wasting which frequently goes unrecognised in clinical practice [1]. It is a debilitating syndrome, resulting in patients...
Source: BMC Palliative Care - Category: Palliative Care Authors: Tags: Study protocol Source Type: research
ConclusionA new risk score system for patients with first recurrence of stage 4 neuroblastoma aged ≥18 months at diagnosis is proposed.
Source: Cancer Medicine - Category: Cancer & Oncology Authors: Tags: ORIGINAL RESEARCH Source Type: research
Authors: Silva SM, Marques J, Reis-Pina P PMID: 31625873 [PubMed - in process]
Source: Acta Medica Portuguesa - Category: General Medicine Tags: Acta Med Port Source Type: research
ConclusionsOverall, terminal dyspnea was relatively well controlled with parenteral morphine, though a significant number of patients continued to suffer from dyspnea. Future efforts are needed to improve outcomes following standardized dyspnea treatment using patient-reported outcomes for imminently dying patients.
Source: Supportive Care in Cancer - Category: Cancer & Oncology Source Type: research
With a lot of vague talk about salary/compensation/etc., what do people think is fair market value for a mid career non-academic radiation oncologist? Presuming an average workload of 15-20 on beam with a mix of EBRT, SRS, palliative, curative cases, this is what I think is hypothetically fair market value (not a real job!!!) in a reasonable metro area. Think Kansas City or Pittsburgh or Albuquerque, not Rhinelander or San Francisco. Salary + bonus - $450-500k PTO (vacation + sick + CME) -... Fair Market Value
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Radiation Oncology Source Type: forums
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