Palliative surgery: state of the science and future directions

Author:

Lilley Elizabeth J1234ORCID,Farber Orly N124,Cooper Zara124

Affiliation:

1. Department of Surgery, Brigham and Women’s Hospital , Boston, Massachusetts , USA

2. Center for Surgery and Public Health, Brigham and Women’s Hospital , Boston, Massachusetts , USA

3. Department of Psychosocial Oncology and Palliative Care, Dana-Farber Cancer Institute , Boston, Massachusetts , USA

4. Department of Surgery, Harvard Medical School , Boston, Massachusetts , USA

Abstract

Abstract Palliative surgical procedures are operations that aim to alleviate symptoms in a patient with serious, life-limiting illness. They are common, particularly within the field of surgical oncology. However, few high-quality studies have attempted to measure the durability of improvements in symptoms and quality of life after palliative surgery. Furthermore, many of the studies that do exist are outdated and employ highly inconsistent definitions of palliative surgery. Consequently, the paucity of robust and reliable evidence on the benefits, risks, and trade-offs of palliative surgery hampers clinical decision-making for patients and their surgeons. The evidence for palliative surgery suggests that, with effective communication about goals of care and careful patient selection, palliative surgery can provide symptomatic relief and reduce healthcare burdens for certain seriously ill patients.

Funder

National Institutes of Health

Henry M. Jackson Foundation for the Advancement of Military Medicine

American College of Surgeons

Agency for Healthcare Research and Quality

Publisher

Oxford University Press (OUP)

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