TY - JOUR
T1 - Palliative Care in Surgery
T2 - Defining the Research Priorities
AU - Lilley, Elizabeth J.
AU - Cooper, Zara
AU - Schwarze, Margaret L.
AU - Mosenthal, Anne C.
N1 - Publisher Copyright: © Copyright 2017, Mary Ann Liebert, Inc. 2017.
PY - 2017/7
Y1 - 2017/7
N2 - Given the acute and often life-limiting nature of surgical illness, as well as the potential for treatment to induce further suffering, surgical patients have considerable palliative care needs. Yet, these patients are less likely to receive palliative care than their medical counterparts and palliative care consultations often occur when death is imminent, reflecting poor quality end-of-life care. Surgical patients would likely benefit from early palliative care delivered alongside surgical treatment to promote goal-concordant decision making and to improve patients' physical, emotional, social, and spiritual well-being and quality of life. To date, evidence to support the role of palliative care in surgical practice is sparse and palliative care research in surgery is encumbered by methodological challenges and entrenched cultural norms that impede appropriate provision of palliative care. The objective of this article was to describe the existing science of palliative care in surgery within three priority areas and expose specific gaps within the field. We propose a research agenda to address these gaps and provide a road map for future investigation.
AB - Given the acute and often life-limiting nature of surgical illness, as well as the potential for treatment to induce further suffering, surgical patients have considerable palliative care needs. Yet, these patients are less likely to receive palliative care than their medical counterparts and palliative care consultations often occur when death is imminent, reflecting poor quality end-of-life care. Surgical patients would likely benefit from early palliative care delivered alongside surgical treatment to promote goal-concordant decision making and to improve patients' physical, emotional, social, and spiritual well-being and quality of life. To date, evidence to support the role of palliative care in surgical practice is sparse and palliative care research in surgery is encumbered by methodological challenges and entrenched cultural norms that impede appropriate provision of palliative care. The objective of this article was to describe the existing science of palliative care in surgery within three priority areas and expose specific gaps within the field. We propose a research agenda to address these gaps and provide a road map for future investigation.
KW - goals of care
KW - life-limiting illness
KW - palliative care
KW - palliative care research
KW - surgical patients
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U2 - https://doi.org/10.1089/jpm.2017.0079
DO - https://doi.org/10.1089/jpm.2017.0079
M3 - Article
C2 - 28339313
VL - 20
SP - 702
EP - 709
JO - Journal of Palliative Medicine
JF - Journal of Palliative Medicine
SN - 1096-6218
IS - 7
ER -