Journal of Clinical Oncology, Vol 11, 378-381, Copyright © 1993 by American Society of Clinical Oncology
Goals of palliative cancer therapy
F Porzsolt and I Tannock
Department of Medicine III, University of Ulm, Germany.
The major conclusions of the Workshop on Goals of Palliative Cancer Therapy
are as follows: 1. The goals of any cancer therapy should be stated
explicitly. 2. If the goal of treatment is palliation, this should be
documented according to one of the established and validated methods for
assessment of quality of life. Several validated methods are available, and
although imperfect, have been shown to give reliable information. 3. The
use of simple measures of quality of life (eg, symptom checklists, pain
assessment cards) should become routine in oncology practice. The act of
introducing such measures improves palliation. 4. Measures of
cost-effectiveness should be used more widely in clinical decision making
to ensure the appropriate deployment of resources. 5. There must be
improved education of all health professionals with regard to the multiple
methods for provision of palliative treatment to cancer patients and the
assessment of palliation.
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