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Palliative care of older glioblastoma patients in neurosurgery

Article indépendant

BERTHOLD, Daniel | CARRASCO, Anna Pedrosa | UHL, Eberhard | MULLER, Heidi | DUMITRASCU, Rio | SIBELIUS, Ulf | HAUCH, Holger

PURPOSE: The care of older neurosurgical patients at the end life is a particularly demanding challenge. Especially, the specific needs of very old patients with glioblastoma at the end of life are at risk of being deprived of adequate care. METHODS: Based on a narrative literature review, this article aims to explore key issues of the thematic intersection of geriatric glioblastoma patients, palliative care and neurosurgery. RESULTS AND DISCUSSION: Four key issues were identified: patient-centeredness (need orientation and decision making), early palliative care, advance care planning, and multi-professionalism. Possible benefits and barriers are highlighted with regard to integrating these concepts into neurosurgery. CONCLUSIONS: Palliative care complements neurosurgical care of geriatric glioblastoma multiforme patients to optimise care for this highly vulnerable category of patients.

http://dx.doi.org/10.1007/s11060-022-03985-x

Voir la revue «Journal of neuro-oncology, 157»

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