Palliative Care of Adult Patients With Cancer

Deutsches Ärzteblatt International
Claudia BauseweinRaymond Voltz

Abstract

In Germany, the annual mortality rate from cancer in the year 2011 was 269.9 deaths per 100 000 persons; every fourth death was due to cancer. A central objective of palliative care is to maintain the best possible quality of life for cancer patients right up to the end of their lives. The PubMed, Embase, and Cochrane Library databases were systematically searched for pertinent publications, and the ones that were selected were assessed as recommended by the Scottish Intercollegiate Guidelines Network. As part of the German Guideline Program in Oncology, recommendations for the S3 Guideline on Palliative Care concerning seven different topics in the management of adult patients with incurable cancer were developed by a representative expert panel employing a consensus process. Opioids are the drugs of first choice for severe and moderately severe cancer-related pain, and for breathlessness. No clinically relevant respiratory depression was observed in any study. When opioids are used, accompanying medication to prevent constipation is recommended. Drugs other than opioids are ineffective against breathlessness, but clinical experience has shown that benzodiazepines and opioids can be used in combination in advanced stages of di...Continue Reading

References

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Dec 18, 2012·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Franzisca Domeisen BenedettiUNKNOWN OPCARE9
Sep 27, 2013·Deutsches Ärzteblatt International·Claudia Bausewein, Steffen T Simon
May 2, 2014·BMJ Supportive & Palliative Care·Catriona KennedySusie Chater

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Citations

Aug 20, 2017·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Kerstin KremeikeSteffen T Simon
Jul 16, 2020·International Journal of Environmental Research and Public Health·Peter Tom EngelPhilipp Lenz
Mar 14, 2020·Deutsches Ärzteblatt International·Steffen T SimonRaymond Voltz
Jul 12, 2016·Deutsches Ärzteblatt International·Roland Wörz
Jul 12, 2016·Deutsches Ärzteblatt International·Torsten Kratz, Albert Diefenbacher
Jul 12, 2016·Deutsches Ärzteblatt International·Steffen T Simon

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