The importance of palliative care in urology

Urologia Internationalis
Robert D Brierly, Tim S O'Brien

Abstract

The aim of this study was to identify patients with advanced urological cancer who may benefit from specialist palliative care and to quantify the number of these patients, characterize their problems and to see if their needs were being met. The study was divided into two parts over 4-month periods centred on a hospital trust in the UK with a catchment population of 850,000. Urology in-patients were observed prospectively and out-patients were observed retrospectively. Patients were included if they had unresectable, locally advanced or metastatic urological cancer. Patients with prostate cancer were included if they had advanced disease with hormone relapse, defined as three successive rises in PSA. 881 admissions to the urology ward were reviewed. A total of 24 patients with terminal malignancy had 27 admissions. Two patients died during their admission. The average length of stay was 16.6 days. Only 5 patients underwent surgical intervention. The majority of patients had general systemic symptoms of advanced malignancy. 2,482 out-patient visits were reviewed where 69 patients with terminal malignancy received 82 outpatient consultations, representing approximately 10% of all cancer visits. Seventy-five percent of the patien...Continue Reading

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Citations

Nov 16, 2011·ISRN Urology·Andrew FletcherNooreen Alam
Jan 25, 2014·International Braz J Urol : Official Journal of the Brazilian Society of Urology·E LacarrièreP Grise
Jun 28, 2021·Urologic Oncology·Nourhan IsmaeelAaron Lay

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