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A Nordic survey of ...
A Nordic survey of the management of palliative care in patients with head and neck cancer
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- Boéthius, Helena (författare)
- Linköpings universitet,Avdelningen för sinnesorgan och kommunikation,Medicinska fakulteten,Region Östergötland, Öron- näsa- och halskliniken
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- Saarto, Tiina (författare)
- Helsinki Univ Hosp, Comprehens Canc Ctr, Dept Palliat Care, Helsinki, Finland.;Univ Helsinki, POB 263, Helsinki 00029, Finland.
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- Laurell, Göran (författare)
- Uppsala universitet,Öron-, näs- och halssjukdomar,Uppsala Univ, Sweden
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- Farnebo, Lovisa (författare)
- Linköpings universitet,Avdelningen för sinnesorgan och kommunikation,Medicinska fakulteten,Region Östergötland, Öron- näsa- och halskliniken
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- Mäkitie, Antti A. (författare)
- Karolinska Institutet
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(creator_code:org_t)
- 2020-09-01
- 2021
- Engelska.
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Ingår i: European Archives of Oto-Rhino-Laryngology. - : Springer. - 0937-4477 .- 1434-4726. ; 278, s. 2027-2032
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Abstract
Ämnesord
Stäng
- Background: The five Nordic countries with a population of 27M people form a rather homogenous region in terms of health care. The management of Head and Neck Cancer (HNC) is centralized to the 21 university hospitals in these countries. Our aim was to survey the current status of organization of palliative care for patients with HNC in the Nordic countries as the field is rapidly developing.Materials and methods: A structured web-based questionnaire was sent to all the Departments of Otorhinolaryngology-Head and Neck Surgery and Oncology managing HNC in the Nordic countries.Results: All 21 (100%) Nordic university hospitals responded to the survey. A majority (over 90%) of the patients are discussed at diagnosis in a multidisciplinary tumor board (MDT), but the presence of a palliative care specialist is lacking in 95% of these MDT's. The patients have access to specialized palliative care units (n = 14, 67%), teams (n = 10, 48%), and consultants (n = 4, 19%) in the majority of the hospitals.Conclusion: The present results show that specialized palliative care services are available at the Nordic university hospitals. A major finding was that the collaboration between head and neck surgeons, oncologists and palliative care specialists is not well structured and the palliative care pathway of patients with HNC is not systematically organized. We suggest that early integrated palliative care needs to be included as an addition to the already existing HNC care pathways in the Nordic countries.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Oto-rhino-laryngologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Otorhinolaryngology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
Nyckelord
- Head and neck cancer
- Palliative care
- End-of-life care
- Palliative guidelines
- Best-supportive care
- Early integrated palliative care
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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