HOME >> MEDICINE >> NEWS
Better understanding of prognosis linked to greater emphasis on easing suffering of children with advanced cancer

BOSTON There is considerable delay among parents in recognizing when children with advanced cancer have no realistic chance of cure, according to a Dana-Farber Cancer Institute and Childrens Hospital-Boston study published in the November 15 issue of The Journal of the American Medical Association (JAMA).

Researchers conclude earlier recognition of this prognosis by both parents and physicians could lead to stronger emphasis on treatment directed at lessening suffering and greater integration of palliative care.

Caregivers and parents are appropriately committed to curing children with cancer, says Joanne Wolfe, MD, MPH, Instructor in Pediatrics at Harvard Medical School, Dana-Farber Cancer Institute and Childrens Hospital, and lead author of the study. Unfortunately, not all children will survive, so its important that we emphasize effective integration of palliative care at the same time as treatment of the underlying disease.

The authors interviewed 103 parents of children who died of cancer between 1990 and 1997, as well as surveyed the child's primary oncologist and reviewed their medical charts. They asked when parents and physicians became aware that the child had no realistic chance for cure; what factors were associated with a greater similarity in the timing of parent and physician awareness that the child was terminally ill; whether understanding the child's prognosis altered parents' treatment goals; and what outcomes were associated with earlier parent-physician recognition of prognosis.

On average, physicians recognized that the child had no realistic chance for cure around 100 days earlier than did the parents. When both parent and physician recognized the childs prognosis more than 50 days prior to death, there was a stronger emphasis on treatment aimed at lessening suffering. The authors report that there was earlier documentation of a discussion of hospice, better parental ratings of the quality of care delivered by the hom
'"/>

Contact: Todd Ringler or Janet Haley
todd_ringler@dfci.harvard.edu
617-632-4090
Dana-Farber Cancer Institute
13-Nov-2000


Page: 1 2

Related medicine news :

1. Innovation prize finalists announced in Science of Better
2. Disaster management: Better management of hospital resources and staff is the answer
3. Better research needed to assess psychological and social effects of cannabis
4. Better predictors are needed for posttraumatic stress disorder in children
5. Better brain imaging helps surgeons avoid damage to language functions
6. Better outcome for ICU patients after removal of bacteria from digestive tract
7. Better care and better communication urgently needed
8. Better access to health care is key to higher survival rates for African-Americans with colon cancer
9. Better control of liver enzymes saves lives of HIV patients, says University Of Pittsburgh
10. Better diagnosis of pain in children
11. Better psychiatric support needed for children who lose a parent

Post Your Comments:
*Name:
*Comment:
*Email:


(Date:10/13/2017)... (PRWEB) , ... October 13, 2017 , ... ... established the certification process to promote standards of excellence for the field of ... scheduled for March 22 – 25, 2018 in Orlando, Florida at the Omni ...
(Date:10/13/2017)... ... October 13, 2017 , ... ... Randall, PharmD ‘17, and Jennifer Huggins, PharmD ’17, along with clinical associate ... primary prevention of cardiovascular diseases during the 15th Annual Women’s Health Conference. ...
(Date:10/13/2017)... ... October 13, 2017 , ... Apple Rehab Shelton Lakes , ... mock evacuation of the facility as part of a disaster drill on October 3rd. ... EMS and Shelton City Emergency Manager, as well as the Connecticut Long Term ...
(Date:10/13/2017)... N.J. (PRWEB) , ... October 13, 2017 , ... The ... Holly Day Market. Featuring a collection of specialty vendors and unique items from across ... personalized and quality-focused health and wellness services offered by the VNA. The boutique ...
(Date:10/13/2017)... (PRWEB) , ... October 13, 2017 , ... Global Healthcare ... scenic Alexandria Park in Milford, NJ. This free event, sponsored by Global Healthcare ... activity. The fun run is geared towards children of all ages; it is ...
Breaking Medicine News(10 mins):
(Date:10/12/2017)... 2017 West Pharmaceutical Services, Inc. ... injectable drug administration, today announced that it will release ... Thursday, October 26, 2017, and will follow with a ... at 9:00 a.m. Eastern Time. To participate on the ... conference ID is 94093362. ...
(Date:10/11/2017)... FRISCO, Texas , Oct. 11, 2017 /PRNewswire/ ... healthcare services, has amplified its effort during National ... patients about hereditary cancer risks. ... Journal of Clinical Oncology calculated that more than ... to have inherited mutations in BRCA1 or BRCA2 and ...
(Date:10/10/2017)... Pa. , Oct. 10, 2017   West ... in innovative solutions for injectable drug administration, today shared ... West,s ID Adapter for improving the intradermal administration of ... Fourth Skin Vaccination Summit in May 2017 by Dr. ... Lead, Polio Department, World Health Organization (WHO), and recently ...
Breaking Medicine Technology:
Cached News: