Malignant Bowel Obstruction in Patients With Recurrent Ovarian Cancer

Autor: Nicole P. Sandhu, Elizabeth Tran, Aminah Jatoi, Clayton M. Spiceland
Rok vydání: 2014
Předmět:
Zdroj: American Journal of Hospice and Palliative Medicine®. 33:272-275
ISSN: 1938-2715
1049-9091
Popis: We sought to report incidence, risk factors, and survival related to bowel obstruction in 311 ovarian cancer patients with recurrent disease. A total of 68 (22%) had a documented bowel obstruction during their cancer course, and 49 (16%) developed it after cancer recurrence. Surprisingly, 142 (45%) fit into an “unknown” category (3+ months of data lacking from last contact/death). No risk factors were identified; management included surgery (n = 21), conservative measures (n = 21), and other (n = 7). Documented bowel obstruction was not associated with a statistically significant reduction in survival after cancer recurrence. In conclusion, although bowel obstruction occurs in only a subgroup of patients with ovarian cancer and does not appear to detract from survival after cancer recurrence, limited end-of-life information may be resulting in an underestimation of incidence.
Databáze: OpenAIRE