A Prospective Study of Introducing Self-determined Treatment Policy for the Patients with Hypopharyngeal Cancer
| Autor: | Tomohiro Makoshi, Makito Okamoto, Katsuhide Inagi, Meijin Nakayama, Kazuo Yao, Hiroomi Takahashi, Hiromi Nagai |
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| Rok vydání: | 1999 |
| Předmět: |
Freedom
medicine.medical_specialty Patient Advocacy Treatment Refusal Informed consent medicine Humans Initial treatment Prospective Studies Prospective cohort study Aged Aged 80 and over Family relationship Physician-Patient Relations Hypopharyngeal Neoplasms Informed Consent business.industry Patient choice General surgery Hypopharyngeal cancer Crude Survival medicine.disease Combined Modality Therapy Surgery Survival Rate Otorhinolaryngology business Chemoradiotherapy |
| Zdroj: | Nippon Jibiinkoka Gakkai Kaiho. 102:918-924 |
| ISSN: | 1883-0854 0030-6622 |
| DOI: | 10.3950/jibiinkoka.102.918 |
| Popis: | A total of 57 patients with hypopharyngeal cancer were given an opportunity to select their treatment options after a thorough explanation of the tumor stage, treatment modalities, complications due to treatment, and prognosis. As a result, many patients selected chemoradiotherapy as the initial treatment. Two patients requested treatment at other institutes and were immediately transferred. A 91-year-old patient with T4N3M0 tumor declined treatment. The duration from the initial visit to the start of treatment course was prolonged because of the informed consent process. Patient rejection of salvage surgery following the failure of chemoradiotherapy increased. However, both the physician-patient relationship and physician-patient's family relationship in the uncured group did not deteriorate. No change in the 3-year crude survival rate by introducing self-determined treatment was observed at this time. It is ideal that the patient choice of treatment options is the one physician recommend. Meanwhile, physicians should consider ideal treatment options, which are most desirable for the patient. In conclusion, thorough informed consent provides positive clinical impact even with ominous hypopharyngeal cancer. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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