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R. Freeman
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P3.11 - Poster Session/ Palliative and Supportive Care (ID 231)
- Event: WCLC 2015
- Type: Poster
- Track: Palliative and Supportive Care
- Presentations: 1
- Moderators:
- Coordinates: 9/09/2015, 09:30 - 17:00, Exhibit Hall (Hall B+C)
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P3.11-008 - An Assessment of the Frequency of Palliative Procedures in Thoracic Surgery (ID 226)
09:30 - 09:30 | Author(s): R. Freeman
- Abstract
Background:
Palliative care is a medical specialty focused on improving the quality of life of patients and their families with life threatening illness by preventing or relieving suffering. An assessment of a thoracic surgery service was performed to identify the scope and frequency of care that was considered palliative and any implications the findings might have on the current thoracic surgery residency curriculum.
Methods:
A retrospective review of a prospectively collected database of general thoracic surgery procedures performed over a five year period at a single institution was performed. Procedures considered palliative were reviewed for demographics, diagnoses, palliative prognosis score, treatment, morbidity, operative mortality and survival. Excluded were referrals from thoracic surgery to other specialties for palliative procedures.
Results:
During the study period, 3842 procedures were performed of which 884 (23%) were palliative. Indications included pleural and/or pericardial effusion, dysphagia, hemoptysis, tracheobronchial obstruction, bronchopleural fistula and tracheoesophageal fistula. The majority was related to a malignancy. Only 127 patients (14%) had a palliative care assessment prior to thoracic surgery consultation. Mean survival following thoracic surgery intervention was 110 days for patients with malignancy.
Conclusion:
This investigation found that thoracic surgeons commonly care for patients when the intention is palliation. The majority of these patients have an associated malignancy, a poor performance status and a significantly decreased survival compared to the general population. Thoracic surgeons should be familiar with the concepts of palliative care and consideration should be given to expanding exposure to the principles of palliative care in the cardiothoracic residency training curriculum.
