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An Anecdotal Outpatient Approach to Caring for Patients With End-Stage Hematologic Malignancies
Historically, hospice has been a poor option for patients with end-stage hematologic malignancies, largely due to the need for regular transfusions to sustain life near the end, and to a lesser extent the treatment of curable emergent infections. In many cases, hospice is a viable and favorable opti...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Harborside Press
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6302997/ https://www.ncbi.nlm.nih.gov/pubmed/30588357 |
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author | Honor, Mark |
author_facet | Honor, Mark |
author_sort | Honor, Mark |
collection | PubMed |
description | Historically, hospice has been a poor option for patients with end-stage hematologic malignancies, largely due to the need for regular transfusions to sustain life near the end, and to a lesser extent the treatment of curable emergent infections. In many cases, hospice is a viable and favorable option for patients with solid tumors who are out of treatment options yet have many months to live. For patients with hematologic malignancies with fewer than 6 months to live, although tens of transfusions may be required, they may have a relatively good quality of life when those transfusions are provided. I present a long-term approach to this unique population using an outpatient approach with transition to hospice. The needs of this population are markedly different from the published recommendations regarding patients with solid tumors who are either out of treatment options or have progressive disease. |
format | Online Article Text |
id | pubmed-6302997 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Harborside Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-63029972018-12-26 An Anecdotal Outpatient Approach to Caring for Patients With End-Stage Hematologic Malignancies Honor, Mark J Adv Pract Oncol Review Article Historically, hospice has been a poor option for patients with end-stage hematologic malignancies, largely due to the need for regular transfusions to sustain life near the end, and to a lesser extent the treatment of curable emergent infections. In many cases, hospice is a viable and favorable option for patients with solid tumors who are out of treatment options yet have many months to live. For patients with hematologic malignancies with fewer than 6 months to live, although tens of transfusions may be required, they may have a relatively good quality of life when those transfusions are provided. I present a long-term approach to this unique population using an outpatient approach with transition to hospice. The needs of this population are markedly different from the published recommendations regarding patients with solid tumors who are either out of treatment options or have progressive disease. Harborside Press 2018-03 2018-03-01 /pmc/articles/PMC6302997/ /pubmed/30588357 Text en Copyright © 2018, Harborside Press http://creativecommons.org/licenses/by/2.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited and is for non-commercial purposes. |
spellingShingle | Review Article Honor, Mark An Anecdotal Outpatient Approach to Caring for Patients With End-Stage Hematologic Malignancies |
title | An Anecdotal Outpatient Approach to Caring for Patients With End-Stage Hematologic Malignancies |
title_full | An Anecdotal Outpatient Approach to Caring for Patients With End-Stage Hematologic Malignancies |
title_fullStr | An Anecdotal Outpatient Approach to Caring for Patients With End-Stage Hematologic Malignancies |
title_full_unstemmed | An Anecdotal Outpatient Approach to Caring for Patients With End-Stage Hematologic Malignancies |
title_short | An Anecdotal Outpatient Approach to Caring for Patients With End-Stage Hematologic Malignancies |
title_sort | anecdotal outpatient approach to caring for patients with end-stage hematologic malignancies |
topic | Review Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6302997/ https://www.ncbi.nlm.nih.gov/pubmed/30588357 |
work_keys_str_mv | AT honormark ananecdotaloutpatientapproachtocaringforpatientswithendstagehematologicmalignancies AT honormark anecdotaloutpatientapproachtocaringforpatientswithendstagehematologicmalignancies |