As rádios emitem em várias frequências. Estes episódios, contudo, situam-se numa frequência diferente, não uma de rádio, mas de radio. Como em Radioterapia. Episódios de um tratamento oncológico (à suivre)
Domingo, 28 de Outubro de 2012

Chemotherapy for metastatic lung or colorectal cancer can prolong life by weeks or months and may provide palliation, but it is not curative.

Methods

We studied 1193 patients participating in the Cancer Care Outcomes Research and Surveillance (CanCORS) study (a national, prospective, observational cohort study) who were alive 4 months after diagnosis and received chemotherapy for newly diagnosed metastatic (stage IV) lung or colorectal cancer. We sought to characterize the prevalence of the expectation that chemotherapy might be curative and to identify the clinical, sociodemographic, and health-system factors associated with this expectation. Data were obtained from a patient survey by professional interviewers in addition to a comprehensive review of medical records.

Results

Overall, 69% of patients with lung cancer and 81% of those with colorectal cancer did not report understanding that chemotherapy was not at all likely to cure their cancer. In multivariable logistic regression, the risk of reporting inaccurate beliefs about chemotherapy was higher among patients with colorectal cancer, as compared with those with lung cancer (odds ratio, 1.75; 95% confidence interval [CI], 1.29 to 2.37); among nonwhite and Hispanic patients, as compared with non-Hispanic white patients (odds ratio for Hispanic patients, 2.82; 95% CI, 1.51 to 5.27; odds ratio for black patients, 2.93; 95% CI, 1.80 to 4.78); and among patients who rated their communication with their physician very favorably, as compared with less favorably (odds ratio for highest third vs. lowest third, 1.90; 95% CI, 1.33 to 2.72). Educational level, functional status, and the patient's role in decision making were not associated with such inaccurate beliefs about chemotherapy.

Conclusions

Many patients receiving chemotherapy for incurable cancers may not understand that chemotherapy is unlikely to be curative, which could compromise their ability to make informed treatment decisions that are consonant with their preferences. Physicians may be able to improve patients' understanding, but this may come at the cost of patients' satisfaction with them. (Funded by the National Cancer Institute and others.)

publicado por Silvina às 18:52

Só tu saberás como te sentes mas acredito que nem tu saberás como reagir. Penso que quem está fora fala demais, pensa demais, analisa demais...
Esta semana faleceu um tio meu, ninguém sabia que ele tinha recusado quimio, todos criticaram. Como é possível criticar este tipo de escolha a alguém? É tão pessoal, tão intima. Se preferia que ele ainda por cá estivesse? Sem dúvida! Mas a que preço para ele? Teremos nós, os que estão de fora, o direito de querer decidir por quem tem que lutar?
Tantas perguntas e tão poucas respostas... Desculpa pelo texto.
Estou contigo e com a tua decisão seja ela qual for. Estou por ti. Um beijo grande
badmary a 30 de Outubro de 2012 às 11:41



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