Japanese journal of clinical oncology
-
Jpn. J. Clin. Oncol. · Sep 2013
Meta AnalysisSystematic evaluation of prophylactic neck dissection for the treatment of papillary thyroid carcinoma.
The objective of the study was to evaluate the efficacy of prophylactic neck dissection in the treatment of papillary thyroid cancer and to provide guidelines for clinical practice. ⋯ Combined thyroidectomy and prophylactic neck dissection may be effective in the treatment of patients with papillary thyroid cancer, without more complications compared with thyroidectomy alone.
-
Jpn. J. Clin. Oncol. · Sep 2013
Review Practice GuidelineClinical guideline for pharmacological management of cancer pain: the Japanese Society of Palliative Medicine recommendations.
Pain is the most frequent and distressing symptom in cancer patients. As part of a worldwide effort to improve the quality of pain control, several clinical guidelines for the management of cancer pain have been published and revised in the last decade. The Japanese Society of Palliative Medicine first published a Japanese clinical guideline for the management of cancer pain in 2000. ⋯ This review paper summarizes the recommendations and the rationales of this new clinical guideline for the pharmacological management of cancer pain. In addition, a short summary of the clinical guideline development process is provided. This new Japanese Society of Palliative Medicine guideline highlights the importance of conducting well-designed studies to identify the best practices in cancer pain management.
-
Jpn. J. Clin. Oncol. · Sep 2013
Does the awareness of terminal illness influence cancer patients' psycho-spiritual state, and their DNR signing: a survey in Taiwan.
The aim of the study was to explore the relationships between truth telling, patients' psycho-spiritual state and do not resuscitate consent. ⋯ Truth telling can reduce cancer patients' uncertainty and anxiety. Patients aware of their prognosis tended to sign the do not resuscitate consent willingly and had more dignified and peaceful deaths.
-
Jpn. J. Clin. Oncol. · Aug 2013
Comparative StudyComparison of proxy ratings of main family caregivers and physicians on the quality of dying of terminally ill cancer patients.
Proxy data collection is a prevalent and important source of information in palliative medicine, and few studies have evaluated the level of agreement between different types of proxies. ⋯ The observed agreement between the two proxies was good, except the psychological aspects, demonstrating the validity of proxy rating of patients between physicians and main caregivers. More communications toward the end-of-life issues should be encouraged and conducted in this population. Further research is needed to determine how to best use proxy assessments to evaluate the quality of the dying process.
-
Pakistan is a lesser-developed country in South-West Asia, with a large and young population. We review here the current burden of cancer in Pakistan, followed by an assessment of the current facilities for diagnosis and treatment of cancer in the country. An effort is made to define the key problems in the delivery of optimal cancer care, and some possible solutions are offered.