The oncologist
-
The physical signs of impending death have not been well characterized in cancer patients. A better understanding of these signs may improve the ability of clinicians to diagnose impending death. We examined the frequency and onset of 10 bedside physical signs and their diagnostic performance for impending death. ⋯ We identified highly specific physical signs associated with death within 3 days among cancer patients.
-
Endometrial cancer is the most common gynecologic malignancy in the U. S., with an increasing incidence likely secondary to the obesity epidemic. Surgery is usually the primary treatment for early stage endometrial cancer, followed by adjuvant therapy in selected cases. ⋯ The uptake of the above prospective trial results in the U. S. has not been promising. Factors that are driving current practices and defining quality-of-care measures for patients with early-stage disease are what future studies need to address.