Integration of Palliative Care in End-Stage Liver Disease and Liver Transplantation

被引:93
|
作者
Potosek, Jamie [1 ]
Curry, Michael [3 ]
Buss, Mary [2 ]
Chittenden, Eva [4 ]
机构
[1] Providence Reg Canc Ctr, Dept Hematol Oncol, Lacey, WA USA
[2] Beth Israel Deaconess Med Ctr, Dept Hematol Oncol, Boston, MA 02215 USA
[3] Beth Israel Deaconess Med Ctr, Dept Gastroenterol, Boston, MA 02215 USA
[4] Massachusetts Gen Hosp, Dept Med, Div Palliat Care, Boston, MA 02114 USA
关键词
QUALITY-OF-LIFE; ADVANCED HEART-FAILURE; UNITED-STATES; HEPATIC-ENCEPHALOPATHY; DOSAGE ADJUSTMENT; ADVANCED LUNG; WAITING-LIST; CIRRHOSIS; HOSPICE; SURVIVAL;
D O I
10.1089/jpm.2013.0167
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Background: Patients with end-stage liver disease (ESLD) have a life-limiting illness that causes multiple distressing symptoms and negatively affects quality of life (QOL). This population traditionally has not had much attention within the palliative care community. Discussion: This article provides an evidence-based review of palliative care issues that patients with ESLD and those awaiting liver transplant face, including approaches to prognosis, symptom management, advance care planning, and end-of-life care. Conclusion: Tremendous opportunity exists to integrate palliative medicine into the care of these patients.
引用
收藏
页码:1271 / 1277
页数:7
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