Incorporation of Palliative Care in Gynecologic Oncology

Curr Oncol Rep. 2023 Nov;25(11):1295-1305. doi: 10.1007/s11912-023-01457-7. Epub 2023 Oct 4.

Abstract

Purpose of review: This review serves to provide clarity on the nature, scope, and benefits of early palliative care integration into the management of patients with gynecologic malignancies.

Recent findings: There is increased recognition that timely referral to palliative care improves quality of life for patients and their families by providing goal-concordant care that reduces physical and emotional suffering and limits futile and aggressive measures at the end of life. Palliative care services rendered throughout the continuum of illness ultimately increase engagement with hospice services and drive down health expenditures. Despite these myriad benefits, misconceptions remain, and barriers to and disparities in access to these services persist and warrant continued attention. Palliative care should be offered to all patients with advanced gynecologic cancers early in the course of their disease to maximize benefit to patients and their families.

Keywords: Cancer-directed therapy; End-of-life; Gynecologic cancer; Hospice; Palliative care; Quality of life; Symptom management.

Publication types

  • Review

MeSH terms

  • Female
  • Genital Neoplasms, Female* / psychology
  • Genital Neoplasms, Female* / therapy
  • Hospice Care*
  • Humans
  • Medical Futility
  • Palliative Care
  • Quality of Life
  • Terminal Care*