Percutaneous cervical cordotomy for the management of pain from cancer: a prospective review of 45 cases.

Abstract:

BACKGROUND:Percutaneous cervical cordotomy (PCC) is a well recognized but infrequently performed procedure for the relief of unilateral intractable pain from malignancy. There is a paucity of data regarding efficacy and safety of PCC. OBJECTIVES:The study's objectives were to demonstrate the efficacy and safety of PCC in cancer pain. DESIGN:The study was a prospective review of 45 cases undergoing PCC at a tertiary referral center over a three-year period. SETTINGS/SUBJECTS:All patients were suffering from severe, refractory unilateral pain secondary to malignancy with poor pain relief or intolerable side effects of conventional analgesics including opioids and adjuvants. MEASUREMENTS:Variables recorded preprocedure, at 2 days, and at 28 days postprocedure were numerical rating scale for maximum and average pain, oral morphine equivalent dose, and global impression of change. Adverse events and survival postprocedure were recorded. RESULTS:Prospective data was obtained in 45 patients. Survival postprocedure ranged from 7 days to 33 months. There was a significant reduction from baseline in pain scores at 2 days and at 28 days postprocedure. Thirty-two patients experienced significant pain relief--average numerical rating scale (NRS) of zero--on day 2. Improvement in pain scores was sustained at 28 days. There were no serious adverse events observed such as respiratory failure. CONCLUSIONS:PCC is a safe and highly effective procedure to treat intractable unilateral cancer pain. It offers significant advantages over other pain control methods. Patient selection and attention to detail is paramount for a successful outcome.

journal_name

J Palliat Med

authors

Bain E,Hugel H,Sharma M

doi

10.1089/jpm.2013.0027

subject

Has Abstract

pub_date

2013-08-01 00:00:00

pages

901-7

issue

8

eissn

1096-6218

issn

1557-7740

journal_volume

16

pub_type

杂志文章
  • A Linguistic Model of Communication Types in Palliative Medicine: Effects of Multidrug-Resistant Organisms Colonization or Infection and Isolation Measures in End of Life on Family Caregivers' Knowledge, Attitude, and Practices.

    abstract:: Background: This study examines communication profiles and associated attitudes toward health care professionals in interviews with family caregivers of hospitalized patients with confirmed multidrug-resistant organisms (e.g., methicillin-resistant Staphylococcus aureus or...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2019.0027

    authors: Peters J,Dykes N,Heckel M,Ostgathe C

    更新日期:2019-12-01 00:00:00

  • Advance care planning: challenges and approaches for pediatricians.

    abstract:BACKGROUND:There is increasing recognition of the value of advance care planning for children with life-limiting conditions. It is important that we acknowledge and reflect on the challenges that this work presents in order to optimize practice. OBJECTIVE:Our aim was to review advance care planning for children with l...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2013.0374

    authors: Heckford E,Beringer AJ

    更新日期:2014-09-01 00:00:00

  • Impact of a Hospital Community Based Palliative Care Partnership: Continuum from Hospital to Home.

    abstract:: Objectives: To discuss the outcomes of a formalized care transition process for palliative care patients from the hospital to the community. Background: Patients who received inpatient palliative care services from the speciali...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2020.0090

    authors: Paramanandam G,Boohene J,Tran K,Volk-Craft BE

    更新日期:2020-12-01 00:00:00

  • Suffering in Advanced Cancer: A Randomized Control Trial of a Narrative Intervention.

    abstract:BACKGROUND:Advanced cancer can erode patients' wellbeing. Narrative interventions have improved patients' wellbeing, but might not be feasible for widespread implementation. OBJECTIVES:(1) Test the effects of miLivingStory, a telephone-based life review and illness narrative intervention with online resources and soci...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1089/jpm.2017.0007

    authors: Wise M,Marchand LR,Roberts LJ,Chih MY

    更新日期:2018-02-01 00:00:00

  • Effects of Early and Systematic Integration of Specialist Palliative Care in Patients with Advanced Cancer: Randomized Controlled Trial PALINT.

    abstract:: Background: A broad consensus on the optimal structure, intensity, and timing of early specialist palliative care (SPC) intervention is lacking. Objective: To evaluate the benefit of an early and systematic palliative intervent...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2019.0697

    authors: Slama O,Pochop L,Sedo J,Svancara J,Sedova P,Svetlakova L,Demlova R,Vyzula R

    更新日期:2020-12-01 00:00:00

  • Post-Traumatic Stress Disorder Symptoms from Multiple Stressors Predict Chronic Pain in Cancer Survivors.

    abstract:: Background: Despite the association between chronic pain and post-traumatic stress disorder (PTSD), little is known about the longitudinal course of pain and PTSD during cancer treatment. Objectives: We examined the prevalence ...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2019.0458

    authors: Sager ZS,Wachen JS,Naik AD,Moye J

    更新日期:2020-09-01 00:00:00

  • Sedation for terminally ill patients with cancer with uncontrollable physical distress.

    abstract:BACKGROUND:Relief of distressful symptoms in terminally ill patients with cancer is of prime importance. Use of sedation to accomplish this has been the focus of recent medical studies in countries other than Japan. We investigated the influence on consciousness of sedative drugs in a Japanese hospice. DESIGN AND SUBJ...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2005.8.20

    authors: Kohara H,Ueoka H,Takeyama H,Murakami T,Morita T

    更新日期:2005-02-01 00:00:00

  • Evidence-based palliative care in the intensive care unit: a systematic review of interventions.

    abstract:BACKGROUND:Over the last 20 years, multiple interventions to better integrate palliative care and intensive care unit (ICU) care have been evaluated. This systematic review summarizes these studies and their outcomes. METHODS:We searched MEDLINE, Embase, Cumulative Index to Nursing and Allied Health Literature (CINAHL...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章,评审

    doi:10.1089/jpm.2013.0409

    authors: Aslakson R,Cheng J,Vollenweider D,Galusca D,Smith TJ,Pronovost PJ

    更新日期:2014-02-01 00:00:00

  • Self-reported quality of life in amyotrophic lateral sclerosis.

    abstract:OBJECTIVES:To continuously assess overall quality of life (QOL) and disease progression in patients with amyotrophic lateral sclerosis (ALS) at different stages of the disease and compare the results between these two variables. DESIGN/SUBJECTS:Twenty-six patients with ALS were interviewed with a questionnaire to asse...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2006.9.304

    authors: Nygren I,Askmark H

    更新日期:2006-04-01 00:00:00

  • Goal-Concordant Care in the Era of Advanced Stroke Therapies.

    abstract::Stroke is a leading cause of disability and mortality worldwide. Recent advances in stroke care now enable patients with severe ischemic stroke owing to large vessel occlusion to safely undergo endovascular thrombectomy (EVT) up to 24 hours since their time of last known well, with the goal of improving functional out...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2019.0667

    authors: Sokol LL,Hauser JM,Lum HD,Forlizzi J,Cerf M,Caprio FZ,Young MJ

    更新日期:2020-05-14 00:00:00

  • Hidden patients: the relatives of patients in need of palliative care.

    abstract:BACKGROUND:When identifying patients for palliative care, medical specialists find it necessary to disclose "hidden" patients: the patient's relatives. The issue has been discussed sporadically in Bulgaria; the present study was part of a larger investigation that examined the opinion of medical specialists, patients, ...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2013.0333

    authors: Foreva G,Assenova R

    更新日期:2014-01-01 00:00:00

  • Development of a cognitive model for advance care planning discussions: results from a quality improvement initiative.

    abstract:BACKGROUND:Residents struggle with advance care planning (ACP) discussions in the inpatient setting, and may not be aware of newer models for ACP that stress the importance of giving prognostic information and making a recommendation about cardiopulmonary resuscitation to patients and families. METHODS:A controlled st...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1089/jpm.2010.0383

    authors: Jacobsen J,Robinson E,Jackson VA,Meigs JB,Billings JA

    更新日期:2011-03-01 00:00:00

  • Opportunities and challenges to improving end-of-life care for seriously ill elderly patients: a qualitative study of generalist physicians.

    abstract:BACKGROUND:End-of-life care quality deficiencies have in part been linked to inadequate physician skill in the technical and communication domains of palliative care. Yet few studies have examined physicians' perspectives regarding their experiences caring for patients approaching the end of life. OBJECTIVE:To underst...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2005.8.291

    authors: Winzelberg GS,Patrick DL,Rhodes LA,Deyo RA

    更新日期:2005-04-01 00:00:00

  • End of life and women aging with a disability.

    abstract::Approximately 21 million noninstitutionalized Americans with physical disabilities will ultimately face end-of-life [EOL] issues. Studies have documented disparate care and poorer outcomes for persons with preexisting disabilities who have life-limiting illnesses, which raises the question of how EOL experiences may d...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2011.0506

    authors: Volker DL,Zolnierek C,Harrison T,Walker J

    更新日期:2012-06-01 00:00:00

  • Dying young, dying poor: a sociological examination of existential suffering among low-socioeconomic status patients.

    abstract::Palliating the whole person requires that medicine attend more fully to the phenomenon of existential suffering. The role of social factors, in particular, is often overlooked in attempts to understand why end-of-life suffering does not always respond to physiologic, psychological, and spiritual interventions. Using q...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/109662104322737223

    authors: Williams BR

    更新日期:2004-02-01 00:00:00

  • A Retrospective Analysis of Pain Burden in Hospitalized Young Adult Cancer Patients Compared with Their Older Adult Counterpart.

    abstract:CONTEXT:Research shows an increased symptom burden in young adult (YA) cancer patients compared with their older adult counterpart. OBJECTIVES:The purpose of this study was to identify differences in clinical characteristics and related outcomes between YA and older adult cancer patients admitted for cancer-related pa...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2018.0212

    authors: Devlin SM,Murphy JD,Yeung HN

    更新日期:2019-03-01 00:00:00

  • Is Care for the Dying Improving in the United States?

    abstract:BACKGROUND:Striking changes occurred in health care in the United States between 2000 and 2013, including growth of hospice and hospital-based palliative care teams, and changes in Medicare payment policies. OBJECTIVE:The aim of this study was to compare informants' reports and ratings of the quality of end-of-life ca...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2015.0039

    authors: Teno JM,Freedman VA,Kasper JD,Gozalo P,Mor V

    更新日期:2015-08-01 00:00:00

  • An Update: NIH Research Funding for Palliative Medicine, 2011-2015.

    abstract:BACKGROUND:The evidence base to support palliative care clinical practice is inadequate and opportunities to improve the palliative care evidence base remain despite the field's rapid growth. OBJECTIVE:To examine current NIH funding of palliative medicine research, changes since our 2013 report, and trends since our 2...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2017.0287

    authors: Brown E,Morrison RS,Gelfman LP

    更新日期:2018-02-01 00:00:00

  • Enhanced analgesia with opioid antagonist administration.

    abstract:BACKGROUND:Pain, not responsive to opioid analgesics, remains a problem for patients with chronic and cancer pain as well as their families, and clinicians. Opioid antagonists have various uses in pain and palliative care. Their use in the reversal of tolerance and hyperalgesia remains at the basic science level and ha...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2006.9.1250

    authors: Loitman JE

    更新日期:2006-12-01 00:00:00

  • Prognostication in hospice care: can the palliative performance scale help?

    abstract:BACKGROUND:Accurate prognostication of the trajectory of an illness provides multiple benefits in end-of-life care. Prognostic information facilitates more realistic decision making regarding ongoing treatment, fosters risk-benefit considerations of specific interventions, and contributes to appropriate utilization of ...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2005.8.492

    authors: Head B,Ritchie CS,Smoot TM

    更新日期:2005-06-01 00:00:00

  • Identifying factors affecting utilization of an inpatient palliative care service: a physician survey.

    abstract:BACKGROUND:Little is currently known about physicians': (1) level of involvement in and comfort delivering palliative care in the inpatient setting, (2) perceived barriers to referring patients to an inpatient Palliative Care Consult Service (PCCS), and (3) attitudes regarding palliative care. METHODS:Eligible partici...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2009.9656

    authors: Snow CE,Varela BR,Pardi DA,Adelman RD,Said S,Reid MC

    更新日期:2009-03-01 00:00:00

  • Taking Psychedelics Seriously.

    abstract:BACKGROUND:Psychiatric research in the 1950s and 1960s showed potential for psychedelic medications to markedly alleviate depression and suffering associated with terminal illness. More recent published studies have demonstrated the safety and efficacy of psilocybin, MDMA, and ketamine when administered in a medically ...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章,评审

    doi:10.1089/jpm.2017.0684

    authors: Byock I

    更新日期:2018-04-01 00:00:00

  • Evaluation of advance directives video education for patients.

    abstract:BACKGROUND:Patients and families can make informed decisions at the end-of-life if they have had discussions regarding their wishes, but this is not regularly done due to poor understanding of advance directives (AD). OBJECTIVE:The objective was to evaluate the effectiveness of an AD video to educate patients in both ...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2013.0585

    authors: Toraya C

    更新日期:2014-08-01 00:00:00

  • "It's Case by Case, and It's a Struggle": A Qualitative Study of Hospice Practices, Perspectives, and Ethical Dilemmas When Caring for Hospice Enrollees with Full-Code Status or Intensive Treatment Preferences.

    abstract:: Objective: Characterize hospice staff practices and perspectives on discussing end-of-life care preferences with patients/families, including those desiring intensive treatment and/or full code. Background: Patients in the Unit...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2020.0215

    authors: Dressler G,Garrett SB,Hunt LJ,Thompson N,Mahoney K,Sudore RL,Ritchie CS,Harrison KL

    更新日期:2020-11-25 00:00:00

  • Can "steroid switching" improve steroid-induced psychosis in a patient with advanced cancer?

    abstract::In palliative care, steroids are often used to alleviate symptoms such as pain, fatigue, anorexia, nausea, and vomiting. Steroids occasionally induce psychiatric adverse effects. It has been reported that treatment of the steroid-induced psychiatric symptoms involves dosage reduction or discontinuation of steroid, and...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2009.9628

    authors: Okishiro N,Tanimukai H,Tsuneto S,Ito N

    更新日期:2009-05-01 00:00:00

  • A Model Hospice Inpatient Unit Specializing in Patients Living with Advanced Dementia.

    abstract:: Objective: This report describes a pilot hospice inpatient unit dedicated to individuals experiencing distressing behaviors from dementia. Background: Patients with dementia who experience distressing symptoms cannot be well ma...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2020.0436

    authors: Hamilton G,Volk-Craft BE

    更新日期:2020-11-09 00:00:00

  • Eye donation in Sydney metropolitan palliative care units.

    abstract::Organ donation is generally accepted within the medical profession as a beneficial practice with demand continuing to exceed supply. For patients who are dying from cancer opportunities for organ donation are generally limited to eye donation. Between July 1, 2006 and 30 June 2007 over 2000 deaths occurred in nine pal...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2009.0213

    authors: Roach R,Broadbent AM

    更新日期:2010-02-01 00:00:00

  • Diagnostic classifications and resource utilization of decedents served by the Department of Veterans Affairs.

    abstract:BACKGROUND:Given the volume and cost of inpatient care during the last year of life, there is a critical need to identify patterns of dying as a means of planning end-of-life care services, especially for the growing number of older persons who receive services from the Veterans Health Administration (VHA). METHODS:A ...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2006.0256

    authors: Duffy SA,Copeland LA,Hopp FP,Zalenski RJ

    更新日期:2007-10-01 00:00:00

  • Association between Receipt of Emotional Support and Caregivers' Overall Hospice Rating.

    abstract:: Background: A major goal of hospice care is to provide individually tailored emotional and spiritual support to caregivers of hospice patients. Objectives: Examine the association between reported emotional support and caregive...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2020.0324

    authors: Parast L,Elliott MN,Haas A,Teno J,Bradley M,Weech-Maldonado R,Anhang Price R

    更新日期:2020-10-06 00:00:00

  • Parenteral Lidocaine for Complex Cancer Pain in the Home or Inpatient Hospice Setting: A Review and Synthesis of the Evidence.

    abstract:: Background: Cancer pain can remain refractory despite escalating opioids and adjuvants. Systemic Lidocaine is an option, but current approaches are hospital centered. While advantageous in advanced cancer, evidence is lacking for parenteral Lidocaine use in community-based...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2020.0622

    authors: Chong PH,Yeo ZZ

    更新日期:2020-12-22 00:00:00