総合診療28巻9号

2018年09月発行

特集 オンコ・ジェネラリスト—「がん」に強い総合診療医をめざして 【緩和“治療”は任せて！】

緩和ケアではなく緩和“治療”を

著者： 森雅紀¹

所属機関： ¹聖隷三方原病院 緩和支持治療科 緩和ケアチーム

ページ範囲：P.1236 - P.1239

「早期からの緩和ケア」の時代へ
　治癒不能な進行がんの診断に伴い、患者・家族は身体的また心理・社会的に大きな影響を受ける。そのような時、抗がん治療と並行して緩和ケアを行うことで、症状緩和や生活の質（QOL）の向上に役立つことがある。

参考文献

1）Temel JS, et al : Early palliative care for patients with metastatic non-small-cell lung cancer. N Engl J Med 363（8） : 733-742, 2010. PMID 20818875

2）Smith TJ, et al : American Society of Clinical Oncology provisional clinical opinion ; the integration of palliative care into standard oncology care. J Clin Oncol 30（8） : 880-887, 2012. PMID 22312101

3）Bakitas MA, et al : Early versus delayed initiation of concurrent palliative oncology care ; patient outcomes in the ENABLE Ⅲ randomized controlled trial. J Clin Oncol 33（13） : 1438-1445, 2015. PMID 25800768

4）Dionne-Odom JN, et al : Benefits of early versus delayed palliative care to informal family caregivers of patients with advanced cancer ; outcomes from the ENABLE Ⅲ randomized controlled trial. J Clin Oncol 33（13） : 1446-1452, 2015. PMID 25800762

5）Zimmermann C, et al : Early palliative care for patients with advanced cancer ; a cluster-randomised controlled trial. Lancet 383（9930） : 1721-1730, 2014. PMID 24559581

6）El-Jawahri A, et al：Effect of inpatient palliative care on quality of life 2 weeks after hematopoietic stem cell transplantation ; a randomized clinical trial. JAMA 316（22） : 2094-2103, 2016. PMID 27893130

7）Haun MW, et al : Early palliative care for adults with advanced cancer. Database Syst Rev 6 : CD011129, 2017. PMID 28603881

8）Basch E, et al : Symptom monitoring with patient-reported outcomes during routine cancer treatment ; a randomized controlled trial. J Clin Oncol 34（6） : 557-565, 2016. PMID 26644527

9）Basch E, et al : Overall survival results of a trial assessing patient-reported outcomes for symptom monitoring during routine cancer treatment. JAMA 318（2） : 197-198, 2017. PMID 28586821

10）Hui D, et al : The ‘critical mass' survey of palliative care programme at ESMO designated centres of integrated oncology and palliative care. Ann Oncol 28（9） : 2057-2066, 2017. PMID 28911084

11）Nakazawa Y, et al : Improved knowledge of and difficulties in palliative care among physicians during 2008 and 2015 in Japan ; association with a nationwide palliative care education program. Cancer 124（3） : 626-635, 2018. PMID 29023634

12）Bickel KE, et al : Defining high-quality palliative care in oncology practice ; An American Society of Clinical Oncology/American Academy of Hospice and Palliative Medicine Guidance Statement. J Oncol Pract 12（9） : e828-838, 2016. PMID 27531376

13）Hui D, et al : Referral criteria for outpatient specialty palliative cancer care ; an international consensus. Lancet Oncol 17（12） : e552-e559, 2016. PMID 27924753

14）Hoerger M, et al : Defining the elements of early palliative care that are associated with patient-reported outcomes and the delivery of end-of-life care. J Clin Oncol 36（11） : 1096-1102, 2018. PMID 29474102