Metastatic Disease: Therapy and Palliative Care

  • Pedro Henrique de Souza
  • José Bines


According to the World Health Organization, palliative care is defined as: “Total and active care of patients whose disease is no longer responsive to curative treatment. Some factors are of the utmost importance: the control of pain and other symptoms, such as psychological, spiritual and social.”

Recommended Reading

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    Bickel K, McNiff K, 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. 2016;12(9):821–38. Defining aspects needed for the operationalization of palliative care for oncological practice. CrossRefGoogle Scholar
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    Cuidados Paliativos Oncológicos – Controle da Dor- Instituto Nacional dos Importantes aspectos do cuidado paliativo com foco no tratamento da dor e da terminalidade. Câncer. 2001.
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    Ferrell B, Temel J, et al. Integration of palliative Care Into Oncology care: American Society of Clinical Oncology Practice Guideline Update. J Clin Oncol. 2017;35(1):96–112. Recommendations of the American Society of Clinical Oncology to integrate palliative care with standard oncology care. CrossRefGoogle Scholar
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    Guia com algoritmo de cuidados paliativos realizado por painel de experts no tema. Versão 2.2017.
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    Guidance for the treatment of oncologic pain in adult patients. Versão 2.2017.
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    Hawley P. Barriers to access to palliative care. Palliat Care. 2017;20(10):1–6. An article describing barriers of access to the best palliative care and how to overcome them. Google Scholar
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    Morrison E, Meier DN. Palliative care. N Engl J Med. 2004;350:2582–90. Practical approach for palliative care based on a clinical case. CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Pedro Henrique de Souza
    • 1
  • José Bines
    • 2
  1. 1.Clinical OncologyBarretos Cancer CenterBarretosBrazil
  2. 2.Clinical OncologyNational Cancer InstituteRio de JaneiroBrazil

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