Abstract
Approximately 40 % of colorectal cancer patients will eventually die of metastatic disease. Patients with advanced, incurable disease often present a high symptom burden and psychosocial challenges and will benefit from an evaluation by an interdisciplinary palliative care team. The palliative care team and the palliative medicine consultant may contribute valuable expertise in assessment of needs and symptoms, symptom management, communication and goal setting, prognostication and decision-making, and practical, emotional, and spiritual support for patients and their families. The palliative care team holds a natural place in the MDT of advanced colorectal cancer.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsReferences
Cancer Registry of Norway. Cancer in Norway 2011 – Cancer incidence, mortality, survival and prevalence in Norway. Oslo: Cancer Registry of Norway; 2013.
Sigurdsson HK, Körner H, Dahl O, Skarstein A, Søreide JA, Norwegian Rectal Cancer Group. Clinical characteristics and outcomes in patients with advanced rectal cancer: a national prospective cohort study. Dis Colon Rectum. 2007;50:285–91.
Fornaro L, Masi G, Loupakis F, Vasile E, Falcone A. Palliative treatment of unresectable metastatic colorectal cancer. Expert Opin Pharmacother. 2010;11:63–77.
Amersi F, Stamos MJ, Ko CY. Palliative care for colorectal cancer. Surg Oncol Clin N Am. 2004;13:467–77.
Dunn GP. Palliating patients who have unresectable colorectal cancer: creating the right framework and salient symptom management. Surg Clin North Am. 2006;86:1065–92.
Teunissen SC, Wesker W, Kruitwagen C, de Haes HC, Voest EE, de Graeff A. Symptom prevalence in patients with incurable cancer: a systematic review. J Pain Symptom Manage. 2007;34:94–104.
Griffin-Sobel JP. Symptom management of advanced colorectal cancer. Surg Oncol Clin N Am. 2006;15:213–22.
Doyle D, Woodruff R. The IAHPC manual of palliative care. 2nd ed. Houston: IAHPC Press; 2008.
National Cancer Control Programmes. Policies and Managerial Guidelines. 2nd ed. Geneva: WHO; 2002.
Haugen DF, Nauck F, Caraceni A. The core team and the extended team. In: Hanks G, Cherny NI, Christakis NA, Fallon M, Kaasa S, Portenoy RK, editors. Oxford textbook of palliative medicine. 4th ed. Oxford: Oxford University Press; 2009. p. 167–76.
Cintron A, Meier DE. The palliative care consult team. In: Bruera E, Higginson I, von Gunten D, Ripamonti C, editors. Textbook of palliative medicine. Oxford: Oxford University Press; 2006. p. 259–65.
Glare PA, Auret KA, Aggarwal G, Clark KJ, Pickstock SE, Lickiss JN. The interface between palliative medicine and specialists in acute-care hospitals: boundaries, bridges and challenges. Med J Aust. 2003;179:S29–31.
Aggarwal G, Glare P, Clarke S, Chapuis PH. Palliative and shared care concepts in patients with advanced colorectal cancer. ANZ J Surg. 2006;76:175–80.
Baile WF, Palmer JL, Bruera E, Parker PA. Assessment of palliative care cancer patients’ most important concerns. Support Care Cancer. 2011;19:475–81.
Bruera E, Kuehn N, Miller MJ, Selmser P, Macmillan K. The Edmonton Symptom Assessment System (ESAS): a simple method for the assessment of palliative care patients. J Palliat Care. 1991;7(2):6–9.
Blazeby JM, Fayers P, Conroy T, Sezer O, Ramage J, Rees M. European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Group. Validation of the European Organization for Research and Treatment of Cancer QLQ-LMC21 questionnaire for assessment of patient-reported outcomes during treatment of colorectal liver metastases. Br J Surg. 2009;96:291–8.
Hassan I, Cima RC, Sloan JA. Assessment of quality of life outcomes in the treatment of advanced colorectal malignancies. Gastroenterol Clin North Am. 2006;35:53–64.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2015 Springer International Publishing Switzerland
About this chapter
Cite this chapter
Haugen, D.F. (2015). Multidisciplinary Treatment of Colorectal Cancer: The Palliative Team Introduction. In: Baatrup, G. (eds) Multidisciplinary Treatment of Colorectal Cancer. Springer, Cham. https://doi.org/10.1007/978-3-319-06142-9_24
Download citation
DOI: https://doi.org/10.1007/978-3-319-06142-9_24
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-06141-2
Online ISBN: 978-3-319-06142-9
eBook Packages: MedicineMedicine (R0)