Ovarian cancer care: A case study in determined living

Robert L. Umlauf, Gregory J. Orloff

Research output: Contribution to journalArticle

Abstract

Background: The balance between quality of life and aggressive treatment fuels strong debate in cancer care. Recently, more attention is focused on blending advanced care, palliative care and hospice treatments in a patient-specific, tailored manner. This case study explores quality of life, the role of psychosocial factors in treatment selection, and the role of medical bias in endof- life decision-making. Case Report: The patient was a 55-year-old woman with advanced recurrent epithelial ovarian cancer. The disease course was essentially unremitting with only 5 months of non-progression after initial treatment. Multiple courses of chemotherapy were provided, in addition to a wide range of advanced and aggressive therapies to treat the cancer, as well as prolong life. Hospice care was an active part of treatment over 2 separate time periods, with a 1-year hiatus between admissions into hospice care. Conclusion: This case study provides an example of blending aggressive treatment, palliative care and hospice care to allow a patient to achieve specific life milestones, while attempting to preserve quality of life.

Original languageEnglish (US)
Pages (from-to)27-29
Number of pages3
JournalOnkologie
Volume29
Issue number1-2
DOIs
StatePublished - Jan 1 2006
Externally publishedYes

Keywords

  • End-of-life decisions
  • Hospice
  • Medical decision-making
  • Ovarian cancer
  • Quality of life

ASJC Scopus subject areas

  • Hematology
  • Oncology
  • Cancer Research

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