1
40
1
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1016/s0090-8258(03)00418-9" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/s0090-8258(03)00418-9</a>
Rights
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Pages
619-624
Issue
3
Volume
90
Search for Full-text
Locate full-text within NEOMED Library's e-journal collections
<p>Users with a NEOMED Library login can search for full-text journal articles at the following url: <a href="https://libraryguides.neomed.edu/home">https://libraryguides.neomed.edu/home</a></p>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Clinical disease course during the last year in ovarian cancer
Publisher
An entity responsible for making the resource available
Gynecologic Oncology
Date
A point or period of time associated with an event in the lifecycle of the resource
2003
2003-09
Subject
The topic of the resource
carcinoma; chemotherapy; cytoreductive surgery; disease course; end; end-of-life; gynecologic cancer; Obstetrics & Gynecology; obstruction; of-life care; Oncology; ovarian-cancer; palliate; prognostic-factors; survival
Creator
An entity primarily responsible for making the resource
Von Gruenigen V E; Frasure H E; Reidy A M; Gil K M
Description
An account of the resource
Objective(s). The objective was to determine whether there were changes in the pattern and nature of hospitalizations during the last year that could be used in the assessment of whether chemotherapy should be continued. Methods. Retrospective data were collected from patients who died from ovarian cancer between 1/2000 and 12/2001. Charts from four hospitals were reviewed to abstract chemotherapy, reason for hospitalization, and the incidence of three significant clinical events (bowel obstruction, pleural effusion requiring thoracentesis, and abdominal ascites requiring paracentesis). Data were analyzed in 3-month intervals. Results. Sixty-two patient charts were reviewed. Quarterly admissions increased linearly over the year (7, 18, 27, and 47, P < 0.0001). Hospitalizations for ascites, bowel obstruction, and pleural effusion began increasing around 6 months preceding death. Twenty-two patients did not receive chemotherapy during the last 3 months. Of the 40 patients receiving chemotherapy in the last 3 months, over half were not hospitalized during the period 4-6 months before death, and a further 20% were hospitalized for nonsignificant clinical events. Approximately one-quarter of the patients, however, continued to receive chemotherapy following hospitalization for a significant clinical event. Conclusion(s). There were significant changes in the pattern and nature of hospitalization during the last 6 months that included hospitalizations for bowel obstruction, pleural effusion, or ascites. The occurrence of these events suggests that further chemotherapy should be realistically evaluated with the patient, which may reduce the number of patients who receive chemotherapy during their last few months of life. (C) 2003 Elsevier Inc. All rights reserved.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1016/s0090-8258(03)00418-9" target="_blank" rel="noreferrer noopener">10.1016/s0090-8258(03)00418-9</a>
Format
The file format, physical medium, or dimensions of the resource
Journal Article
2003
Carcinoma
Chemotherapy
cytoreductive surgery
disease course
end
end-of-life
Frasure H E
Gil K M
gynecologic cancer
Gynecologic oncology
Journal Article
Obstetrics & Gynecology
obstruction
of-life care
oncology
ovarian-cancer
palliate
prognostic-factors
Reidy A M
Survival
von Gruenigen V E