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Journal articles on the topic 'Palliative procedure'

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1

Rodriguez, Rodrigo Andres, Molly McClain, Bridget N. Fahy, and Katherine Teresa Morris. "Estimation of risk in cancer patients undergoing palliative procedures by the American College of Surgeons risk calculator." Journal of Clinical Oncology 32, no. 31_suppl (2014): 93. http://dx.doi.org/10.1200/jco.2014.32.31_suppl.93.

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93 Background: Surgical palliation is defined as the use of a procedure in patients with incurable disease to relieve symptoms. The American College of Surgeons Risk Calculator (ACSRC) was created based on data from the National Surgical Quality Improvement Program to predict the risk of surgical complications on a patient specific level. Whether the ACSRC can accurately predict the risk of postoperative complications following palliative procedures in cancer patients is unknown. The purpose of this study was to determine if the ACSRC accurately predicted postoperative complication rates in th
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Deo, S. V. S., Naveen Kumar, Vinaya Kumar J. Rajendra, et al. "Palliative Surgery for Advanced Cancer: Clinical Profile, Spectrum of Surgery and Outcomes from a Tertiary Care Cancer Centre in Low-Middle-Income Country." Indian Journal of Palliative Care 27 (August 12, 2021): 281–85. http://dx.doi.org/10.25259/ijpc_399_20.

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Objectives: Palliative surgery for cancer plays an important role in the overall management, especially in low-middle countries with a significant burden of advanced cancers. There is a paucity of literature related to the field of palliative surgery. In this study, we present the clinical spectrum, profile of surgical interventions and outcomes of palliative surgical procedures performed at a tertiary cancer centre involving multiple organ systems. Materials and Methods: A retrospective analysis of prospectively maintained surgical oncology database of a tertiary care cancer centre was perfor
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Plevová, Ilona, and Lenka Kadlubová. "Standard operating procedure - palliative care." Central European Journal of Nursing and Midwifery 14, no. 1 (2023): 823–32. http://dx.doi.org/10.15452/cejnm.2022.13.0022.

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4

Miner, T. J., J. Gaydos-Gabriel, and D. P. Jaques. "Palliative procedures in patients with advanced lung cancer: Analysis from a prospective outcomes database." Journal of Clinical Oncology 24, no. 18_suppl (2006): 8606. http://dx.doi.org/10.1200/jco.2006.24.18_suppl.8606.

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8606 Background: Decisions regarding the appropriate use of palliative procedures continue to challenge those who care for patients with advanced cancer. This study examines the outcomes of palliative procedures performed for lung cancer compared to other primary malignancies. Methods: Procedures to explicitly palliate symptoms of advanced cancer were identified prospectively. Patients were observed for >90 days or until death. Clinical outcomes were evaluated based on the type of primary malignancy. Results: There were 1,022 palliative procedures performed in 823 patients from July 2002 to
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Marais, M. J., and C. S. De Vries. "An audit of percutaneous biliary stenting for the palliation of pancreatic cancer: Results, post-procedural survival period, and comparison of plastic and mental stents." South African Journal of Radiology 6, no. 2 (2002): 18–20. http://dx.doi.org/10.4102/sajr.v6i2.1441.

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The purpose of this retrospective study was to assess the patient survival period after palliative biliary stenting and to compare different kinds of stents used. During a 27-month period, 60 patients received palliative percutaneous biliary stents for obstructive jaundice due to carcinoma of the head of the pancreas. During the first procedure 17 patients received (metal) Wall stents (mean age 59.8 years, range 32 - 77 years), and 43 patients received (plastic) Carey Coons stents (mean age 62.3 years, range 31 - 87 years). In 12 patients the stent had to be replaced due to complications and 1
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Ma, Kai, Lei Qi, Zhongdong Hua, et al. "Effectiveness of Bidirectional Glenn Shunt Placement for Palliation in Complex Congenitally Corrected Transposed Great Arteries." Texas Heart Institute Journal 47, no. 1 (2020): 15–22. http://dx.doi.org/10.14503/thij-17-6555.

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Surgery for complex congenitally corrected transposed great arteries is one of the greatest challenges in cardiovascular surgery. We report our experience with bidirectional Glenn shunt placement as a palliative procedure for complex congenitally corrected transposition. We retrospectively identified 50 consecutive patients who had been diagnosed with congenitally corrected transposition accompanied by left ventricular outflow tract obstruction and ventricular septal defect and who had then undergone palliative bidirectional Glenn shunt placement at our institution from January 2005 through De
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Cheatham, Sharon L., and Grace M. Deyo. "Understanding the Hybrid Stage I Approach for Hypoplastic Left Heart Syndrome." Critical Care Nurse 36, no. 5 (2016): 48–55. http://dx.doi.org/10.4037/ccn2016894.

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Hybrid stage I palliation combines cardiothoracic surgery and interventional transcatheter procedures for treatment of hypoplastic left heart syndrome. The approach is an alternative to the Norwood procedure, the traditional first stage of surgical palliation. Hybrid stage I palliation involves placing bilateral branch pulmonary artery bands and a patent ductus arteriosus stent through a median sternotomy, performed without cardiopulmonary bypass. The purpose of the bands is to control blood flow to the lungs and protect the pulmonary bed while the stent sustains systemic cardiac output. A bal
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8

MacLaughlan David, Shannon, Nicole Marjon, Diana English, Natasha Purington, Summer S. Han, and Don S. Dizon. "Palliative Total Pelvic Exenteration for Gynecologic Cancers: A Cross-sectional Study of Society of Gynecologic Oncology Members." International Journal of Gynecologic Cancer 28, no. 9 (2018): 1796–804. http://dx.doi.org/10.1097/igc.0000000000001371.

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ObjectiveThe aim of this study was to evaluate contemporary practices and opinions among gynecologic oncologists regarding the use of total pelvic exenteration (TPE) for palliative intent.MethodsThis cross-sectional study of the membership of the Society of Gynecologic Oncology utilized an electronic survey to assess the opinions and practice patterns of gynecologic oncologists regarding TPEs. The primary outcome was willingness to consider a TPE for palliative intent, and demographic and practice characteristics were collected for correlation. Qualitative data were also collected. Descriptive
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Gobergs, Roberts, Elza Salputra, and Ingūna Lubaua. "Hypoplastic left heart syndrome: a review." Acta medica Lituanica 23, no. 2 (2016): 86–98. http://dx.doi.org/10.6001/actamedica.v23i2.3325.

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Background. Hypoplastic left heart syndrome (HLHS) is an etiologically multifactorial congenital heart disease affecting one in 5,000 newborns. Thirty years ago there were no treatment options for this pathology and the natural course of the disease led to death, usually within the first weeks of life. Recently surgical palliative techniques have been developed allowing for a five-year survival in more than half the cases. Materials and methods. We reviewed literature available on HLHS, specifically its anatomy, embryology and pathophysiology, and treatment. The Pubmed and ClinicalKey database
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10

Webb, Hannah. "Holistic care following a palliative Hartmann's procedure." British Journal of Nursing 2, no. 2 (1993): 128–32. http://dx.doi.org/10.12968/bjon.1993.2.2.128.

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Mack, Lloyd A., Jose Pereira, and Walley J. Temple. "Decompressive Tube Esophagostomy: A Forgotten Palliative Procedure?" Journal of Palliative Medicine 7, no. 2 (2004): 265–67. http://dx.doi.org/10.1089/109662104773709387.

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12

Barnet, Caryn S., Alexander F. Arriaga, David L. Hepner, Darin J. Correll, Atul A. Gawande, and Angela M. Bader. "Surgery at the End of Life." Anesthesiology 119, no. 4 (2013): 796–801. http://dx.doi.org/10.1097/aln.0b013e31829c2db0.

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Abstract Background: More than a quarter of medical costs for Medicare beneficiaries are incurred in the last year of life; surgical intensity during this time is significant. This study was performed to determine types of operations patients undergo in their terminal year, and compare characteristics of decedents with those of survivors. Methods: Population of 747 consecutive all-payer patients seen at the preoperative assessment center of a tertiary care hospital. Patient characteristics were obtained from the electronic medical record. Surgical indication (palliative, curative, diagnostic,
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Backer, Carl Lewis, Hyde M. Russell, and Barbara J. Deal. "Optimal Initial Palliation for Patients With Functionally Univentricular Hearts." World Journal for Pediatric and Congenital Heart Surgery 3, no. 2 (2012): 165–70. http://dx.doi.org/10.1177/2150135111434946.

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This review will outline the optimal, initial palliation for children who are born with a functionally univentricular heart. Optimizing the initial palliation is of critical importance in this patient population to prevent potential problems such as systemic outflow and pulmonary vein obstruction that may complicate further surgical intervention. The palliative techniques that are discussed include pulmonary artery banding, modified Blalock-Taussig shunt, Damus-Kaye-Stansel procedure, modified Norwood, hybrid, and early bidirectional Glenn. Our recommendations for optimal palliation for childr
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S., Greeshma, Ramesh Rajan, Chandrashekar S., and Jayan C. "Outcome of loop cholecystojejunostomy as a palliative procedure in unresectable distal malignant biliary obstruction." International Surgery Journal 8, no. 5 (2021): 1470. http://dx.doi.org/10.18203/2349-2902.isj20211810.

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Background: Up to 70-80% of patients with malignant biliary obstruction seek medical attention only at unresectable stage. Though R0 resection is the therapeutic modality, surgical palliation has a definite role for securing biliary bypass. Hepatico (choledocho) jejunostomy and cholecystojejunostomy are the procedures of choice. As loop CCJ is technically simple to perform as well as having less operating time and blood loss;anappealing choice. Aim of the current study was to assess the outcome of loop CCJ as a palliative procedure in unresectable distal malignant biliary obstruction.Methods:
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Grilo, Ana, Carla Adriana Santos, and Jorge Fonseca. "Percutaneous endoscopic gastrostomy for nutritional palliation of upper esophageal cancer unsuitable for esophageal stenting." Arquivos de Gastroenterologia 49, no. 3 (2012): 227–31. http://dx.doi.org/10.1590/s0004-28032012000300012.

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CONTEXT: Esophageal cancer is often diagnosed at an advanced stage and has a poor prognosis. Most patients with advanced esophageal cancer have significant dysphagia that contributes to weight loss and malnutrition. Esophageal stenting is a widespread palliation approach, but unsuitable for cancers near the upper esophageal sphincter, were stents are poorly tolerated. Generally, guidelines do not support endoscopic gastrostomy in this clinical setting, but it may be the best option for nutritional support. OBJECTIVE: Retrospective evaluation of patients with dysphagia caused advanced esophagea
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Cope, Lance, and Hilary Wynne. "The role of interventional radiology in palliative care of malignant disease." Reviews in Clinical Gerontology 18, no. 2 (2008): 129–42. http://dx.doi.org/10.1017/s0959259809002780.

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Providing symptomatic palliation in terminal malignant disease is integral to high-quality elderly-care medicine. Effective pharmacological treatment, especially pain relief, is the mainstay of palliative care, but physical intervention is sometimes required to relieve mechanical problems. Interventional radiology is rapidly evolving and there are many clinical situations in which it is indicated. It is as effective as open surgery, but without the risk of general anaesthesia and surgical morbidity. Most interventional radiology procedures can be performed with a much shorter hospital stay tha
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17

Shen, Jay J., Eunjeong Ko, Pearl Kim, et al. "Life-Sustaining Procedures, Palliative Care Consultation, and Do-Not Resuscitate Status in Dying Patients With COPD in US Hospitals." Journal of Palliative Care 33, no. 3 (2018): 159–66. http://dx.doi.org/10.1177/0825859718777375.

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Aim: Little is known regarding the extent to which dying patients with chronic obstructive pulmonary disease (COPD) receive life-sustaining procedures and palliative care in US hospitals. We examined temporal trends and the impact of palliative care on the use of life-sustaining procedures in this population. Materials and Methods: A retrospective nationwide cohort analysis was performed using weighted National Inpatient Sample (NIS) data obtained from 2010 to 2014. Decedents ≥18 years of age at the time of death and with a principal diagnosis of COPD were included. We examined the receipt of
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18

Agematsu, Kota, Mitsuru Aoki, Yuji Naito, and Tadashi Fujiwara. "Surgical Palliation for Taussig-Bing Anomaly with Multiple Lesions." Asian Cardiovascular and Thoracic Annals 16, no. 5 (2008): 412–13. http://dx.doi.org/10.1177/021849230801600515.

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A successful surgical palliative procedure, consisting of an arterial switch operation, pulmonary artery banding, and arch repair, was performed in a neonate with Taussig-Bing anomaly and aortic arch interruption, subaortic stenosis, and multiple muscular ventricular septal defects. Such anatomical complexity made treatment difficult. This palliative procedure allows future biventricular repair.
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19

Kearns, Barbara, Camille Sabella, Roger B. B. Mee, Douglas S. Moodie, and Johanna Goldfarb. "Sternal wound and mediastinal infections in infants with congenital heart disease." Cardiology in the Young 9, no. 3 (1999): 280–84. http://dx.doi.org/10.1017/s1047951100004947.

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AbstractThe objective was to describe the epidemiologic, clinical, bacteriologic and therapeutic features of seven infants who developed sternal wound and mediastinal infections following palliation and/or repair procedures for congenital heart disease. A retrospective chart review was used. All infants with sternal wound and mediastinal infections were < 30 days of age at the initial operative procedure. Six of the infants had hypoplastic left heart syndrome, and one had complete transposition. Two infants required delayed closure of their chest wound. Three infants had superficial sternal
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Khan, Khurum Hayat, Anita Wale, James McCall, et al. "The impact of treatment intent on overall survival after radiofrequency ablation of colorectal cancer liver metastases: The Royal Marsden Hospital experience." Journal of Clinical Oncology 32, no. 3_suppl (2014): 622. http://dx.doi.org/10.1200/jco.2014.32.3_suppl.622.

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622 Background: 50% of patients with colorectal cancer will develop liver metastases (CLM), for many patients this will be the first and only site of metastatic disease. A minority of the patients will undergo surgical resection with curative intent, the remainder may be offered treatment with chemotherapy and local ablative techniques. Radiofrequency ablation (RFA) is increasingly used to treat patients deemed unsuitable for surgery, as an adjunct to or holding procedure before hepatic resection or for patients with recurrent disease. In addition some centres use RFA in the palliative setting
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Mostofi, Abteen, Ali Rezaei Haddad, Fotios Bourlogiannis, and Erlick A. C. Pereira. "Stereotactic radiofrequency ventral posterolateral thalamotomy for cancer pain." Neurosurgical Focus: Video 3, no. 2 (2020): V17. http://dx.doi.org/10.3171/2020.7.focvid2023.

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Palliative neuroablative procedures are often performed for medication-refractory cancer pain. A 57-year-old female with lung carcinoma and metastases to the brachial plexus and cervical spine with severe neuropathic pain affecting the right upper limb was referred to the authors’ functional neurosurgery service. This video shows her treatment with an awake stereotactic radiofrequency thalamotomy targeting the left ventral posterolateral nucleus. Postoperatively, she experienced immediate and complete resolution of the pain. Palliative radiofrequency thalamotomy can be a viable and effective p
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Shaikh, Samiuddin, Khaloud S. Al-Mukhaini, Abdul Hakeem Al-Rawahi, and Omer Al-Dafie. "Outcomes of Infants Undergoing Modified Blalock-Taussig Shunt Procedures in Oman." Sultan Qaboos University Medical Journal [SQUMJ] 21, no. 3 (2021): 457–64. http://dx.doi.org/10.18295/squmj.6.2021.077.

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Objectives: A modified Blalock-Taussig (mBT) shunt procedure is a common palliative surgery used to treat infants and children with cyanotic congenital heart disease (CCHD). This study aimed to report the outcomes of infants and children undergoing mBT shunt procedures in Oman. In addition, risk factors associated with early mortality, inter-stage mortality and reintervention were assessed. Methods: This retrospective cohort study was conducted from January 2016 to December 2018 at the National Heart Centre, Muscat, Oman. All paediatric patients with CCHD undergoing mBT shunt procedures as a p
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Ashby, MA, PA Game, P. Devitt, et al. "Percutaneous Gastrostomy as a Venting Procedure in Palliative Care." Palliative Medicine 5, no. 2 (1991): 147–50. http://dx.doi.org/10.1177/026921639100500209.

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The role of venting percutaneous gastrostomy (PG) is decribed in the management of five patients with nausea and vomiting or visceral pain due to terminal advanced obstructive intra-abdominal carcinomatosis. Percutaneous endoscopic gastrostomy (PEG) was used in three cases, the other two were inserted under radiological control and at laparotomy respectively. Impressive symptom relief was obtained in all cases with minimal morbidity. Two of the patients survived for prolonged periods of time (two and five months respectively) at home, and fluid and electrolyte imbalance did not appear to be a
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Monson, John R. T., John H. Donohue, Donald C. McIlrath, Michael B. Farnell, and Duane M. Ilstrup. "Total gastrectomy for advanced cancer. A worthwhile palliative procedure." Cancer 68, no. 9 (1991): 1863–68. http://dx.doi.org/10.1002/1097-0142(19911101)68:9<1863::aid-cncr2820680902>3.0.co;2-1.

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Arab, Sameh M., Abdel-Fattah E. Kholeif, Salah R. Zaher, Aly M. Abdel-Mohsen, A. Samir Kassem, and Shakeel A. Qureshi. "Balloon dilation of the right ventricular outflow tract in tetralogy of Fallot: a palliative procedure." Cardiology in the Young 9, no. 1 (1999): 11–16. http://dx.doi.org/10.1017/s1047951100007320.

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AbstractFifteen patients requiring palliation for tetralogy of Fallot were treated by balloon dilation because of hypercyanotic spells. The mean age at dilation was 1.9 ± 0.7 years (range 0.5 – 3), and the mean weight 9.8 ± 2.1kg (range 6.0 –13.5). Dilation of the outflow tract was combined with dilation of the left and/or right pulmonary arteries in 5 patients. Successful dilation was achieved in 12 patients (80%), but failed in 3 patients with hypoplastic pulmonary arteries. In one patient, the stenosis of the right pulmonary artery could not be dilated because of a very sharp angle at the s
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Jonas, Richard, and Gerard Martin. "Surgery for Congenital Heart Disease: Improvements in Outcomes." American Journal of Perinatology 35, no. 06 (2018): 557–60. http://dx.doi.org/10.1055/s-0038-1639358.

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AbstractCardiac surgery for congenital heart disease has changed dramatically since the first surgery in 1938. During the early era, children underwent surgery at older ages often with palliative procedures before their corrective operation. Not surprisingly, in the early era, there was considerably higher early and late mortality, including the additive risks of having more than one procedure and a long period of living with an unphysiological palliated circulation. Over time with advances in noninvasive diagnosis, surgical approach, cardiopulmonary bypass techniques, and team-based care, out
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Piper, Charlotte, Robin Epplen, Thomas van Erps, David J. K. P. Pfister, Daniel Porres, and Axel Heidenreich. "Palliative transurethral resection in men with castration-resistant prostate cancer (CRPC): Minimally invasive procedure with minimal morbidity?" Journal of Clinical Oncology 30, no. 5_suppl (2012): 233. http://dx.doi.org/10.1200/jco.2012.30.5_suppl.233.

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233 Background: About 20 to 30% of men with CRPC with a prostate in situ will develop subvesical obstruction due to locally progressing prostate cancer with time. Treatment options include palliative TURP, urinary diversion by transurethral or suprapubic catheters. There are only few reports critically evaluating the outcome of palliative TURP and the development of associated symptoms of locally progressing CRPC. Methods: We retrospectively reviewed all patients who underwent palliative TURP for locally advanced CRPC with regard to the functional and oncological outcome. In addition, we analy
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Gavshchuk, Maksim V., Vasiliy I. Orel, Georgiy O. Bagaturiya, et al. "Testing a new method for training medical doctors in percutaneous endoscopic gastrostomy in palliative pediatrics." Pediatrician (St. Petersburg) 14, no. 4 (2023): 59–65. http://dx.doi.org/10.17816/ped14459-65.

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The main problem in training pediatric surgeons and endoscopists in the technique of performing percutaneous gastrostomy is associated with its relatively rare use in children, which in turn leads to a lack of consistent clinical practice among specialists, while percutaneous endoscopic gastrostomy (PEG) is considered the optimal method for correcting dysphagia in palliative pediatrics. A new method of training specialists in performing PEG in children is suggested. In an experimental operating setting, PEG procedures were performed on Chinchilla rabbits weighing 2.5–3.0 kg using a proprietary
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McFarlane, Matthew Ryan, Anil Pillai, Matthew Porembka, Jeffrey John Meyer, Nisa Kubiliun, and Michael Ryan Folkert. "Patterns of failure and morbidity associated with palliative intervention in patients with malignant biliary obstruction." Journal of Clinical Oncology 33, no. 29_suppl (2015): 71. http://dx.doi.org/10.1200/jco.2015.33.29_suppl.71.

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71 Background: Outcome for patients with malignant biliary obstruction is poor. While endoscopic or percutaneous procedures provide palliative benefit, stents often occlude or migrate, and drains frequently fail requiring repeat procedures in medically fragile patients. As part of a multidisciplinary effort to improve outcomes in this population, we undertook an investigation to determine rates of stent and drain failure and morbidity to identify areas of potential improvement. Methods: After Institutional Review Board approval, retrospective review of all cancer registry patients undergoing p
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Rushing, John F., and Kent Newman. "Investigation of Laboratory Procedure for Evaluating Chemical Dust Palliative Performance." Journal of Materials in Civil Engineering 22, no. 11 (2010): 1148–55. http://dx.doi.org/10.1061/(asce)mt.1943-5533.0000122.

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Dirks, V., R. Pretre, W. Knirsch, et al. "Modified Blalock Taussig shunt: a not-so-simple palliative procedure." European Journal of Cardio-Thoracic Surgery 44, no. 6 (2013): 1096–102. http://dx.doi.org/10.1093/ejcts/ezt172.

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SCHOTSMANS, PAUL, and CHRIS GASTMANS. "How to Deal with Euthanasia Requests: A Palliative Filter Procedure." Cambridge Quarterly of Healthcare Ethics 18, no. 4 (2009): 420–28. http://dx.doi.org/10.1017/s0963180109090616.

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On September 23, 2002, the Belgian law on euthanasia came into force. This makes Belgium the second country in the world (after the Netherlands) to have an act on euthanasia. Even though there is currently a legal regulation of euthanasia in Belgium, very little is known about how this legal regulation could be translated into care for patients who request euthanasia. Although euthanasia-related mortality rates in Belgium are low, ranging from 0.30% to 1.20%, it can be expected that caregivers will increasingly be confronted with euthanasia requests and will, therefore, be more involved in the
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Materstvedt, Lars Johan. "Intention, procedure, outcome and personhood in palliative sedation and euthanasia." BMJ Supportive & Palliative Care 2, no. 1 (2012): 9–11. http://dx.doi.org/10.1136/bmjspcare-2011-000040.

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Goldenring, James R. "Intrahepatic Cholangiojejunostomy as a Palliative Procedure in Primary Sclerosing Cholangitis." Archives of Surgery 124, no. 5 (1989): 565. http://dx.doi.org/10.1001/archsurg.1989.01410050055010.

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Ivan, Jared, Jacob Ivan, Caleb Hawkes, et al. "Medicare Reimbursement Rate Trends in Hospice and Palliative Care Medicine from 2013 to 2022." Healthcare Administration Leadership & Management Journal 2, no. 2 (2024): 74–78. http://dx.doi.org/10.55834/halmj.9855638245.

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The patterns of declining Medicare reimbursement rates over time have been documented in various disciplines of healthcare, but little research has been done on geographic trends in Medicare reimbursement in the areas of hospice and palliative medicine. This article aims to explore these patterns as they relate to the field of hospice and palliative medicine. The purpose of hospice and palliative medicine is to reduce the mental and physical burden of serious illness by prioritizing quality of life throughout the disease course and mitigating factors that may contribute to patient and family s
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Hodzic, Edin, Sadat Pusina, Mirhan Salibasic, Ajdin Rovcanin, Emsad Halilovic, and Naida Herenda. "Impact of Different Surgical Approaches on Morbidity and Mortality in Patients with Borderline Resectable Pancreatic Head Carcinoma." Medical Archives 78, no. 1 (2024): 29. http://dx.doi.org/10.5455/medarh.2024.78.29-32.

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Background: Radical surgical resection for pancreatic head carcinoma offers a chance for cure but unfortunately is only available to a limited number of patients. For a significant number of patients, palliative surgery remains the only option. The question of the most effective approach for patients with borderline resectable pancreatic head carcinoma (BRPHC) remains unresolved. Objective: The aim of the study was to compare the morbidity and mortality following R1 duodenocephalic pancreatectomy and double palliative bypass to explore the most optimal surgical treatment for patients with BRPH
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Kumar, Rupesh, Parag W. Barwad, and Banashree Mandal. "An Alternative Technique of Off-Pump Glenn Procedure." Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery 15, no. 5 (2020): 490–93. http://dx.doi.org/10.1177/1556984520947841.

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The bidirectional Glenn surgery is a life-saving palliative surgery in patients with univentricular cardiac anatomy and physiology. This procedure can be performed either under cardiopulmonary bypass (CPB) or off CPB. In this article, we will present a new innovative technique, which was performed on 6 individuals of age ranging from 2 to 18 years and followed up over a few months, which is effective, less morbid, as well as simple, safe, economically more viable, and is easily reproducible.
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Lindvall, Charlotta, Elizabeth J. Lilley, Zara Cooper, et al. "Using natural language processing to assess palliative care processes in cancer patients receiving venting gastrostomy tube." Journal of Clinical Oncology 35, no. 31_suppl (2017): 7. http://dx.doi.org/10.1200/jco.2017.35.31_suppl.7.

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7 Background: Natural Language Processing (NLP) presents a novel method of extracting text-embedded information from the electronic health record (EHR) to improve routine assessment of palliative quality metrics such as timely advance care planning (ACP), palliative care provision (PC), and hospice referral. Methods: We identified cancer patients (ICD-9-CM codes 140-209) who received a gastrostomy tube (ICD-9-CM 43.11, 43.19, 44.32; CPT code 49440) from Jan 1, 2012, to Mar 31, 2016 at an academic medical center. We used NLP to identify palliative indication for gastrostomy tube placement by la
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Jufri, Agil Al, Heroe Soebroto, and Arief Rakhman Hakim. "Univentricular repair: a literature review." Bali Medical Journal 13, no. 2 (2024): 875–82. https://doi.org/10.15562/bmj.v13i2.4937.

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Link of Video Abstract: https://youtu.be/_dex85zVVSc Univentricular repair is a surgical procedure in patients with congenital heart defects in one of the two ventricles/single ventricles (hypoplasia) or not formed (absent). The univentricular repair procedure is often called the Fontan procedure in that most of these procedures are performed in stages. There are 3 stages of this procedure which in the first stage includes a systemic-to-pulmonary shunt, pulmonary artery (PA) banding, atrial septectomy, and reconstructive procedures such as the Damus-Kaye-Stansel (DKS) and Norwood procedure; th
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Requarth, Jay. "All the World Is a Nail: Why Are Surgeons Resistant to Learn How to Place Cholecystostomy Drains in Seriously Ill Patients With Acute Acalculous Cholecystitis?" American Surgeon 86, no. 11 (2020): 1462–66. http://dx.doi.org/10.1177/0003134820965954.

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Surgeons routinely provide palliative care, but often the technical procedure needed for the palliative intervention is beyond our training and comfort zone. This case is an example of surgical palliative care that utilizes image-guided techniques to provide optimal care. A frail elderly patient with multiple comorbidities who had been hospitalized for other diseases was diagnosed with acute acalculous cholecystitis. General surgery and gastroenterology were initially consulted, and the patient was referred to interventional radiology for a percutaneous cholecystostomy. The procedure was techn
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Henbrey, Rachel. "Stoma formation as a palliative procedure: the role of the clinical nurse specialist in maintaining quality of life." British Journal of Nursing 30, no. 6 (2021): S4—S10. http://dx.doi.org/10.12968/bjon.2021.30.6.s4.

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More than half of patients diagnosed with colon cancer present at an advanced stage, and palliative treatment may involve stoma formation. A literature review was undertaken to determine the potential effects of stoma formation as a palliative procedure on a patient's quality of life, and to examine the role of the clinical nurse specialist in this situation. Limited literature was found on this specific subject, so established evidence surrounding stoma formation and quality of life was examined in relation to palliative care. The clinical nurse specialist provides expert knowledge that can h
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Boccatonda, Andrea, Chiara Baldini, Davide Rampoldi, et al. "Ultrasound-Assisted and Ultrasound-Guided Thoracentesis: An Educational Review." Diagnostics 14, no. 11 (2024): 1124. http://dx.doi.org/10.3390/diagnostics14111124.

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Thoracentesis is one of the most important invasive procedures in the clinical setting. Particularly, thoracentesis can be relevant in the evaluation of a new diagnosed pleural effusion, thus allowing for the collection of pleural fluid so that laboratory tests essential to establish a diagnosis can be performed. Furthermore, thoracentesis is a maneuver that can have therapeutic and palliative purposes. Historically, the procedure was performed based on a physical examination. In recent years, the role of ultrasound has been established as a valuable tool for assistance and guidance in the tho
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Wespi, Regina, Alessia Callegari, Daniel Quandt, et al. "Favourable Short- to Mid-Term Outcome after PDA-Stenting in Duct-Dependent Pulmonary Circulation." International Journal of Environmental Research and Public Health 19, no. 19 (2022): 12794. http://dx.doi.org/10.3390/ijerph191912794.

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Background. Stenting of patent ductus arteriosus (PDA) is a minimally invasive catheter-based temporary palliative procedure that is an alternative to a surgical shunt in neonates with duct-dependent pulmonary perfusion. Methods. An observational, single-centre, cross-sectional study of patients with duct-dependent pulmonary perfusion undergoing PDA-stenting as a stage I procedure and an analysis of short- to mid-term follow-up until a subsequent surgical procedure (stage II), with a focus on the interstage course. Results. Twenty-six patients were treated with PDA-stenting at a median (IQR) a
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Brunello, Antonella, Antonella Galiano, Stefania Schiavon, et al. "Simultaneous Care in Oncology: A 7-Year Experience at ESMO Designated Centre at Veneto Institute of Oncology, Italy." Cancers 14, no. 10 (2022): 2568. http://dx.doi.org/10.3390/cancers14102568.

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Benefits of early palliative care referral in oncology are well-validated. At the Veneto Institute of Oncology-IRCCS, a simultaneous-care outpatient clinic (SCOC) has been active since 2014, where patients with advanced cancer are evaluated by an oncologist together with a palliative care team. We prospectively assessed SCOC patients’ characteristics and SCOC outcomes through internal procedure indicators. Data were retrieved from the SCOC prospectively maintained database. There were 753 eligible patients. The median age was 68 years; primary tumor sites were gastrointestinal (75.2%), genitou
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Oreto, Lilia, Paolo Guccione, Placido Gitto, et al. "Hybrid Palliation for Hypoplastic Left Heart Syndrome: Role of Echocardiography." Children 10, no. 6 (2023): 1012. http://dx.doi.org/10.3390/children10061012.

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Hypoplastic left heart syndrome is a spectrum of complex congenital cardiac defects. Although in borderline cases, biventricular repair is a viable option, in the majority of cases, univentricular palliation is the treatment of choice. Hybrid palliation can be a valid alternative to classic Norwood operation in the neonatal period, especially in selected cases such as high-risk patients or borderline left ventricles. Echocardiography is the main diagnostic modality in this pediatric population, from the fetal diagnosis to the subsequent surgical steps of palliative treatment. Hybrid palliation
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Palmer, Jennifer, Alyssa Smith, Sara Paasche-Orlow, and George Fitchett. "Research Literature on the Intersection of Dementia, Spirituality, and Palliative Care: A Scoping Review." Innovation in Aging 4, Supplement_1 (2020): 864. http://dx.doi.org/10.1093/geroni/igaa057.3187.

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Abstract Dementia marks an increasingly prevalent terminal illness for which palliative care, including spiritual care, could improve quality of life. Research gaps exist in understanding the intersection of dementia, spirituality, and palliative care. Thus, we conducted the first scoping review examining the nature and breadth of peer-reviewed studies across these three topics. The scoping review followed methods from The Joanna Briggs Institute Reviewers’ Manual (2015). We developed a priori a scoping review protocol outlining the Population, Concept and Context for study, data sources, sear
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Dovč, Klemen, Andrej Markota, Vojko Kanič, Mirko Bombek, and Gregor Prosen. "Percutaneous balloon aortic valvuloplasty: palliative treatment for inoperable patients?" Acta Medico-Biotechnica 4, no. 2 (2021): 69–72. http://dx.doi.org/10.18690/actabiomed.60.

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Purpose: The number of elderly patients with severe aortic stenosis and comorbidities is increasing in the aging populations of “developed” countries. Unacceptably high perioperative mortality and morbidity makes the decision to undertake surgical aortic valve replacement in this group of patients difficult and unlikely. Development of less invasive procedures such as balloon aortic valvuloplasty and transcatheter aortic valve replacement is emerging as another treatment option.&#x0D; Case report: A 84-year-old female with previous left-sided hemiparesis after stroke and severe aortic stenosis
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Borges Bastos, Mayara Yasmim, Daniela Aceti, Renata Rego Lins Fumis, and Juliana Dos Santos Batista. "The perception of oncology ICU professionals regarding the practice of palliative extubation." Latin American Journal of Palliative Care 2 (December 28, 2023): eLAPC20220025. http://dx.doi.org/10.59679/lapc20220025.

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Introduction: Palliative extubation is an ethically and legally supported practice; however, there are still difficulties in understanding the concept, erroneously relating palliative extubation to euthanasia.Objective: To analyze the perception of oncology ICU professionals of a private hospital in São Paulo regarding palliative extubation procedure and the interfaces in the care provided by the team.Methods: This is a descriptive exploratory study with a qualitative approach, in which a semi-structured interview was used; and as a data processing technique, the Collective Subject Discourse (
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Jacobs, Marshall L. "Recent innovations in the Norwood sequence of operations." Cardiology in the Young 14, S1 (2004): 47–51. http://dx.doi.org/10.1017/s1047951104006298.

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Although Norwood's first stage palliative procedure has been adopted by most proponents of reconstructive surgery for hypoplastic left heart syndrome, several technical modifications have recently been introduced. Some are intended primarily to minimize the adverse effects of cardiopulmonary bypass, hypothermic circulatory arrest, or both. Some are intended to simplify the technical performance of the initial palliative procedure. As the number of patients surviving staged reconstructive surgery for hypoplastic left heart syndrome grows steadily, there is a shift in emphasis toward investigati
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FAN, Xiang-ming, Yao-bin ZHU, Jun-wu SU, et al. "Clinical results of combined palliative procedures for cyanotic congenital heart defects with intractable hypoplasia of pulmonary arteries." Chinese Medical Journal 126, no. 9 (2013): 1678–82. http://dx.doi.org/10.3760/cma.j.issn.0366-6999.20123228.

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Background Congenital heart defects with intractable hypoplasia of the pulmonary arteries without intercourse or with intercourse stenosis is unsuitable for surgical correction or regular palliative procedures. We reported our experience with combined palliative procedures for congenital heart defects with intractable hypoplasia pulmonary arteries. Methods From 2001 to 2012, a total of 41 patients with cyanotic congenital heart defects and intractable hypoplasia of the pulmonary arteries underwent surgical procedures. From among them, 31 patients had pulmonary atresia with ventricular septal d
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