Letters Section Editor: Robert M. Golub,
MD, Senior Editor.
In Reply: As a multidisciplinary group of investigators,
some of whom began our careers in palliative care, we agree that the issues
Dr Shannon and colleagues raise, such as relief of common symptoms like fatigue
or cognitive deficits, as well as medical and psychosocial support to improve
quality of life, are of critical importance to patients with brain tumors
throughout their entire illness. Whether trained as surgeons, neurologists,
or medical or radiation oncologists, clinicians who care for patients with
brain tumors should all receive instruction in these basic principles of palliative
care that are central to the care of all patients and should be familiar to
all physicians.1 The declared specialty of
the physician providing these aspects of care seems less important, since
patients with brain tumors receive their primary treatment from members of
several specialties during the course of their disease. We agree that research
into symptom palliation for patients with brain tumors is a pressing need,2 and the Glioma Outcomes Project has already investigated
aspects of palliative care such as depression3 in
addition to those addressed in our article.
Chang S, Parney IF, Berger MS, et al. Patterns of Care for Adults With Malignant Glioma—Reply. JAMA. 2005;293(20):2469–2470. doi:https://doi.org/10.1001/jama.293.20.2470
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