CCC meets ICU: Redefining the role of critical care of cancer patients

<p>Abstract</p> <p>Background</p> <p>Currently the majority of cancer patients are considered ineligible for intensive care treatment and oncologists are struggling to get their patients admitted to intensive care units. Critical care and oncology are frequently two sep...

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Main Authors: Shimabukuro-Vornhagen Alexander A, Hallek Michael J, von Bergwelt-Baildon Michael, Kochanek Matthias
Format: Article
Language:English
Published: BMC 2010-11-01
Series:BMC Cancer
Online Access:http://www.biomedcentral.com/1471-2407/10/612
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author Shimabukuro-Vornhagen Alexander A
Hallek Michael J
von Bergwelt-Baildon Michael
Kochanek Matthias
author_facet Shimabukuro-Vornhagen Alexander A
Hallek Michael J
von Bergwelt-Baildon Michael
Kochanek Matthias
author_sort Shimabukuro-Vornhagen Alexander A
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>Currently the majority of cancer patients are considered ineligible for intensive care treatment and oncologists are struggling to get their patients admitted to intensive care units. Critical care and oncology are frequently two separate worlds that communicate rarely and thus do not share novel developments in their fields. However, cancer medicine is rapidly improving and cancer is eventually becoming a chronic disease. Oncology is therefore characterized by a growing number of older and medically unfit patients that receive numerous novel drug classes with unexpected side effects.</p> <p>Discussion</p> <p>All of these changes will generate more medically challenging patients in acute distress that need to be considered for intensive care. An intense exchange between intensivists, oncologists, psychologists and palliative care specialists is warranted to communicate the developments in each field in order to improve triage and patient treatment. Here, we argue that "critical care of cancer patients" needs to be recognized as a medical subspecialty and that there is an urgent need to develop it systematically.</p> <p>Conclusion</p> <p>As prognosis of cancer improves, novel therapeutic concepts are being introduced and more and more older cancer patients receive full treatment the number of acutely ill patients is growing significantly. This development a major challenge to current concepts of intensive care and it needs to be redefined who of these patients should be treated, for how long and how intensively.</p>
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spelling doaj.art-388eb870c5034be6865e0c91a8e67df62022-12-21T18:48:15ZengBMCBMC Cancer1471-24072010-11-0110161210.1186/1471-2407-10-612CCC meets ICU: Redefining the role of critical care of cancer patientsShimabukuro-Vornhagen Alexander AHallek Michael Jvon Bergwelt-Baildon MichaelKochanek Matthias<p>Abstract</p> <p>Background</p> <p>Currently the majority of cancer patients are considered ineligible for intensive care treatment and oncologists are struggling to get their patients admitted to intensive care units. Critical care and oncology are frequently two separate worlds that communicate rarely and thus do not share novel developments in their fields. However, cancer medicine is rapidly improving and cancer is eventually becoming a chronic disease. Oncology is therefore characterized by a growing number of older and medically unfit patients that receive numerous novel drug classes with unexpected side effects.</p> <p>Discussion</p> <p>All of these changes will generate more medically challenging patients in acute distress that need to be considered for intensive care. An intense exchange between intensivists, oncologists, psychologists and palliative care specialists is warranted to communicate the developments in each field in order to improve triage and patient treatment. Here, we argue that "critical care of cancer patients" needs to be recognized as a medical subspecialty and that there is an urgent need to develop it systematically.</p> <p>Conclusion</p> <p>As prognosis of cancer improves, novel therapeutic concepts are being introduced and more and more older cancer patients receive full treatment the number of acutely ill patients is growing significantly. This development a major challenge to current concepts of intensive care and it needs to be redefined who of these patients should be treated, for how long and how intensively.</p>http://www.biomedcentral.com/1471-2407/10/612
spellingShingle Shimabukuro-Vornhagen Alexander A
Hallek Michael J
von Bergwelt-Baildon Michael
Kochanek Matthias
CCC meets ICU: Redefining the role of critical care of cancer patients
BMC Cancer
title CCC meets ICU: Redefining the role of critical care of cancer patients
title_full CCC meets ICU: Redefining the role of critical care of cancer patients
title_fullStr CCC meets ICU: Redefining the role of critical care of cancer patients
title_full_unstemmed CCC meets ICU: Redefining the role of critical care of cancer patients
title_short CCC meets ICU: Redefining the role of critical care of cancer patients
title_sort ccc meets icu redefining the role of critical care of cancer patients
url http://www.biomedcentral.com/1471-2407/10/612
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