Early Integration Of Palliative Care In The Management Of Patients With Carcinoma Cervix- Isn’t It Time To Switch Gears To A Patient Centric Treatment Approach?

Abstract

Carcinoma cervix is a common malignancy affecting a vast majority of women, especially in low-and middle-income nations. These women have a large magnitude of symptom burden right from diagnosis until completion of treatment and beyond. While oncological treatment modalities remain predominantly disease-centric, palliative care (PC) plays a multidimensional role involving communication, management of physical, psychological, social, spiritual issues and end-of-life care. In order to improve the patient’s satisfaction, treatment compliance and quality of life, PC must be commenced early and integrated within the framework of multi-modality management of carcinoma cervix. Patients with advanced cervical cancer who become terminally ill require intensification of PC and a gradual transition into hospice care. Oncology teams must thus, work in tandem with palliative care teams to ensure holistic management of women suffering from cervical cancer.