Case report: Poor prognosis or poor prognostication?

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-10-31 DOI:10.1017/S1478951524001512

Jacqueline Tschanz, Rida Khan, Eduardo Bruera

引用次数: 0

Abstract

Objectives: This case highlights the limitations of current prognostication and communication in clinical practice.

Methods: We report a case of a 50 year old patient with metastatic melanoma following admission to intensive care unit and later transferred to palliative care unit for end-of-life care.

Results: The patient had clinical improvement despite signs of predictors of death and was later transferred back to care of oncology team.

Significance of results: Physicians frequently overestimate or underestimate survival time which can be distressing to patients and families. There is need for further research to improve the accuracy of these tools for the sake of our patients and their families.

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病例报告：预后不良还是预后不佳？

目的本病例强调了目前临床实践中预后和沟通的局限性：我们报告了一例 50 岁的转移性黑色素瘤患者在重症监护病房入院后转入姑息治疗病房接受临终关怀的病例：结果：尽管存在死亡预兆，但患者的临床症状有所改善，随后转回肿瘤科团队治疗：结果的意义：医生经常高估或低估存活时间，这可能会给患者和家属带来痛苦。为了病人和家属的利益，有必要进一步研究提高这些工具的准确性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.