Universität zu Köln

von Bergwelt-Baildon, Michael, Hallek, Michael J., Shimabukuro-Vornhagen, Alexander A. and Kochanek, Matthias (2010). CCC meets ICU: Redefining the role of critical care of cancer patients. BMC Cancer, 10. LONDON: BMC. ISSN 1471-2407

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Abstract

Background: 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. Discussion: 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. Conclusion: 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.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code von Bergwelt-Baildon, Michael UNSPECIFIED UNSPECIFIED UNSPECIFIED Hallek, Michael J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Shimabukuro-Vornhagen, Alexander A. UNSPECIFIED UNSPECIFIED UNSPECIFIED Kochanek, Matthias UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-492620
DOI:	10.1186/1471-2407-10-612
Journal or Publication Title:	BMC Cancer
Volume:	10
Date:	2010
Publisher:	BMC
Place of Publication:	LONDON
ISSN:	1471-2407
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language STEM-CELL TRANSPLANTATION; OF-ILLNESS SCORES; INTENSIVE-CARE; LUNG-CANCER; MECHANICAL VENTILATION; SEPTIC SHOCK; HEMATOLOGICAL MALIGNANCIES; PROGNOSTIC-FACTORS; TARGETED THERAPY; UNIT MORTALITY Multiple languages Oncology Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/49262