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As such, patients with evidence of metastases to liver, bone, lung, for example, should be approached with a palliative strategy.
Localized breast cancer is considered as curable whereas the existence of metastasis means a palliative strategy [ 3- 5].
In 12 patients, the palliative strategy was modified (alteration of systemic chemotherapeutics, induction or abandonment of radionuclide therapy).
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It is authorised for use in patients whose disease progresses after docetaxel, for whom it has been shown to provide a survival benefit over current palliative strategies.
When death is almost certain to be the outcome regardless of whether life-supporting interventions are used, the focus of communication with the family should be on palliative strategies designed to maximize patient comfort and on negotiation with the family members to minimize any feelings of guilt [58],[58].
Therefore, palliative strategies are still necessary for patients with GC, especially in late stages [ 9].
Imatinib or combinations of glucocorticoids and growth hormone are alternative palliative strategies for symptomatic hypoglycemia.
For targeting preventive, curative or palliative strategies it is important that disability can be predicted in order to identify high-risk groups.
This trial evaluates two different palliative strategies: strategy 1 – treat aggressively with a high-dose regimen and reduce doses as necessary; or strategy 2 – start cautiously with a less aggressive form of chemotherapy.
Fourty-six percent % stated that QoL must influence much or very much diagnostic choices and an even higher percentage reported that QoL must influence much or very much therapeutic and palliative strategies (70.8% and 91.3%, respectively).
Given the magnitude of the regional epidemic, combined with the lack of adequate health infrastructure and human resources, it is necessary to develop community-based palliative strategies and end-of-life care models that adapt to local needs [ 3, 4].
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