Primary and Specialist Palliative Care in Neurosurgery: A Narrative Review and Bibliometric Analysis of Glioblastoma and Stroke

Authors

Daniel Jeremiah Harrison, Department of Neurosurgery, Mayo Clinic, Rochester, Minnesota, USA. Electronic address: harrison.daniel@mayo.edu.
Emily Wu, Department of Neurosurgery, Mayo Clinic, Phoenix, Arizona, USA.
Rohin Singh, Department of Neurosurgery, Mayo Clinic, Phoenix, Arizona, USA.
Summer Ghaith, Department of Neurosurgery, Mayo Clinic, Phoenix, Arizona, USA.
Paola Suarez-Meade, Department of Neurosurgery, Mayo Clinic, Jacksonville, Florida, USA.
Nolan J. Brown, Department of Neurosurgery, Mayo Clinic, Phoenix, Arizona, USA.
Wendy J. Sherman, Department of Neurology, Mayo Clinic, Jacksonville, Florida, USA.
Maisha T. Robinson, Department of Neurology, Mayo Clinic, Jacksonville, Florida, USA; Division of Palliative Medicine, Mayo Clinic, Jacksonville, Florida, USA.
Michelle P. Lin, Department of Neurology, Mayo Clinic, Jacksonville, Florida, USA.
Michael T. Lawton, Department of Neurosurgery, Barrow Neurological Institute, Phoenix, Arizona, USA.
Alfredo Quinones-Hinojosa, Department of Neurosurgery, Mayo Clinic, Jacksonville, Florida, USA.

Document Type

Article

Abstract

OBJECTIVE: Due to the increased demand for palliative care (PC) in recent years, a model has been proposed to divide PC into primary PC and specialist PC. This article aimed to delineate the indications for primary and specialist PC within 2 common neurosurgical conditions-glioblastoma (GBM) and stroke. METHODS: A systematic review and bibliometric analysis was conducted to better appreciate the practice trends in PC utilization for GBM and stroke patients using several databases. RESULTS: There were 70 studies on PC for GBM, the majority of which related to patient preference (22 [31%]). During 1999-2022, there was significant growth in publications per year on this topic at a rate of approximately 0.3 publications per year (P < 0.01). There were 44 studies on PC for stroke, the majority of which related to communication strategies (14 [32%]). During 1999-2022, there was no significant growth in stroke publications per year (P = 0.22). CONCLUSIONS: Due to the progressively disabling neurological course of GBM, we suggest that a specialty PC team be used in conjunction with the neurosurgical team early in the disease trajectory while patients are still able to communicate their preferences, goals, and values. In contrast, short-term and long-term stages of management of stroke have differing implications for PC needs, with the short-term stage necessitating adept, time-sensitive communication between the patient, family, and care teams. Thus, we propose that primary PC should be included as a core competency in neurosurgery training, among other stroke specialists.

Medical Subject Headings

Humans; Palliative Care; Glioblastoma (surgery); Neurosurgery; Bibliometrics; Stroke (surgery)

Publication Date

12-1-2023

Publication Title

World neurosurgery

E-ISSN

1878-8769

Volume

180

First Page

e250

Last Page

e257

PubMed ID

37739173

Digital Object Identifier (DOI)

10.1016/j.wneu.2023.09.048

Recommended Citation

Harrison, Daniel Jeremiah; Wu, Emily; Singh, Rohin; Ghaith, Summer; Suarez-Meade, Paola; Brown, Nolan J.; Sherman, Wendy J.; Robinson, Maisha T.; Lin, Michelle P.; Lawton, Michael T.; and Quinones-Hinojosa, Alfredo, "Primary and Specialist Palliative Care in Neurosurgery: A Narrative Review and Bibliometric Analysis of Glioblastoma and Stroke" (2023). Neurosurgery. 1947.
https://scholar.barrowneuro.org/neurosurgery/1947