The Role of Specialty Palliative Care in Cancer Surgery: Rebecca Aslakson & Myrick Shinall
episode
GeriPal - A Geriatrics and Palliative Medicine Podcast
46 min
4 speakers
8 chapters
transcribed 10 hours ago
Transcript
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What motivated the researchers to conduct peri‑operative palliative care trials in cancer surgery?
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And on to the show. Welcome to the JerryPow Podcast. It's Eric Wadera. This is Alex Smith. And Alex, we're doing an episode today on specialty palliative care and cancer surgery. Who do we
have with us? We are delighted to welcome Ricky Chenal, who is a general surgeon and palliative care doc and associate professor of surgery at Vanderbilt. And this is Ricky's, I think your second time on the podcast. Is that right, Ricky?
It is. Thank you for having me back.
Yeah. Welcome back. And we're also delighted to welcome Rebecca Oslo, who's a critical care anesthesiologist and palliative care doc and chair of the Department of Anesthesiology at the University of Vanderbilt. I think this is your first time on the podcast, which is long overdue.
So long. Little Vanessa Williams saving the best for last.
There you go.
So we got a ton to talk about. I'm gonna throw this out there because this is after reading, because Ricky and Rebecca both published articles, randomized controlled studies in palliative care and cancer surgery. And man, after reading both of them, kind of my take home was huh, it does not look like routine perioperative palliative care. Improves outcomes for patients. We're going to be talking about that, but before we jump into that, Rebecca, do you have a song request for Alex?
I do. We are although this may be broadcast in late January or February, it's early January when we're recording it. So we just finished the holiday season and I wanna promote one of the best holiday songs ever, which is the Fairy Tale of New York by the Pogues. And it's also one of those songs that simultaneously holds both sadness and hope. And I think that's a good thing when you think about surgical palliative care. And then Sometimes there's a little darkness and sadness, but then there's also hope at the same time.
I love it. Here's a little bit.
They've got cars, big as bars, they've got rivers of gold. But the wind goes right through you. It's no place for the old. When you first took my hand on a cold Christmas Eve, you promised me Broadway was waiting for me. You were handsome, you were pretty, Queen of New York City. With the band finished playing, they howled out for more. Sinatra was swinging, all the drunks they were singing. We kissed on the corner and danced through the night Then the boys of the NYPD choir were singing Galway Bay. And the bells were ringing out for Christmas Day.
I am really excited to ask some of my last questions when I think about the future of surgical palliative care, um, based on that song. But we're gonna hold off on that to the last question. So listeners, you gotta listen to the whole episode. Oh yeah, I'm gonna turn to you to start off with both of you to think about this question is like what motivated you like a randomized controlled trial. That's huge. It's tons of effort, right? Mm-hmm. Uh I'm gonna start off with Ricky. Like what motivated you to to do this study as a surgeon?
Yeah, so Really, I think what motivated me to do it as a surgeon was This was really what got me interested in palliative care as a surgeon. was the randomized control trials that had been done in this field in medical on ecology settings. You know, we had people like Marie Bakitis and Jennifer Timmel, who had done these really groundbreaking studies, you know, now it's it's been, you know, a decade and a half ago that showed that that specialist palliative care concurrent with active cancer therapy. Uh not only gave good palliative care outcomes, but gave good cancer outcomes, um, and in some cases prolonged survival.
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Chapters
8 chapters
1
What motivated the researchers to conduct peri‑operative palliative care trials in cancer surgery?
0:00–6:12
2
How did the SCOPE and PERIOP‑PC trials select their patient populations and interventions?
6:12–11:32
3
Why did the investigators choose health‑related quality of life (FACIT‑Pal) as the primary outcome?
11:32–17:10
4
What were the main quantitative results of the two randomized trials?
17:10–22:57
5
How did qualitative findings explain why the trials showed no benefit?
22:57–28:51
6
What did surgeons and palliative‑care clinicians learn about integrating palliative care into surgical pathways?
28:51–34:39
7
What future research directions do the authors propose for palliative care in surgical oncology?
34:39–40:28
8
What practical advice do the guests give to surgeons considering palliative‑care referrals?
40:28–46:00
Speakers
4 identifiedMore from GeriPal - A Geriatrics and Palliative Medicine Podcast
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