|LETTER TO EDITOR
|Year : 2020 | Volume
| Issue : 1 | Page : 118-119
Authors' reply to Chaturvedi, Khaddar, and Bhat et al.
Smita Asthana1, Rakesh Garg2
1 Department of Epidemiology and Biostatistics, ICMR-NICPR, Noida, Uttar Pradesh, India
2 Department of Onco-Anaesthesia and Palliative Medicine, Dr. BRAIRCH, All India Institute of Medical Sciences, New Delhi, India
|Date of Submission||23-Jan-2020|
|Date of Acceptance||23-Jan-2020|
|Date of Web Publication||24-Feb-2020|
Department of Onco-Anaesthesia and Palliative Medicine, Dr. BRAIRCH, All India Institute of Medical Sciences, New Delhi - 110 029
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Asthana S, Garg R. Authors' reply to Chaturvedi, Khaddar, and Bhat et al. Cancer Res Stat Treat 2020;3:118-9
Our original article published on quality of life and the needs of Indian advanced cancer patients receiving palliative care has received very interesting reviews and comments including an editorial on the topic. We thank Dr Chaturvedi who has rightly indicated the need for quality of life distribution of patients into poor, satisfactory, and good categories. In addition, we would rather state that there is a specific item in the reported tool expressing patient's satisfaction with their general physicians (GPs) in the tool. The availability of palliative care physicians is grossly lacking in India. So, the present care of advanced cancer patients is by a variable group of physicians and nurses, as the GP system does not exist for palliative care in our country. As stated earlier, we agree with the view of doctors facing challenges and ethical dilemmas in providing palliative care in Indian settings. This correlates with the outcome of our study for needs and satisfaction for the palliative care. We agree with the fact that a tool focusing on specific needs of the Indian population would better depict the needs and problems. However, no validated tools for our Indian population have been made, and this needs future research in this context.
We appreciate the comments by Khaddar. We fully agree with the author regarding the need of specific intervention for improving the quality of life. The interventions are always based on the needs of patients requiring supportive care. This article has presented various concerns and shall be useful for future planning of various interventions to improve the quality of life.
We agree with the comments made by Bhat and Dighe in another letter for the beneficial impact of our article to plan further interventions for advanced cancer patients after understanding their needs. The validation issue of patient care related to advanced cancer has global similarities with some exceptions of cultural difference. Further, we agree that there is a need for improved communication between doctors and patients. This manuscript shall provide a platform for future planning for interventions to improve quality of life in advanced cancer patients in the Indian context.
Financial support and sponsorship
Conflicts of interest
There are no conflicts of interest.
| References|| |
Asthana S, Bhatia S, Dhoundiyal R, Labani SP, Garg R, Bhatnagar S. Quality of life and needs of the Indian advanced cancer patients receiving palliative care. Cancer Res Stat Treat 2019;2:138-44. [Full text]
Salins N. Health-related quality of life: Is it a missing feature in the Indian cancer setting? Cancer Res Stat Treat 2019;2:213-4. [Full text]
Chaturvedi SK. Problems and needs of patients in palliative care. Cancer Res Stat Treat 2020;3:115. [Full text]
Khaddar S. Quality of life in advanced cancer patients. Cancer Res Stat Treat 2020;3:117. [Full text]
Bhat RS, Dighe MD. Health related quality of life and needs speak a global language that seek local solutions. Cancer Res Stat Treat 2020;3:116. [Full text]