This Article  • Full text  • PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citing articles on Web of Science (1)  • Contact me when this article is cited  Related Content  • Related articles  • Similar articles in JAMA  Topic Collections  • Neurology  • Oncology  • Brain Cancer  • Patient-Physician Relationship/ Care  • End-of-life Care/ Palliative Medicine  • Alert me on articles by topic  Social Bookmarking   What's this?

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

In Reply: As a multidisciplinary group of investigators, some of whom began our careers in palliative care, we agree that the issues Dr Shannon and colleagues raise, such as relief of common symptoms like fatigue or cognitive deficits, as well as medical and psychosocial support to improve quality of life, are of critical importance to patients with brain tumors throughout their entire illness. Whether trained as surgeons, neurologists, or medical or radiation oncologists, clinicians who care for patients with brain tumors should all receive instruction in these basic principles of palliative care that are central to the care of all patients and should be familiar to all physicians.¹ The declared specialty of the physician providing these aspects of care seems less important, since patients with brain tumors receive their primary treatment from members of several specialties during the course of their disease. We agree that research into symptom palliation for . . . [Full Text of this Article]

Susan Chang, MD
changs@neurosurg.ucsf.edu

Ian F. Parney, MD, PhD; Mitchel S. Berger, MD
Department of Neurological Surgery
University of California
San Francisco

Frederick A. Anderson, Jr, PhD; Wei Huang, MS
Center for Outcomes Research
Department of Surgery
University of Massachusetts Medical School
North Worcester

Anthony L. Asher, MD
Carolina Neurosurgery and Spine Associates
Charlotte, NC

Mark Bernstein, MD
Division of Neurosurgery
University of Toronto
Toronto, Ontario

Kevin O. Lillehei, MD
Department of Neurological Surgery
University of Colorado
Denver

Henry Brem, MD
Department of Neurological Surgery and Oncology
Johns Hopkins University
Baltimore, Md

Edward R. Laws, MD
Department of Neurological Surgery
University of Virginia
Charlottesville

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

RELATED ARTICLES

Patterns of Care for Adults With Malignant Glioma
Robert P. Shannon, Jerry W. Sayre, and Judith J. Sayre
JAMA. 2005;293(20):2469-2470.
EXTRACT | FULL TEXT  

Patterns of Care for Adults With Newly Diagnosed Malignant Glioma
Susan M. Chang, Ian F. Parney, Wei Huang, Frederick A. Anderson, Jr, Anthony L. Asher, Mark Bernstein, Kevin O. Lillehei, Henry Brem, Mitchel S. Berger, Edward R. Laws, and for the Glioma Outcomes Project Investigators
JAMA. 2005;293(5):557-564.
ABSTRACT | FULL TEXT  

Malignant Gliomas in 2005: Where to GO From Here?
Paul Graham Fisher and Patricia A. Buffler
JAMA. 2005;293(5):615-617.
EXTRACT | FULL TEXT