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Patterns of Care for Adults With Malignant Glioma—Reply
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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
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