Palliation
•
Multiple aims
•
Different aims in different patients
•
Different aims over times
•
Different between doctors
Example Symptomatic Brain Metastases of SCLC
Europe
USA
Extend Life
23 %
48 %
Relieve Symptoms
87 %
96 %
Prevent Symptoms
39 %
80 %
Give Hope
20 %
44 %
Maher et al, RedJ 1992