Page 41 - IJSA, Vol. 4, No 2, 2021
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International Journal of Science Annals, Vol. 5, No. 1-2, 2022
                      рrint ISSN: 2617-2682; online ISSN: 2707-3637; DOI:10.26697/ijsa

                         SOCIAL AND BEHAVIORAL SCIENCES. Rehabilitation

            ORIGINAL RESEARCH
                                      Significance of Palliative Care for

                                 the Quality of Life for Oncology Patients



                 Authors’ Contribution:
                                                                                         2 DEFG
             A – Study design;                       Nikolov A. 1 ABCDEFG   , Georgieva L.
             B – Data collection;
             C – Statistical analysis;     1  Dental Clinic “Zahnzentrum Rudow“, Germany
             D – Data interpretation;      2  Medical University – Sofia, Bulgaria
             E – Manuscript preparation;
             F – Literature search;        Received: 12.10.2022; Accepted: 17.11.2022; Published: 25.12.2022
             G – Funds collection
                                           Abstract
                          Background and   Oncological diseases are one of the biggest problems that can cause irreparable
                            Aim of Study:   harm to human health. The significance of various types’ medical care on the
                                           quality of life for patients with malignant diseases remains an urgent research
                                           problem.
                                           The aim of the study: to provide empirical data for the significance of palliative
                                           care in supporting the quality of life for patients with gastric cancer.

                     Material and Methods:  The study was conducted at the University Hospital of Heidelberg, Germany. A
                                           representative sample of the study subjects consisted of 378 patients diagnosed
                                           with gastric cancer. Comparative analyzes to approaches in cancer prevention,
                                           as  well  as  5-year  survival  among  patients  with  gastric  cancer  in  Germany,
                                           Bulgaria, Japan, and Singapore were used.

                                 Results:   The majority of the patients in the study sample from Germany died in their homes
                                           or in hospices (91.2%), while only a small proportion died in the hospital (8.7%).
                                           Based  on  the  international  comparison,  we  concluded  that  in  Bulgaria,  the
                                           ongoing treatment and care of terminally ill patients differ significantly in terms
                                           of their scope, development level and impact on the patients. The 5-year survival
                                           rate for stomach cancer in Bulgaria is 3%, which is much lower than in Asian
                                           countries,  where  there  is  a  significantly  higher  survival  rate  for  this  disease:
                                           Singapore 10-30%, Japan 12-35%.

                             Conclusions:   The significance of the palliative care to support the quality of life for oncological
                                           patients has been constantly increasing in recent years. Systemic and long-term
                                           palliative care provides the necessary support for quality of life and can affect
                                           the 5-year survival of oncological patients. This is confirmed by our study in
                                           Germany,  where  rates  are  28-30%.  The  authors  recommend  providing
                                           professional, high-quality palliative care as needed to ensure quality of life for
                                           patients with malignant diseases.

                               Keywords:   palliative care, life quality, 5-year survival, patients, stomach cancer, mortality
                                           from gastric cancer

                               Copyright:   © 2022 Nikolov A., Georgieva L. Published by Archives of International Journal
                                           of Science Annals

                            DOI and UDC    DOI https://doi.org/10.26697/ijsa.2022.1-2.4  UDC 616-082:616-006

                       Conflict of interests:  The authors declare that there is no conflict of interests

                              Peer review:   Double-blind review

                        Source of support:   This research did not receive any outside funding or support

                         Information about  Nikolov Alexander (Corresponding Author) – https://orcid.org/0000-0001-5414-
                              the authors:  9378;  [email protected];  PhD  student,  Dental  Clinic
                                          “Zahnzentrum Rudow“, Berlin, Germany.
                                           Georgieva  Lidia  –  https://orcid.org/0000-0002-9320-9203;  Doctor  of  Medical
                                           Sciences, MD, Professor, Medical University – Sofia, Sofia, Bulgaria.



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