title: [Difficult therapeutic decisions in clinically advanced head and neck tumors--the role of quality of life factors].
abstract: Among the patients with IV stage advancement of head and neck tumours, the group selected to radical treatment and group primary treated with palliative intention are nearly equal. The factors which are, or should be taken into consideration in difficult therapeutic decisions concerning this patients, has been critically discussed. The quality adjusted survival score, factor of opportunity cost, the real place of patient in critically difficult therapeutic decisions, the doctors attitude to this problem, and the potential risk of abusing the quality of live factor in decision considering the euthanasia.
authors.affiliation: Dział Chirurgii Głowy i Szyi Swietokrzyskiego Centrum Onkologii w Kielcach.
authors.forename: Stanisław
authors.initials: S
authors.lastname: Bień
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002983:Clinical Competence; D003657:Decision Making; D005066:Euthanasia, Passive; D005260:Female; D006258:Head and Neck Neoplasms / Q000473:pathology* / Q000601:surgery / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D010166:Palliative Care / Q000379:methods*; D010818:Practice Patterns, Physicians'; D011788:Quality of Life; D012307:Risk Factors; D016019:Survival Analysis