NDLI: Symptom severity of patients with advanced cancer in palliative care unit: longitudinal assessments of symptoms improvement

Content Provider	Springer Nature : BioMed Central
Author	Tai, Shu-Yu Lee, Chung-Yin Wu, Chien-Yi Hsieh, Hui-Ya Huang, Joh-Jong Huang, Chia-Tsuan Chien, Chen-Yu
Abstract	Background This study assessed the symptom severity of patients with advanced cancer in a palliative care unit and explored the factors associated with symptom improvement. Methods This study was conducted in a palliative care unit in Taiwan between October 2004 and December 2009. Symptom intensity was measured by the “Symptom Reporting Form”, and graded on a scale of 0 to 4 (0 = none, and 4 = extreme). These measures were assessed on the 1st, 3rd, 5th, and 7th Day in the palliative care unit. The study data comprised routine clinical records and patients’ demographic data. Generalized estimating equation (GEE) was used to assess the symptom improvement, and investigate the factors associated with the symptom reporting form scores. Results Among the 824 recruited patients with advanced cancer, pain (78.4 %), anorexia (64.4 %) and constipation (63.5 %)were the most common and severe symptom. After controlling for other factors in the multivariate GEE model, the day of palliative care administration was a significant factor associated with all of the scales, except Days 7 on the dyspnoea and oedema scales and Day 5 on the anxiety scale. In addition, patients aged ≥ 65 years exhibited significantly lower scores on the pain, sleep disturbance, depression, and anxiety scales than did those aged < 65 years. Moreover, female patients exhibited higher scores on the vomiting, anorexia, oedema, depression, and anxiety scales than did male patients. Furthermore, patients with gastrointestinal tract cancer exhibited higher scores on the constipation, vomiting, anorexia, oedema, depression, and anxiety scales and lower scores on the dyspnoea scale than did those with lung cancer. Patients with breast cancer exhibited higher scores on the oedema scale and lower scores on the anxiety scale. Patients with genitourinary cancer exhibited higher scores on the vomiting and oedema scales and lower scores on the dyspnoea scale. Patients with head, neck, and oral cancer exhibited lower scores on the oedema scale alone. Conclusion The symptom severity declined during the first week in the palliative care unit. In addition, differences in sex and primary cancer sites may contribute to varying degrees of symptom improvement.
Related Links	https://bmcpalliatcare.biomedcentral.com/counter/pdf/10.1186/s12904-016-0105-8.pdf
Ending Page	7
Page Count	7
Starting Page	1
File Format	HTM / HTML
DOI	10.1186/s12904-016-0105-8
Journal	BMC Palliative Care
Issue Number	1
Volume Number	15
Language	English
Publisher	BioMed Central
Publisher Date	2016-03-11
Access Restriction	Open
Subject Keyword	Pain Medicine Quality of Life Research Palliative Medicine Advanced cancer Palliative care Symptom severity Generalised estimating equation
Content Type	Text
Resource Type	Article
Subject	Medicine
Journal Impact Factor	2.5/2023
5-Year Journal Impact Factor	3.2/2023

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

Factors associated with the severity and improvement of fatigue in patients with advanced cancer presenting to an outpatient palliative care clinic

Dimensions of spiritual well-being in relation to physical and psychological symptoms: a cross-sectional study of advanced cancer patients admitted to a palliative care unit

Multiple Dimensions of the Symptom Experience in Patients with Advanced Cancer and their Impact on Quality of Life

The relationship between pain management and psychospiritual distress in patients with advanced cancer following admission to a palliative care unit

Impact of ambulatory palliative care on symptoms and service outcomes in cancer patients: a retrospective cohort study

A cross-sectional assessment of symptom burden among patients with advanced cervical cancer

Palliative care needs among patients with advanced illnesses in Bhutan

Content validation of the EORTC QLQ-C15-PAL with advanced cancer patients and health care professionals from palliative care services in Chile

Integrating Palliative and Oncology Care for Patients with Advanced Cancer: A Quality Improvement Intervention.

Symptom severity of patients with advanced cancer in palliative care unit: longitudinal assessments of symptoms improvement

Similar Documents

Factors associated with the severity and improvement of fatigue in patients with advanced cancer presenting to an outpatient palliative care clinic

Dimensions of spiritual well-being in relation to physical and psychological symptoms: a cross-sectional study of advanced cancer patients admitted to a palliative care unit

Multiple Dimensions of the Symptom Experience in Patients with Advanced Cancer and their Impact on Quality of Life

The relationship between pain management and psychospiritual distress in patients with advanced cancer following admission to a palliative care unit

Impact of ambulatory palliative care on symptoms and service outcomes in cancer patients: a retrospective cohort study

A cross-sectional assessment of symptom burden among patients with advanced cervical cancer

Palliative care needs among patients with advanced illnesses in Bhutan

Content validation of the EORTC QLQ-C15-PAL with advanced cancer patients and health care professionals from palliative care services in Chile

Integrating Palliative and Oncology Care for Patients with Advanced Cancer: A Quality Improvement Intervention.

Symptom severity of patients with advanced cancer in palliative care unit: longitudinal assessments of symptoms improvement