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Symptom assessment ...
Symptom assessment in advanced palliative home care for cancer patients using the ESAS : Clinical aspects
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- Heedman, Per-Anders (author)
- Östergötlands Läns Landsting,Onkologiska kliniken US
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- Strang, Peter, 1957- (author)
- Östergötlands Läns Landsting,Linköpings universitet,Hälsouniversitetet,Palliativmediicin,LAH Linnea
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(creator_code:org_t)
- 2001
- 2001
- English.
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In: Anticancer Research. - 0250-7005 .- 1791-7530. ; 21:6 A, s. 4077-4082
- Related links:
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https://urn.kb.se/re...
Abstract
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- Four hundred and thirty-one cancer patients were assessed with the ESAS and a VAS-QoL at admission to Hospital-based home care (HBHC) and subsequently. Results: Pain and nausea were well-controlled (mean 2.5 and 1.8) whereas patients were less satisfied with appetite, activity and sense of well-being. Dyspnoea and anxiety (lung cancer, p<0.001 and p<0.01) and pain (prostate cancer, p<0.01), were related to diagnosis while activity, drowsiness, appetite and well-being to survival (p<0.05 to p<0.001). The correlations between individual symptoms and well-being were low (0.2-0.5), whereas the correlation between well-being and the Symptom Distress Score (SDS) was 0.76. "Well-being" was a better word to use than QoL. Discussion: ESAS is useful in HBHC and data show that symptoms other than merely pain and nausea are of importance. As the global measurement (one VAS) of well-being has a high correlation with SDS, this single measurement may be clinically adequate for quality assurance of symptom control in dying cancer patients.
Keyword
- MEDICINE
- MEDICIN
Publication and Content Type
- ref (subject category)
- art (subject category)
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