Descriptive analysis of clinical factors affecting terminally ill cancer patients

Jimenez-Gordo, Ana María; Feliú, Jaime; Martínez, Beatriz; Castro, Javier de; Rodrı́guez-Salas, Nuria; Sastre, Noelia; Vilches, Y.; Espinosa, Enrique; Rodríguez-Aizcorbe, J. R.; González-Barón, Manuel

doi:10.1007/s00520-008-0460-y

Cited by 16 publications

(10 citation statements)

References 50 publications

(70 reference statements)

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“…Our results identified that nonelderly patients were more likely to suffer from insomnia, which was similar to the results in the literature [22], which suggested that physical discomfort, especially intractable pain, may disrupt sleep [23,24]. Psychosocial distress including anxiety and depression may also cause sleep problems [25].…”

Section: Discussionsupporting

confidence: 89%

A comprehensive approach in hospice shared care in Taiwan: Nonelderly patients have more physical, psychosocial and spiritual suffering

Yang

Chiu

Huang

et al. 2013

The Kaohsiung J of Med Scie

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While symptomatic differences exist between younger and older advanced cancer patients, few studies have examined the differences in their care with respect to age. Our goals were to examine the influences of age differences on physical, psychosocial and spiritual distress among advanced cancer patients. Advanced cancer patients who resided in Kaohsiung Medical University Hospital during 2007-2008 were recruited. Data were collected through professional consultants. The influences of age variations on physical, psychosocial and spiritual distress in nonelderly (<60 years old) and elderly (≧60 years old) patients were analyzed. A total of 1013 advanced cancer patients were included in the analyses with 467 nonelderly patients and 546 elderly patients. Nonelderly patients were identified to have a higher baseline pain level (4.0 vs. 2.8, p<0.001), breakthrough pain (19.3% vs. 9.9%, p<0.01), insomnia (6.4% vs. 2.7%, p=0.006), emotional distress (69.0% vs. 60.6%, p=0.013), and unwillingness to pass away because of concern for loved ones (18.8% vs. 11.9%, p=0.003) with significant difference. Elderly ones were concerned about unfulfilled wishes (29.7% vs. 18.4%, p<0.001) in spiritual concerns. After adjustments in regression models, nonelderly age (<60 years old) still revealed significant positive or negative impact on all categories of distress. Patients aged under 60 years have more physical, psychosocial and spiritual suffering. This study suggested that professional practitioners should provide intensive care for vulnerable terminally ill cancer patients.

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Section: Discussionsupporting

confidence: 89%

A comprehensive approach in hospice shared care in Taiwan: Nonelderly patients have more physical, psychosocial and spiritual suffering

Yang

Chiu

Huang

et al. 2013

The Kaohsiung J of Med Scie

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“…The patients in our study exhibited the general pain status of patients with terminal cancer, in accordance with previous studies that reported a prevalence of pain of 80.5% to 83.8% among patients with terminal cancer. 10,15 In our study, 80.5% of patients with NP had mixed pain components. In a recent systematic review, 51.4% of patients with NP had mixed pain components.…”

Section: Discussionmentioning

confidence: 47%

“…9 The results of a previous observational study reported a prevalence of NP of 7.6% among 406 patients with cancer with a median survival time of 26.5 days. 10 In this study, patients with NP were diagnosed by ''interview of the physician,'' as a detailed diagnostic method of NP was not described. Therefore, it is difficult to make a direct comparison with our results.…”

Section: Discussionmentioning

confidence: 99%

The Prevalence of Neuropathic Pain in Terminally Ill Patients With Cancer Admitted to a Palliative Care Unit

Harada

Tamura

Ota

2015

Am J Hosp Palliat Care

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“…Igualmente corroboramos que los cánceres de pulmón y mama son los que más astenia producen, tanto por los criterios de la ICD-10 adaptada como por el IK graduado, en consonancia con la bibliografía actual 2,14 . No encontramos una relación directa entre astenia tumoral y los distintos tipos de tratamiento, probablemente debido al pequeño tamaño muestral, a diferencia de lo dispuesto en la bibliografía 2,3,5,9 . La AT, en nuestra serie, no depende ni de la edad ni del tiempo de diagnóstico de la enfermedad al igual que en la bibliografía 1, 5,14,26---28 .…”

Section: Discussionunclassified

Diagnóstico de la astenia tumoral en Atención Primaria. Propuesta de correlación entre dos escalas

Cruz¹,

Estévez²,

Turiño-Luque³

2012

Medicina Paliativa

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Recibido el 14 de septiembre de 2010; aceptado el 30 de septiembre de 2010 Disponible en Internet el 3 de diciembre de 2011 PALABRAS CLAVE Cáncer; Astenia tumoral; Cuidados Paliativos; Atención Primaria; Índice de Karnosfky; ICD-10Resumen Objetivo: Detectar la astenia tumoral (AT) en Atención Primaria, posibilidades de evaluación y gradación de la misma con dos escalas propuestas, la clasificación ICD-10 (ICD-10) adaptada y el índice de Karnosfky (IK) graduado. Diseño: Estudio observacional descriptivo realizado en la Zona básica de Salud de Utrera (Sevilla) que engloba siete centros. Se detectaron 67 pacientes con cáncer, de los cuales participaron 61. Criterios de inclusión: aceptación a participar en el estudio, mayor de edad y diagnóstico de cáncer. Criterios de exclusión: no aceptación a participar, evidencia clínica de astenia de origen no tumoral, deterioro cognitivo o trastorno psiquiátrico severo. Parámetros analizados: edad, sexo, tipo de tumor, tratamiento anti-tumoral en los últimos doce meses, enfermedad oncológica terminal, puntuación del IK y grados de la clasificación ICD-10 adaptada para AT. Análisis estadístico: descriptivo, y debido al pequeño tamaño muestral un análisis correlacional e inferencial, ambos no paramétricos. Resultados: La AT según la ICD-10 adaptada está presente en el 70,5% de los casos y un 78,7% según el IK. Al analizar la correlación parcial entre tumores más frecuentes, la ICD-10 adaptado y el IK graduado encontramos diferencias estadísticamente significativas en el cáncer de pulmón, mama, próstata y colo-rectal, en referencia a la presencia de AT. Entre los criterios establecidos de AT en la ICD-10 adaptado e IK graduado existe una relación lineal e inversa estadísticamente significativa (p = 0,001). Conclusiones: La ICD-10 adaptada permite reconocer y graduar la AT en pacientes oncológicos. El IK puede ser una herramienta complementaria.

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Descriptive analysis of clinical factors affecting terminally ill cancer patients

Abstract: We should know more frequent symptoms affecting terminal cancer patients and any factor contributing to it to provide more comfort in the final phases of life.

Cited by 16 publications

References 50 publications

A comprehensive approach in hospice shared care in Taiwan: Nonelderly patients have more physical, psychosocial and spiritual suffering

A comprehensive approach in hospice shared care in Taiwan: Nonelderly patients have more physical, psychosocial and spiritual suffering

The Prevalence of Neuropathic Pain in Terminally Ill Patients With Cancer Admitted to a Palliative Care Unit

Diagnóstico de la astenia tumoral en Atención Primaria. Propuesta de correlación entre dos escalas

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