Geriatrics Review Syllabus: A Core Curriculum in Geriatric Medicine

Vivenzio, Rocco

doi:10.7326/0003-4819-134-9_part_1-200105010-00029

Ann Intern Med

2001

DOI: 10.7326/0003-4819-134-9_part_1-200105010-00029

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Geriatrics Review Syllabus: A Core Curriculum in Geriatric Medicine

Rocco Vivenzio¹

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2010

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Somatic Symptoms in Patients With Cancer Experiencing Pain or Depression

Kroenke¹,

Zhong²,

Theobald³

et al. 2010

Arch Intern Med

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Background The adverse impact of high somatic symptom burden is well established for primary care and other noncancer populations with chronic medical disorders. This study examines the impact of somatic symptom burden on disability and health care use in cancer patients suffering from pain and/or depression. Methods Secondary analysis of baseline data from 405 cancer patients enrolled in a telecare management trial for pain and/or depression. Somatic symptom burden was measured with a 22-item scale. Multivariable models were conducted to determine the association of somatic symptom burden with the Sheehan Disability Scale (SDS) score, the number of self-reported disability days in the past 3 months, and health care use. Models were adjusted for sociodemographic characteristics, medical comorbidity, and depression and pain severity. Results Somatic symptoms were highly prevalent, with 15 of the 22 symptoms reported by more than 50% of patients. Somatic symptom burden was similar across different types and phases of cancer. The mean SDS (scored 0 to 10) was 5.4 and the mean number of self-reported disability days in the past 4 weeks was 16.9 days. In multivariable models, somatic symptom burden was associated with both SDS (P < .001) and the likelihood of ≥ 14 disability days in the past 4 weeks (OR=1.51; 95% CI, 1.19–1.92) but was not with increased health care use. Conclusions Somatic symptom burden is high in cancer patients with pain and/or depression. Given the strong association with disability and the high prevalence of many types of symptoms, recognizing and managing somatic symptoms may be important in improving quality of life and functional status regardless of type or phase of cancer.

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Somatic Symptoms in Patients With Cancer Experiencing Pain or Depression

Kroenke¹,

Zhong²,

Theobald³

et al. 2010

Arch Intern Med

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Geriatrics Review Syllabus: A Core Curriculum in Geriatric Medicine

Cited by 1 publication

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Somatic Symptoms in Patients With Cancer Experiencing Pain or Depression

Somatic Symptoms in Patients With Cancer Experiencing Pain or Depression

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