Symptom Control in Patients with Cancer

Bruera, Éduardo

doi:10.1300/j077v08n02_04

Cited by 18 publications

(12 citation statements)

References 39 publications

(47 reference statements)

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“…1) The most common symptoms were pain, asthenia, anorexia, and problems with anxiety or depression. This confirms previously published information about the prevalence of symptoms at the end of life in cancer patients [5,6,7,8]. 2) Some symptoms were definitively much less well controlled than others.…”

Section: Activitysupporting

confidence: 90%

Supportive and palliative care: experience at the Institut Jules Bordet

Mancini

Lossignol

Obiols

et al. 2002

Support Care Cancer

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The Supportive and Palliative Care Unit of the Institut Jules Bordet officially started its activities in February 1999. Our Unit comprises eight beds (four rooms with one bed each and two rooms with two beds each). We admit advanced cancer patients presenting with severe symptoms whose control is going to require all the expertise of a multidisciplinary team. Whilst these eight beds are identified geographically in the hospital, the team's mobility assures continuity of care for patients who wish to stay in another department. The infrastructure of the Unit and its rooms allow close family members who wish to sleep close to the patients to do so. Otherwise, visits are allowed round the clock, though always with due consideration for patients' comfort. Patients are referred either by a physician working in our Institution (medical oncologist, surgeon, or radiotherapist) or by their family physicians. Less frequently, patients themselves specifically ask to be admitted to our Unit. The activity of the Unit itself during its first year of functioning can be summarized as follows. We admitted 155 advanced cancer patients, for a total number of 210 hospitalizations. Patients were admitted a median of 35 months after their diagnosis and a median of 20 days before death. Stays were generally short (median 11 days). We systematically used quantitative assessment tools (MMSQ, MDAS,EFAT and various VAS) to detect and monitor their symptoms and any complications. The main symptoms on admission were pain, anorexia, asthenia, dyspnea and anxiety/depression. Pain, nausea/vomiting, constipation and cough were controlled in almost all patients, whereas control of asthenia and anorexia was most often insufficient. In 51% of our cases the patients could be discharged home; 40% died in the unit; 4% were transferred to long-term palliative care units and 1% to other units within our Institution (4% were still hospitalized at the time of this analysis).

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Section: Activitysupporting

confidence: 90%

Supportive and palliative care: experience at the Institut Jules Bordet

Mancini

Lossignol

Obiols

et al. 2002

Support Care Cancer

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“…The median was 9.3±3.1 symptoms for each case (2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18). Majority of them were not especially distressing for patients (mean 2), except asthenia, anorexia (mean 4), weight loss and dry mouth (mean 3).…”

Section: Resultsmentioning

confidence: 99%

“…Morasso et al quantified it in r=0.46 [28]. Relevant symptoms descriptive studies are shown in Table 6 [5,6,10,12,14,27,34,36,45,46,48,53]. The most frequent symptom in disseminated cancer studies was pain.…”

Section: Discussionmentioning

confidence: 99%

Descriptive analysis of clinical factors affecting terminally ill cancer patients

Jimenez-Gordo

Feliú

Martínez

et al. 2008

Support Care Cancer

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“…The only significant predictors of current physical functioning were prior levels of physical functioning and symptom severity. Degner and Sloan [13] have observed that patients with lung cancer experience more symptom distress and die sooner than patients with other types of cancer, and other authors have also noted the important relationship between symptoms and functional status [14,15,16].…”

Section: Discussionmentioning

confidence: 99%

Predictors of physical functioning among geriatric patients with small cell or non-small cell lung cancer 3 months after diagnosis

Kurtz

Stommel

et al. 1999

Supportive Care in Cancer

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This study investigated how treatment options, symptom severity, prediagnosis levels of physical functioning, comorbidity, gender, and age predicted current physical functioning in geriatric patients with small-cell or non-small-cell lung cancer, 12 weeks after their diagnosis. The study involved 146 patients aged 65 years and over with an incident diagnosis of lung cancer. Analysis of covariance revealed no significant differences in physical functioning according to treatment type, small-cell versus non-small-cell classification or gender. Significant predictors of current physical functioning were symptom severity and prior physical functioning. The characteristics of a high-risk profile for disruption in physical functioning of elderly lung cancer patients 12 weeks after their diagnosis would include preexisting physical impairment and high levels of symptomatology.

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Symptom Control in Patients with Cancer

Cited by 18 publications

References 39 publications

Supportive and palliative care: experience at the Institut Jules Bordet

Supportive and palliative care: experience at the Institut Jules Bordet

Descriptive analysis of clinical factors affecting terminally ill cancer patients

Predictors of physical functioning among geriatric patients with small cell or non-small cell lung cancer 3 months after diagnosis

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