دورية أكاديمية
Personalized Goal for Dyspnea and Clinical Response in Advanced Cancer Patients
| العنوان: | Personalized Goal for Dyspnea and Clinical Response in Advanced Cancer Patients |
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| المؤلفون: | Mercadante, Sebastiano, Adile, Claudio, Aielli, Federica, Lanzetta, Gaetano, Mistakidou, Kyriaki, Maltoni, Marco, Soares, Luiz Guilherme, De Santis, Stefano, Ferrera, Patrizia, Rosati, Marta, Rossi, Romina, Casuccio, Alessandra |
| المساهمون: | Mercadante, Sebastiano*, Adile, Claudio, Aielli, Federica, Lanzetta, Gaetano, Mistakidou, Kyriaki, Maltoni, Marco, Soares, Luiz Guilherme, De Santis, Stefano, Ferrera, Patrizia, Rosati, Marta, Rossi, Romina, Casuccio, Alessandra |
| بيانات النشر: | Elsevier Inc. |
| سنة النشر: | 2019 |
| المجموعة: | IRIS Università degli Studi di Palermo |
| مصطلحات موضوعية: | Advanced cancer, dyspnea, global impression of change, palliative care, personalized symptom goal, symptom assessment, Nursing (all)2901 Nursing (miscellaneous), Neurology (clinical), Anesthesiology and Pain Medicine |
| الوصف: | Background: The clinical response after comprehensive symptom management is difficult to determine in terms of a clinically important difference. Moreover, therapies should try to reach the threshold perceived by the individual patient for the determination of a favorable response to a treatment. Measures: The Edmonton Symptom Assessment Score (ESAS) was measured at admission (T0), and seven days after starting palliative care (T7). Patient Global Impression and Goal Response after one week of palliative care and its relation with the Personalized Dyspnea Goal were measured at T7. Intervention: Patients admitted to palliative care units underwent a comprehensive symptom assessment by a specialist palliative care team. At T0, patients were asked about their Personalized Dyspnea Intensity Goal on ESAS. One week later (T7), after a comprehensive palliative care treatment, Personalized Dyspnea Intensity Goals were measured again. Patients were considered to have achieved a Patient Dyspnea Goal Response if dyspnea intensity (measured at T7) was equal or less than their expected Personalized Dyspnea Intensity Goal. At the same interval (T7), Patient Global Impression (improvement or deterioration) was measured. Outcomes: 279 patients were analyzed in this study. The mean Personalized Dyspnea Intensity Goal at T0 and T7 were 0.97 (SD 1.3), and 0.71 (SD 2.1), respectively. 263 patients (94.2%) indicated a Personalized Dyspnea Intensity Goal of ≤3 as a target at T0. Patients perceived a bit better, a better improvement, and a much better improvement with a mean decrease in dyspnea intensity of -2.1, -3.5, and -4.3 points on the dyspnea intensity scale, respectively. In 60 patients (21.5%), dyspnea intensity did not change, and in 4.7%, dyspnea intensity worsened. Patients perceived a Minimal Clinically Important Difference (little worse) with a mean increase in dyspnea intensity of 0.10, and they perceived a worse with a mean increase of 1.7 points. Higher dyspnea intensity at T0 and lower dyspnea intensity at T7 were ... |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| العلاقة: | info:eu-repo/semantics/altIdentifier/pmid/30336213; info:eu-repo/semantics/altIdentifier/wos/WOS:000454242100020; volume:57; issue:1; firstpage:79; lastpage:85; numberofpages:7; journal:JOURNAL OF PAIN AND SYMPTOM MANAGEMENT; http://hdl.handle.net/10447/343542Test; info:eu-repo/semantics/altIdentifier/scopus/2-s2.0-85058968434 |
| DOI: | 10.1016/j.jpainsymman.2018.10.492 |
| الإتاحة: | https://doi.org/10.1016/j.jpainsymman.2018.10.492Test http://hdl.handle.net/10447/343542Test |
| حقوق: | info:eu-repo/semantics/openAccess |
| رقم الانضمام: | edsbas.3150D789 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1016/j.jpainsymman.2018.10.492 |
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