We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Pre‐screening of patient‐reported symptoms using the Edmonton Symptom Assessment System in outpatient palliative cancer care.
- Authors
Lee, Garden; Kim, Han Sang; Lee, Si Won; Park, Yu Rang; Kim, Eun Hwa; Lee, Bori; Hu, Youn Jung; Kim, Kyung‐A; Kim, DooA; Cho, Ho Yeon; Kang, Beodeul; Choi, Hye Jin
- Abstract
Objectives: Although early palliative care is associated with a better quality of life and improved outcomes in end‐of‐life cancer care, the criteria of palliative care referral are still elusive. Methods: We collected patient‐reported symptoms using the Edmonton Symptom Assessment System (ESAS) at the baseline, first and second follow‐up visits. A total of 71 patients were evaluable, with a median age of 65 years, male (62%) and Eastern Cooperative Oncology Group (ECOG) performance status distribution of 1/2/3 (28%/39%/33%) respectively. Results: Twenty (28%) patients had moderate/severe symptom burden with the mean ESAS ≥ 5. Interestingly, most of the patients with moderate/severe symptom burdens (ESAS ≥ 5) had globally elevated symptom expression. While the mean ESAS score was maintained in patients with mild symptom burden (ESAS < 5; 2.7 at the baseline; 3.4 at the first follow‐up; 3.0 at the second follow‐up; p =.117), there was significant symptom improvement in patients with moderate/severe symptom burden (ESAS ≥ 5; 6.5 at the baseline; 4.5 at the first follow‐up; 3.6 at the second follow‐up; p <.001). Conclusions: In conclusion, advanced cancer patients with ESAS ≥ 5 may benefit from outpatient palliative cancer care. Pre‐screening of patient‐reported symptoms using ESAS can be useful for identifying unmet palliative care needs in advanced cancer patients.
- Subjects
CANCER patients; CANCER patient medical care; CHI-squared test; CONFIDENCE intervals; FISHER exact test; MEDICAL needs assessment; HEALTH outcome assessment; PALLIATIVE treatment; QUESTIONNAIRES; RESEARCH funding; DATA analysis software; DESCRIPTIVE statistics; MANN Whitney U Test
- Publication
European Journal of Cancer Care, 2020, Vol 29, Issue 6, p1
- ISSN
0961-5423
- Publication type
Article
- DOI
10.1111/ecc.13305