Do phase 1 patients have greater needs for palliative care compared with other cancer patients?
| Autor: | Esmé, Finlay, Hien L, Lu, Hope R, Henderson, Hope, Henderson, Peter J, O'Dwyer, David J, Casarett |
|---|---|
| Rok vydání: | 2008 |
| Předmět: |
Adult
Counseling Male Cancer Research medicine.medical_specialty Palliative care Chaplaincy Service Hospital Population Cancer therapy Symptom assessment Severity of Illness Index Neoplasms Home health Humans Medicine education Aged Aged 80 and over Health Services Needs and Demand education.field_of_study Clinical Trials Phase I as Topic business.industry Palliative Care Symptom burden Cancer Middle Aged Community Health Nursing medicine.disease Home Care Services Distress Hospice Care Oncology Family medicine Emergency medicine Female Patient Participation business |
| Zdroj: | Cancer. 115:446-453 |
| ISSN: | 0008-543X |
| DOI: | 10.1002/cncr.24025 |
| Popis: | BACKGROUND: Phase 1 oncology trial participants often are excluded from hospice. However, it is not known whether they would benefit from hospice services. The objectives of the current study were to define the palliative care needs of these patients and to determine whether their needs are greater than those of other cancer patients. METHODS: Two hundred ninety-seven patients who were undergoing cancer therapy and 69 patients who were enrolled in phase 1 trials at 7 oncology clinics in an urban cancer network were recruited and consented to participate in interviews. Interviewers assessed the prevalence and severity of 10 symptoms using the Global Distress Index of the Memorial Symptom Assessment Scale and patients' perceived need for 4 services typically provided through hospice: a chaplain, counselor, home health aide, and visiting nurse. RESULTS: Patients in the 2 groups had a similar symptom burden. However, after adjusting for Eastern Cooperative Oncology Group performance status scores, phase 1 patients were more likely to have 5 of the 10 symptoms and reported greater severity for 6 of the 10 symptoms. Compared with other patients, phase 1 patients were less likely to say they needed a home health aide (4 of 69 patients [6%] vs 198 of 297 patients [67%]), a chaplain (7 of 69 patients [10%] vs 134 of 297 patients [45%]), or a counselor (11 of 69 patients [16%] vs 160 of 297 patients [54%]; chi-square test: P < .001 for all). They were equally likely to say they needed a visiting nurse (30 of 69 patients [44%] vs 142 of 297 patients [48%]; chi-square test: P = .516). CONCLUSIONS: Compared with other patients who had cancer, patients who were participating in phase 1 trials were less likely to want several home care services, although they experienced a greater symptom burden. Further research will be needed to define the palliative care needs of this population. Cancer 2009. © 2009 American Cancer Society. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Plný text