Symptom burden and supportive care in patients with acute leukemia
| Autor: | Ashley Mischitelle, Lucia Gagliese, Camilla Zimmermann, Anne Rydall, Joseph M. Brandwein, Aaron D. Schimmer, Christopher Lo, Mark D. Minden, Dora Yuen, Gary Rodin |
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| Jazyk: | angličtina |
| Rok vydání: | 2013 |
| Předmět: |
Male
Cancer Research medicine.medical_specialty Pediatrics Palliative care Referral Population Pain Severity of Illness Index Article Quality of life (healthcare) Severity of illness Medicine Humans education Referral and Consultation Depression (differential diagnoses) education.field_of_study Acute leukemia Health Services Needs and Demand Leukemia business.industry Palliative Care Hematology Oncology Physical therapy Female business Psychosocial |
| Popis: | We examined the symptoms and referral rates to specialized palliative care and psychosocial oncology services of patients with acute leukemia. The Memorial Symptom Assessment Scale (MSAS) was completed by 249 adult patients with acute leukemia. Patients reported a median of 9 physical and 2 psychological symptoms, and those with intense lack of energy, difficulty sleeping and pain were more likely to report intense worrying/sadness (P < 0.001). No patients with moderate-severe pain were referred for specialized symptom control and only 13% of those with severe worrying/sadness were referred to psychiatry/psychology within one month of the assessment. Patients in this population have a substantial symptom burden; further research is needed to determine the benefit of early referral to specialized supportive care services. |
| Databáze: | OpenAIRE |
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