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Symptom assessment in advanced palliative home care for cancer patients using the ESAS: Clinical aspects
Östergötlands Läns Landsting, Centre of Surgery and Oncology, Department of Oncology UHL.
Linköping University, Faculty of Health Sciences. Linköping University, Department of Biomedicine and Surgery, Palliative mediicin. Östergötlands Läns Landsting, ViN, LAH Linnea.
2001 (English)In: Anticancer Research, ISSN 0250-7005, Vol. 21, no 6 A, 4077-4082 p.Article in journal (Refereed) Published
Abstract [en]

Four hundred and thirty-one cancer patients were assessed with the ESAS and a VAS-QoL at admission to Hospital-based home care (HBHC) and subsequently. Results: Pain and nausea were well-controlled (mean 2.5 and 1.8) whereas patients were less satisfied with appetite, activity and sense of well-being. Dyspnoea and anxiety (lung cancer, p<0.001 and p<0.01) and pain (prostate cancer, p<0.01), were related to diagnosis while activity, drowsiness, appetite and well-being to survival (p<0.05 to p<0.001). The correlations between individual symptoms and well-being were low (0.2-0.5), whereas the correlation between well-being and the Symptom Distress Score (SDS) was 0.76. "Well-being" was a better word to use than QoL. Discussion: ESAS is useful in HBHC and data show that symptoms other than merely pain and nausea are of importance. As the global measurement (one VAS) of well-being has a high correlation with SDS, this single measurement may be clinically adequate for quality assurance of symptom control in dying cancer patients.

Place, publisher, year, edition, pages
2001. Vol. 21, no 6 A, 4077-4082 p.
National Category
Medical and Health Sciences
URN: urn:nbn:se:liu:diva-25383Local ID: 9826OAI: diva2:245712
Available from: 2009-10-07 Created: 2009-10-07 Last updated: 2011-01-13

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Strang, Peter
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Department of Oncology UHLFaculty of Health SciencesPalliative mediicinLAH Linnea
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