Symptom assessment in advanced palliative home care for cancer patients using the ESAS: Clinical aspects
2001 (English)In: Anticancer Research, ISSN 0250-7005, Vol. 21, no 6 A, 4077-4082 p.Article in journal (Refereed) Published
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.
Medical and Health Sciences
IdentifiersURN: urn:nbn:se:liu:diva-25383Local ID: 9826OAI: oai:DiVA.org:liu-25383DiVA: diva2:245712