Definition of Episodic Dyspnea in Cancer Patients: A Delphi-Based Consensus among Spanish Experts: The INSPIRA Study

Julià-Torras, Joaquim; Cuervo-Pinna, Miguel Ángel; Cabezón-Gutiérrez, Luis; Lara, Pedro C.; Prats, Montserrat; Margarit, César; Porta-Sales, Josep

doi:10.1089/jpm.2018.0273

Cited by 6 publications

(10 citation statements)

References 22 publications

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Section: Resultsmentioning

confidence: 99%

“…The most common term used to describe the phenomenon of breathlessness flares in English was ED 2 3 5 6 8 9 22 23 25 26. It is worth noting that the consensus term for ED in a Spanish study was ‘crisis de disnea’ (dyspnoea crisis) 8. In two early studies on ED, one of which was conducted in China in advanced LC patients,24 most participants expressed an inability to describe ED in words; instead, they used everyday situations to describe their experience, which the authors referred to as ‘dyspnoea attack’; in the other early study (n=70),1 ED was referred to as ‘breakthrough dyspnoea’.…”

Section: Resultsmentioning

confidence: 99%

“…With regard to the definition of ED, only two studies3 8 were specifically designed to reach a consensus definition. However, other authors have provided their own definitions of ED to give an operational definition of ED for their studies.…”

Section: Resultsmentioning

confidence: 99%

“…The consensus definition from Julià-Torras et al 8 was the only specifically developed for patients with cancer. Nevertheless, this definition was largely consistent with the more generic definition given by Simon et al 3 in terms of ED as superimposed phenomenon, with a severe intensity, time-limited duration, predictability and with an identifiable trigger (table 3).…”

Section: Resultsmentioning

confidence: 99%

“…In the last decade, several studies have investigated diverse aspects of ED in cancer, including the definition,8 characterisation9 and treatment 10–12. Although a few systematic reviews on the subject have been conducted,7 13 14 specific data on ED in cancer remains limited, in part because these patients are commonly grouped together with patients with non-malignant diseases (although there are some exceptions) 15.…”

Section: Introductionmentioning

confidence: 99%

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Episodic breathlessness in patients with cancer: definition, terminology, clinical features – integrative systematic review

Julià-Torras

Porta-Sales

Moreno-Alonso

et al. 2022

BMJ Support Palliat Care

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PurposeBreatlessness flares directly impair quality of life of patients with cancer. The aim of this review was to analyse and synthesise the available information related to its terminology, definition and clinical features in patients with cancer.MethodsIntegrative systematic review according to Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines. Literature search was conducted in MEDLINE PubMed, CINAHLPlus, Web of Science, Cochrane Central Register Controlled Trials CENTRAL, Scopus and OpenAire.ResultsData from 1065 patients with cancer included in 12 studies were analysed. The preferred term for breathlessness flares was episodic dyspnoea (ED). The reported frequency of ED was 20.4% (70.9% in patients reporting background dyspnoea (BD)). ED intensity was moderate to severe with short duration (<10 min) in >80% of patients. The most common trigger was exertion (>90%) followed by emotional or environmental factors. ED management consisted mainly of pharmacological and non-pharmacological measures.ConclusionsThis systematic review shows that ED is common in patients with cancer, especially in those with BD. Further studies are urgently needed to better understand this condition and to develop specific therapeutic management.PROSPERO registration numberCRD42019126708.

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Section: Resultsmentioning

confidence: 99%