Impact of outpatient palliative care (PC) on symptom burden in patients with advanced cancer at a tertiary cancer center in Jordan

Shamieh, Omar; Khamash, Odai; Khraisat, Mustafa; Jbouri, Omar; Awni, Mohammad; Al-Hawamdeh, Abdulrahman; Arja, Ghadeer; Ajarmeh, Sawsan; Al-Rimawi, Dalia; Hui, David

doi:10.1007/s00520-016-3395-8

Cited by 30 publications

(22 citation statements)

References 30 publications

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“…A total of 65 studies based on 41 706 patients were included in the final analysis. 6 -8,24 -85 Two of the included articles 24,26 were identified from articles’ reference lists. The majority of the studies (45/69%) were prospective (Table 1).…”

Section: Resultsmentioning

confidence: 99%

Systematic Review of the Prevalence, Predictors, and Treatment of Insomnia in Palliative Care

Nzwalo

Aboim²,

Joaquim

et al. 2020

Am J Hosp Palliat Care

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Introduction: The primary function of palliative care is to improve quality of life. The recognition and treatment of symptoms causing suffering is central to the achievement of this goal. Insomnia reduces quality of life of patients under palliative care. Knowledge about prevalence, associated factors, and treatment of insomnia in palliative care is scarce. Methodology: Literature review about the prevalence, predictors, and treatment options of insomnia in palliative care patients. Primary sources of investigation were identified and selected through Pubmed and Scopus databases. The research was complemented by reference search in identified articles and selected reviews. OpenGrey and Google Scholar were used for searching grey literature. Study quality analysis was based on the Newcastle-Ottawa Scale. Results: A total of 65 studies were included in the review. Most studies had acceptable /good quality. The prevalence of insomnia in the included studies ranged from 2.1% to 100%, with a median overall prevalence of 49.5%. Sociodemographic factors such as age; clinical characteristics such as functional status, disease stage, pain, and use of specific drugs, including opioids; psychological factors such as anxiety/depression; and spiritual factors such as feelings of well-being were identified as predictors. The treatment options identified were biological (pharmacological and nonpharmacological), psychological (visualization, relaxation), and spiritual (prayer). Conclusions: The systematic review showed that the prevalence of insomnia is high, with at least one in 3 patients affected in most studies. Insomnia’s risk factors and treatment in palliative care are both associated to physical, psychological, social, and spiritual factors, reflecting its true holistic nature.

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Section: Resultsmentioning

confidence: 99%

Systematic Review of the Prevalence, Predictors, and Treatment of Insomnia in Palliative Care

Nzwalo

Aboim²,

Joaquim

et al. 2020

Am J Hosp Palliat Care

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“…(78) As such, ESAS can be administered at every clinic visit to capture symptom changes. In a study that included 1612 patients with cancer seen at an outpatient palliative care clinic reported the change in symptom scores by baseline symptom intensity (absent/mild NRS ≤3 vs. moderate/severe NRS ≥4).…”

Section: Present Applicationsmentioning

confidence: 99%

The Edmonton Symptom Assessment System 25 Years Later: Past, Present, and Future Developments

Hui

Bruera

2017

Journal of Pain and Symptom Management

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559

428

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Context Routine symptom assessment represents the cornerstone of symptom management. ESAS is one of the first quantitative symptom assessment batteries that allows for simple and rapid documentation of multiple patient-reported symptoms at the same time. Objective To discuss the historical development of ESAS, its current uses in different settings, and future developments. Methods Narrative review Results Since its development in 1991, ESAS has been psychometrically validated and translated into over 20 languages. We will discuss the variations, advantages and limitations with ESAS. From the clinical perspective, ESAS is now commonly used for symptom screening and longitudinal monitoring in patients seen by palliative care, oncology, nephrology, and other disciplines in both inpatient and outpatient settings. From the research perspective, ESAS has offered important insights into the nature of symptom trajectory, symptom clusters and symptom modulators. Furthermore, multiple clinical studies have incorporated ESAS as a study outcome and documented the impact of various interventions on symptom burden. On the horizon, multiple groups are actively investigating further refinements to ESAS, such as incorporating it in electronic health records, employing ESAS as a trigger for palliative care referral, and coupling ESAS with personalized symptom goals to optimize symptom response assessment. Conclusion ESAS has evolved over the past 25 years to become an important symptom assessment instrument in both clinical practice and research. Future efforts are needed to standardize this tool and explore its full potential to support symptom management.

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“…The only common factor shared by all regions was specific additional care within PCUs e.g. symptoms management on pain and fatigue, spirituality/ religiosity, psychosocial counseling, basic skills training for family caregivers, or exposure to integrated care management [22,23,[42][43][44][45][46][47][52][53][54][55][56][57][58].…”

Section: Common Factors Across Regionsmentioning

confidence: 99%

Quality of life of cancer patients at palliative care units in developing countries: systematic review of the published literature

et al. 2020

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Purpose This systematic review aims to summarize factors that influence the quality of life (QOL) of advanced cancer patients in palliative care (PC) in developing countries. Understanding this context in developing countries milieu is necessary; however, this outcome is rarely reported. Methods Following the PRISMA guidelines, the electronic databases MEDLINE, Embase, CINAHL, and Web of Science were systematically searched using the search terms: QOL, cancer, PC, and names of all developing countries. Studies with less than ten subjects, qualitative or pilot studies, reviews, conference abstracts, and that reported validation of QOL questionnaires were excluded. Results Fifty-five studies from 15 developing countries in the African (n = 5), Latin America and the Caribbean (n = 10), and Asian (n = 40) region were included in the narrative synthesis. 65.4% were cross-sectional, 27.3% were cohort studies, 7.3% were RCTs or quasi-experimental studies. Around 30 QOL factors were studied with 20 different types of QOL instruments. Advanced cancer patients who were older, married/ever married, participated in additional care within PC, used complementary and alternative medicine (CAM), and practiced spirituality/religiosity showed higher QOL score. Low educational level and high depression were associated with a lower QOL. Conclusion Various factors affect QOL among cancer patients in PC. Patients valued the use of CAMs; however, the quality and safety aspects should be properly addressed. Important factors that influenced the QOL score were social and spiritual support. While there is a general need to develop PC strategies further, recognizing patients’ needs should be prioritized in national cancer programs.

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Impact of outpatient palliative care (PC) on symptom burden in patients with advanced cancer at a tertiary cancer center in Jordan

Cited by 30 publications

References 30 publications

Systematic Review of the Prevalence, Predictors, and Treatment of Insomnia in Palliative Care

Systematic Review of the Prevalence, Predictors, and Treatment of Insomnia in Palliative Care

The Edmonton Symptom Assessment System 25 Years Later: Past, Present, and Future Developments

Quality of life of cancer patients at palliative care units in developing countries: systematic review of the published literature

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