Investigation of QOL of hospice patients by using EORTC-QLQ-C30 questionnaire

Tada, Toshiko; Hashimoto, Fumiko; Matsushita, Yasuko; Terashima, Yasushi; Tanioka, Tetsuya; Nagamine, Isao; Fujioka, Hiroko; Akiyama, Nahoko

doi:10.2152/jmi.51.125

Cited by 4 publications

(9 citation statements)

References 9 publications

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“…These results show that patients are referred to PCCTs early in the disease process (Morita et al, 2005 a ). Moreover, when we compare patients from the present study with those admitted to PCU in Japan (Tada et al, 2004), the current patients presented more severe levels of pain, fatigue, dyspnea, nausea and vomiting, and constipation. This indicates that one of the main roles of PCCTs is symptom management (Morita et al, 2005 a ).…”

Section: Discussionmentioning

confidence: 59%

Multiple evaluation of a hospital-based palliative care consultation team in a university hospital: Activities, patient outcome, and referring staff's view

Sasahara

Umeda²,

Higuchi

et al. 2010

Pall Supp Care

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This study showed that the PCCT performed comprehensive assessments on referred patients and provided extra support. No patient's QOL 1 week after referral was improved with the exception of insomnia. Referring staff highly evaluated the activities of the PCCT. In the evaluation of PCCTs, further research about the variation of clinical activities of PCCTs, their applicability, and benefit is needed.

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Section: Discussionmentioning

confidence: 59%

Multiple evaluation of a hospital-based palliative care consultation team in a university hospital: Activities, patient outcome, and referring staff's view

Sasahara

Umeda²,

Higuchi

et al. 2010

Pall Supp Care

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“…Key issues raised are: the potential to ''pool'' data collected using the English or Chinese version of the scale; 47 that the fatigue scale was the only significant predictor (P < 0.005) of weight loss in a longitudinal study of people living with head and neck cancer; 49 and the fatigue scale was responsive to changes in treatment, stage of cancer, and type of cancer. 51 One study compared the EORTC QLQ-C30 fatigue subscale with the Fatigue Questionnaire, 53 finding that the EORTC scale correlated more highly with the physical fatigue component of the Fatigue Questionnaire (r ¼ 0.75) than with the mental fatigue component of the Fatigue Questionnaire (r ¼ 0.49e0.61). It is proposed that the EORTC fatigue subscale measures physical fatigue rather than mental fatigue.…”

Section: Fatigue Subscalesmentioning

confidence: 99%

The Measurement of Fatigue in Chronic Illness: A Systematic Review of Unidimensional and Multidimensional Fatigue Measures

Whitehead

2009

Journal of Pain and Symptom Management

364

273

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Fatigue is a common symptom associated with a wide range of chronic diseases. A large number of instruments have been developed to measure fatigue. An assessment regarding the reliability, validity, and utility of fatigue measures is time-consuming for the clinician and researcher, and few reviews exist on which to draw such information. The aim of this article is to present a critical review of fatigue measures, the populations in which the scales have been used, and the extent to which the psychometric properties of each instrument have been evaluated to provide clinicians and researchers with information on which to base decisions. Seven databases were searched for all articles that measured fatigue and offered an insight into the psychometric properties of the scales used over the period 1980-2007. Criteria for judging the "ideal" measure were developed to encompass scale usability, clinical/research utility, and the robustness of psychometric properties. Twenty-two fatigue measures met the inclusion criteria and were evaluated. A further 17 measures met some of the criteria, but have not been tested beyond initial development, and are reviewed briefly at the end of the article. The review did not identify any instrument that met all the criteria of an ideal instrument. However, a small number of short instruments demonstrated good psychometric properties (Fatigue Severity Scale [FSS], Fatigue Impact Scale [FIS], and Brief Fatigue Inventory [BFI]), and three comprehensive instruments demonstrated the same (Fatigue Symptom Inventory [FSI], Multidimensional Assessment of Fatigue [MAF], and Multidimensional Fatigue Symptom Inventory [MFSI]). Only four measures (BFI, FSS, FSI, and MAF) demonstrated the ability to detect change over time. The clinician and researcher also should consider the populations in which the scale has been used previously to assess its validity with their own patient group, and assess the content of a scale to ensure that the key qualitative aspects of fatigue of the population of interest are covered.

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“…Roe et al [10] described that seven out of eleven patients with non-head and neck cancers receiving specialist palliative care had swallowing problems [10]. Tada et al [12] described quality of life in 24 patients in a hospice setting using the EORTC-QLQ-C30 [12], while Gourdji et al [4] interviewed ten patients receiving palliative care Gourdji et al [4].…”

Section: Introductionmentioning

confidence: 99%

Swallowing Problems at the End of the Palliative Phase: Incidence and Severity in 164 Unsedated Patients

et al. 2014

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Swallowing problems are reported to be a common finding in patients who receive palliative care. In existing literature, the incidence of swallowing problems is mostly described in small numbers of patients at the start of the palliative phase. As we hypothesized that the incidence of dysphagia might increase as the palliative phase progresses, this study describes the incidence of swallowing problems and related problems in 164 unsedated patients at the end of the palliative phase, defined by the last 72 h before their death. To determine the incidence of swallowing problems and related problems, questionnaires were completed bereaved by relatives and nursing staff. Our data shows that in the palliative phase the incidence of swallowing problems can be as high as 79 %. A significant correlation was found between swallowing problems and reduced psycho-social quality of life as assessed by nursing staff (ρ = -.284). Overall the nursing staff rated the incidence and severity of swallowing problems (and related problems like frequent coughing, loss of appetite, and problems with oral secretions) lower than the relatives. This study suggests that incidence of swallowing problems at the end of the palliative phase is high and that these difficulties may not only result in discomfort for patients, but also can raise concern for caregivers. More information and education on management of swallowing problems in palliative settings might be needed for both relatives and nursing staff. However, the data also suggest that any intervention should be proportional to the level of distress caused by the intervention.

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Investigation of QOL of hospice patients by using EORTC-QLQ-C30 questionnaire

Cited by 4 publications

References 9 publications

Multiple evaluation of a hospital-based palliative care consultation team in a university hospital: Activities, patient outcome, and referring staff's view

Multiple evaluation of a hospital-based palliative care consultation team in a university hospital: Activities, patient outcome, and referring staff's view

The Measurement of Fatigue in Chronic Illness: A Systematic Review of Unidimensional and Multidimensional Fatigue Measures

Swallowing Problems at the End of the Palliative Phase: Incidence and Severity in 164 Unsedated Patients

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