Understanding Breathlessness: Cross-Sectional Comparison of Symptom Burden and Palliative Care Needs in Chronic Obstructive Pulmonary Disease and Cancer

Bausewein, Claudia; Booth, Sara; Gysels, Marjolein; Kühnbach, Robert; Haberland, Birgit; Higginson, Irene J

doi:10.1089/jpm.2010.0068

Cited by 210 publications

(206 citation statements)

References 29 publications

Supporting

Mentioning

186

Contrasting

Unclassified

Order By: Relevance

“…This is slightly lower than in patients with severe or very severe airflow limitations, ranging between 9-14 symptoms 5,6,17,27 . However, three symptoms that often occur in COPD -chest tightness, wheezing and sputum production -were not included in the present study 28 .…”

Section: Msas Symptom Burden and Subscales Scoresmentioning

confidence: 67%

“…The MSAS is a valid and reliable instrument to assess a multidimensional symptom profile and was originally developed to measure symptoms in patients with cancer but has lately been used on patients with chronic diseases [5][6][7]17 …”

Section: Measurementsmentioning

confidence: 99%

“…Earlier studies concerning symptom research and COPD have mostly been focused on a single symptom and/or a single dimension of a symptom [12][13][14][15][16] , whereas studies using multidimensional symptom assessment have only included patients with advanced COPD [5][6][7]17 .…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Symptom burden in stable COPD patients with moderate or severe airflow limitation

et al. 2014

View full text Add to dashboard Cite

Running head: Symptom burden in moderate or severe airflow limitations Symptom burden in stable COPD patients with moderate or severe airflow limitations. AbstractObjectives. To describe a multidimensional symptom profile in patients with stable chronic obstructive pulmonary disease (COPD) and determine whether symptom experience differed between patients with moderate or severe airflow limitations.Background. Patients with severe airflow limitation experience numerous symptoms, but

show abstract

Section: Msas Symptom Burden and Subscales Scoresmentioning

confidence: 67%

Section: Measurementsmentioning

confidence: 99%

See 1 more Smart Citation

Symptom burden in stable COPD patients with moderate or severe airflow limitation

et al. 2014

View full text Add to dashboard Cite

show abstract

“…Patients with advanced COPD benefit equally from palliative care compared to patients with malignant diseases [17]. Despite of this, palliative care in a specialized unit is offered to patients with COPD to a lesser extend than to patients with a malignant disease [15,18].…”

Section: Introductionmentioning

confidence: 99%

Is the high intensity symptoms experienced by patients admitted with chronic obstructive pulmonary disease documented by health professionals? - a prospective survey with comparison of patient reported outcomes and medical records

Bech

Bové

Marsaa

et al. 2018

European Clinical Respiratory Journal

View full text Add to dashboard Cite

Context: Patients with chronic obstructive pulmonary disease (COPD) have a high symptom burden and reduced quality of life. There is an increasing attention on palliation for patients with COPD. Recognition of symptoms is a prerequisite for palliation. Objectives: We aim to investigate the extent to which symptoms in patients with COPD are recognized in the documentation of the health professionals, indicated in ‘Doctors Symptom Recognition Rate’ (DSR), ‘Nurses Symptom Recognition Rate’ (NSR) or ‘Doctors and/or Nurses Symptom Recognition rates ’(DNSR) as a team, respectively. Methods: Patients with COPD (n = 40) admitted in two respiratory units, responded within 48 h on two symptom-screening-tools that access quality of life; COPD assessment test (CAT) used for the treatment of COPD and EORTC-QLQ-C15-PAL used for palliation in patients with cancer. Patient-described symptomatology was compared to the symptoms as recognized in the documentation of doctors and/or nurses. Results: There was a significant discrepancy between the symptomatology indicated by patients with COPD on CAT and EORTC-QLQ-C15-PAL, and the degree by which it was recognized in the medical records indicated in DSR or NSR. In 30 out of 44 items DSR or NSR were < 70%. There was a significant difference between DNSR versus DSR or NSR, respectively, in 19 out of 22 items. Conclusion: A team-based symptom recognition DNSR is superior when compared to DSR or NSR.Team-based systematic screening is suggested as a pathway to increase symptom recognition in patients with COPD. Increased rates of symptom recognition may improve symptom alleviation and thus palliation.

show abstract

“…In patients with COPD, the total symptom burden, i.e. the multi-dimensional characteristics (frequency, severity and distress) of concurrent symptoms, has been found to be comparable as to that of patients with advanced cancer, but the patients with COPD have much longer survival 95 . Little is known about how symptom burden affects PA. …”

Section: Symptom Burdenmentioning

confidence: 99%

The relationship between physical function and experience of fatigue in patients with chronic obstructive pulmonary disease

Tödt¹

2014

View full text Add to dashboard Cite

Background Chronic Obstructive Pulmonary Disease (COPD) is increasing throughout the world and most rapidly among women. COPD is characterized by a progressive loss of physical functions. The reason for this is multi-factorial and include not only lung related deficiencies but also several systemic consequences and symptoms of which several are potential restrictors of physical function. The relationship between physical function and symptoms are not clear, especially not among women with COPD. Aim The overall aim of this thesis was to illuminate the relationship between two dimensions of physical function (physical activity and physical capacity) and experience of fatigue. The specific aims were to explore factors associated with low physical activity and to examine experience of fatigue and its relationship to physical capacity and disease severity in men and women with COPD. Methods A cross-sectional study was conducted including 121 patients (67 women) with stable COPD and mean age of 67 (+/-7) years. Physical activity was measured with the International Physical Activity Questionnaire short form. Physical capacity included assessment of lung function (dynamic spirometry), exercise capacity (the 6-minute walk distance [perceived dyspnoea and leg fatigue in connection to the test]) and muscle strength (the Timed Stands Test and grip strength). Fatigue was assessed with structured questions covering the frequency, duration and severity of fatigue the previous month and patients were categorized as those with no fatigue, moderate fatigue or severe fatigue. Data about other symptoms (dyspnoea, anxiety and depression), symptom burden (Memorial Symptom Assessment Scale), fat and fat free mass (bio-impedance analysis) and smoking history was collected. Results Forty-two percent of the patients reported a low physical activity level. A majority of the patients reported experience of fatigue the previous month, 52% moderate fatigue and 25% severe fatigue. Low physical activity was associated with severe fatigue, worse exercise capacity and a higher amount of smoking. There were no differences in experience of fatigue between men and women. Men with fatigue had worse physical capacity and disease severity compared to men without fatigue. Women with fatigue had comparable physical capacity and disease severity to women without fatigue except for a higher perceived leg fatigue after the exercise capacity test. Multiple logistic regression analysis showed that exercise capacity and disease severity were associated with fatigue in both men and women but in women, leg fatigue was also strongly associated with the presence of fatigue. Conclusions Severe fatigue, worse exercise capacity and a higher amount of smoking were independently associated with low PA. This result suggests that patients with severe fatigue might need specific strategies to become more physically active. Presence of fatigue was associated with exercise capacity and disease severity in both men and women. In addition, in women leg fatigue was strongly a...

show abstract

Understanding Breathlessness: Cross-Sectional Comparison of Symptom Burden and Palliative Care Needs in Chronic Obstructive Pulmonary Disease and Cancer

Abstract: Symptom burden and palliative care needs of breathless patients with severe COPD are considerable and as high as among patients with advanced primary and secondary lung cancer although patients with COPD have a longer survival.

Cited by 210 publications

References 29 publications

Symptom burden in stable COPD patients with moderate or severe airflow limitation

Symptom burden in stable COPD patients with moderate or severe airflow limitation

Is the high intensity symptoms experienced by patients admitted with chronic obstructive pulmonary disease documented by health professionals? - a prospective survey with comparison of patient reported outcomes and medical records

The relationship between physical function and experience of fatigue in patients with chronic obstructive pulmonary disease

Contact Info

Product

Resources

About