Symptom burden, depression, and spiritual well-being: a comparison of heart failure and advanced cancer patients.

Abstract:

BACKGROUND:A lower proportion of patients with chronic heart failure receive palliative care compared to patients with advanced cancer. OBJECTIVE:We examined the relative need for palliative care in the two conditions by comparing symptom burden, psychological well-being, and spiritual well-being in heart failure and cancer patients. DESIGN:This was a cross-sectional study. PARTICIPANTS:Sixty outpatients with symptomatic heart failure and 30 outpatients with advanced lung or pancreatic cancer. MEASUREMENTS:Symptom burden (Memorial Symptom Assessment Scale-Short Form), depression symptoms (Geriatric Depression Scale-Short Form), and spiritual well-being (Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being scale). MAIN RESULTS:Overall, the heart failure patients and the cancer patients had similar numbers of physical symptoms (9.1 vs. 8.6, p = 0.79), depression scores (3.9 vs. 3.2, p = 0.53), and spiritual well-being (35.9 vs. 39.0, p = 0.31) after adjustment for age, gender, marital status, education, and income. Symptom burden, depression symptoms, and spiritual well-being were also similar among heart failure patients with ejection fraction < or =30, ejection fraction >30, and cancer patients. Heart failure patients with worse heart failure-related health status had a greater number of physical symptoms (13.2 vs. 8.6, p = 0.03), higher depression scores (6.7 vs. 3.2, p = 0.001), and lower spiritual well-being (29.0 vs. 38.9, p < 0.01) than patients with advanced cancer. CONCLUSIONS:Patients with symptomatic heart failure and advanced cancer have similar needs for palliative care as assessed by symptom burden, depression, and spiritual well-being. This implies that heart failure patients, particularly those with more severe heart failure, need the option of palliative care just as cancer patients do.

journal_name

J Gen Intern Med

authors

Bekelman DB,Rumsfeld JS,Havranek EP,Yamashita TE,Hutt E,Gottlieb SH,Dy SM,Kutner JS

doi

10.1007/s11606-009-0931-y

subject

Has Abstract

pub_date

2009-05-01 00:00:00

pages

592-8

issue

5

eissn

0884-8734

issn

1525-1497

journal_volume

24

pub_type

杂志文章,多中心研究
  • Variation in Inpatient Consultation Among Older Adults in the United States.

    abstract:BACKGROUND:Differences among hospitals in the use of inpatient consultation may contribute to variation in outcomes and costs for hospitalized patients, but basic epidemiologic data on consultations nationally are lacking. OBJECTIVE:The purpose of the study was to identify physician, hospital, and geographic factors t...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1007/s11606-015-3216-7

    authors: Stevens JP,Nyweide D,Maresh S,Zaslavsky A,Shrank W,Howell MD,Landon BE

    更新日期:2015-07-01 00:00:00

  • Smoking cessation following admission to a coronary care unit.

    abstract:OBJECTIVE:To determine the impact of an episode of serious cardiovascular disease on smoking behavior and to identify factors associated with smoking cessation in this setting. DESIGN:Prospective observational study in which smokers admitted to a coronary care unit (CCU) were followed for one year after hospital disch...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1007/BF02597426

    authors: Rigotti NA,Singer DE,Mulley AG Jr,Thibault GE

    更新日期:1991-07-01 00:00:00

  • Relationship of health literacy to intentional and unintentional non-adherence of hospital discharge medications.

    abstract:BACKGROUND:Inadequate health literacy is prevalent among seniors and is associated with poor health outcomes. At hospital discharge, medications are frequently changed and patients are informed of these changes via their discharge instructions. OBJECTIVES:Explore the association between health literacy and medication ...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1007/s11606-011-1886-3

    authors: Lindquist LA,Go L,Fleisher J,Jain N,Friesema E,Baker DW

    更新日期:2012-02-01 00:00:00

  • What is most important to patients when deciding about colorectal screening?

    abstract:BACKGROUND:Colorectal cancer (CRC) screening can be administered through tests with varied characteristics and is a preference-sensitive decision. OBJECTIVE:To assess patient experiences with a Maximum Differences Scaling (MDS) tool for eliciting values about CRC screening test characteristics and determine whether pa...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1007/s11606-010-1318-9

    authors: Imaeda A,Bender D,Fraenkel L

    更新日期:2010-07-01 00:00:00

  • The night float system of resident on call: what do the nurses think?

    abstract::In 1989, the internal medicine residency training program at St. John's Episcopal Hospital changed from a standard one-in-four on-call system to a night float system of resident on call. Using a confidential questionnaire that assessed the opinions of medical nurses, the nurses were asked which system they preferred, ...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1007/BF02599842

    authors: Buff DD,Shabti R

    更新日期:1995-07-01 00:00:00

  • Differences between generalists and specialists in characteristics of patients receiving gastrointestinal procedures.

    abstract:BACKGROUND:As a result of market forces and maturing technology, generalists are currently providing services, such as colonoscopy, that in the past were deemed the realm of specialists. OBJECTIVE:To determine whether there were differences in patient characteristics, procedure complexity, and clinical indications whe...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1046/j.1525-1497.2000.06039.x

    authors: Meyer GS,Cheng EY,Elting J

    更新日期:2000-03-01 00:00:00

  • Incidence of venous thromboembolic events among nursing home residents.

    abstract::Chronic care facility stay has been shown to be an independent risk factor for venous thromboembolism. Review of the literature, however, reveals a paucity of data addressing the issue of venous thromboembolism in nursing home residents. The purpose of this study was to determine the incidence of venous thromboembolic...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1046/j.1525-1497.2003.21133.x

    authors: Gomes JP,Shaheen WH,Truong SV,Brown EF,Beasley BW,Gajewski BJ

    更新日期:2003-11-01 00:00:00

  • The impact of consumer-directed health plans and patient socioeconomic status on physician recommendations for colorectal cancer screening.

    abstract:BACKGROUND:Consumer-directed health plans are increasingly common, yet little is known about their impact on physician decision-making and preventive service use. OBJECTIVE:To determine how patients' deductible levels and socioeconomic status may affect primary care physicians' recommendations for colorectal cancer sc...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s11606-008-0714-x

    authors: Pollack CE,Mallya G,Polsky D

    更新日期:2008-10-01 00:00:00

  • Development and validation of a simplified BRASS index to screen hospital patients needing personalized discharge planning.

    abstract:BACKGROUND:Discharge planning is an important component of hospital care. The Blaylock Risk Assessment Screening Score (BRASS) index is an instrument used to identify patients requiring complex discharge planning. OBJECTIVES:(1) Evaluate the ability of the original BRASS index to predict the risk of complex discharge ...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1007/s11606-018-4405-y

    authors: Zarovska A,Evangelista A,Boccia T,Ciccone G,Coggiola D,Scarmozzino A,Corsi D

    更新日期:2018-07-01 00:00:00

  • Racial differences in menopause information and the experience of hot flashes.

    abstract:OBJECTIVE:To compare the prevalence of hot flashes and health education regarding menopause in African-American and white American women in the late reproductive years. DESIGN:Cross-sectional study. SETTING:Population-based sample recruited through random digit dialing. PARTICIPANTS:The sample was 436 women between ...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1046/j.1525-1497.1999.00294.x

    authors: Grisso JA,Freeman EW,Maurin E,Garcia-Espana B,Berlin JA

    更新日期:1999-02-01 00:00:00

  • Motivation for hepatitis B vaccine acceptance among medical and physician assistant students.

    abstract:PURPOSE:To evaluate the acceptance rate and motivation for acceptance of hepatitis B virus (HBV) vaccine among preclinical medical and physician assistant (PA) students in comparison with similar data obtained from resident and staff physicians. METHODS:A cross-sectional survey of all second-year medical and PA studen...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1007/BF02599567

    authors: Diekema DJ,Ferguson KJ,Doebbeling BN

    更新日期:1995-01-01 00:00:00

  • Formal art observation training improves medical students' visual diagnostic skills.

    abstract:BACKGROUND:Despite evidence of inadequate physical examination skills among medical students, teaching these skills has declined. One method of enhancing inspection skills is teaching "visual literacy," the ability to reason physiology and pathophysiology from careful and unbiased observation. OBJECTIVE:To improve stu...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s11606-008-0667-0

    authors: Naghshineh S,Hafler JP,Miller AR,Blanco MA,Lipsitz SR,Dubroff RP,Khoshbin S,Katz JT

    更新日期:2008-07-01 00:00:00

  • The LEAP Program: Quality Improvement Training to Address Team Readiness Gaps Identified by Implementation Science Findings.

    abstract:BACKGROUND:Integrating evidence-based innovations (EBIs) into sustained use is challenging; most implementations in health systems fail. Increasing frontline teams' quality improvement (QI) capability may increase the implementation readiness and success of EBI implementation. OBJECTIVES:Develop a QI training program ...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1007/s11606-020-06133-1

    authors: Damschroder LJ,Yankey NR,Robinson CH,Freitag MB,Burns JA,Raffa SD,Lowery JC

    更新日期:2020-09-08 00:00:00

  • Faculty Promotion and Attrition: The Importance of Coauthor Network Reach at an Academic Medical Center.

    abstract:BACKGROUND:Business literature has demonstrated the importance of networking and connections in career advancement. This is a little-studied area in academic medicine. OBJECTIVE:To examine predictors of intra-organizational connections, as measured by network reach (the number of first- and second-degree coauthors), a...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1007/s11606-015-3463-7

    authors: Warner ET,Carapinha R,Weber GM,Hill EV,Reede JY

    更新日期:2016-01-01 00:00:00

  • Using value-of-information methods when the disease is rare and the treatment is expensive--the example of hemophilia A.

    abstract:BACKGROUND:Hemophilia A is a rare, sex-linked genetic disorder treated with intravenous administration of factor VIII (FVIII) to prevent bleeding; however, approaches vary across and within countries. Value-of-information (VOI) methods identify situations in which the cost-benefit evidence is sufficient to adopt one tr...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1007/s11606-014-2880-3

    authors: Abrahamyan L,Willan AR,Beyene J,Mclimont M,Blanchette V,Feldman BM,Canadian Hemophilia Primary Prophylaxis (CHPS) Study Group.

    更新日期:2014-08-01 00:00:00

  • The Incidence of Diabetic Ketoacidosis During "Emerging Adulthood" in the USA and Canada: a Population-Based Study.

    abstract:BACKGROUND:As children with diabetes transition to adulthood, they may be especially vulnerable to diabetic ketoacidosis (DKA). Cross-national comparisons may inform efforts to avoid this complication. OBJECTIVE:To compare DKA hospitalization rates in the USA and Manitoba, Canada, during the vulnerable years known as ...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1007/s11606-019-05006-6

    authors: Gaffney A,Christopher A,Katz A,Chateau D,McDougall C,Bor D,Himmelstein D,Woolhandler S,McCormick D

    更新日期:2019-07-01 00:00:00

  • Administrator Perspectives on ICU-to-Ward Transfers and Content Contained in Existing Transfer Tools: a Cross-sectional Survey.

    abstract:BACKGROUND:The transfer of critically ill patients from the intensive care unit (ICU) to hospital ward is challenging. Shortcomings in the delivery of care for patients transferred from the ICU have been associated with higher healthcare costs and poor satisfaction with care. Little is known about how hospital ward pro...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1007/s11606-018-4590-8

    authors: Boyd JM,Roberts DJ,Parsons Leigh J,Stelfox HT

    更新日期:2018-10-01 00:00:00

  • Ethical Implications of the Electronic Health Record: In the Service of the Patient.

    abstract::Electronic health records (EHRs) provide benefits for patients, physicians, and clinical teams, but also raise ethical questions. Navigating how to provide care in the digital age requires an assessment of the impact of the EHR on patient care and the patient-physician relationship. EHRs should facilitate patient care...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章,评审

    doi:10.1007/s11606-017-4030-1

    authors: Sulmasy LS,López AM,Horwitch CA,, American College of Physicians Ethics, Professionalism and Human Rights Committee.

    更新日期:2017-08-01 00:00:00

  • Examination of Post-discharge Follow-up Appointment Status and 30-Day Readmission.

    abstract:BACKGROUND:Post-hospital discharge follow-up appointments are intended to evaluate patients' recovery following a hospitalization, but it is unclear how appointment statuses are associated with readmissions. OBJECTIVE:To examine the association between post-discharge ambulatory follow-up status, (1) having a scheduled...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1007/s11606-020-06569-5

    authors: Coppa K,Kim EJ,Oppenheim MI,Bock KR,Conigliaro J,Hirsch JS

    更新日期:2021-01-19 00:00:00

  • Management of colorectal cancer in Medicare health maintenance organizations.

    abstract::Because of the financial incentives of prepaid care, the quality of care for Medicare enrollees in Health Maintenance Organizations (HMOs) is a concern. Therefore, the care in 150 newly diagnosed cases of colorectal cancer in eight HMOs was compared with that in 180 similar fee-for-service (FFS) cases. As part of the ...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1007/BF02600509

    authors: Retchin SM,Brown B

    更新日期:1990-03-01 00:00:00

  • Prevention in medical education: an uncertain future.

    abstract::There is reason for pessimism about the incorporation of prevention into medical education. In addition to what might be called the standard reasons for resistance to prevention, there are at least three other structural barriers: the destabilization of the health care system, the loss of interest in careers in primar...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1007/BF02600854

    authors: Fried RA

    更新日期:1990-09-01 00:00:00

  • Providers' perceptions of relationships and professional roles when caring for patients who leave the hospital against medical advice.

    abstract:BACKGROUND:Patients who leave hospitals against medical advice (AMA) may be at risk for adverse health outcomes. Their decision to leave may not be clearly understood by providers. This study explored providers' experiences with and attitudes toward patients who leave the hospital AMA. OBJECTIVE:To explore providers' ...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1007/s11606-008-0728-4

    authors: Windish DM,Ratanawongsa N

    更新日期:2008-10-01 00:00:00

  • Developing physician-leaders: a call to action.

    abstract:BACKGROUND:The many challenges in health care today create a special need for great leadership. However, traditional criteria for physicians' advancement to leadership positions often regard academic and/or clinical accomplishments rather than the distinctive competencies needed to lead. Furthermore, physicians' traini...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章,评审

    doi:10.1007/s11606-009-1007-8

    authors: Stoller JK

    更新日期:2009-07-01 00:00:00

  • Effect of computer support on younger women with breast cancer.

    abstract:OBJECTIVE:Assess impact of a computer-based patient support system on quality of life in younger women with breast cancer, with particular emphasis on assisting the underserved. DESIGN:Randomized controlled trial conducted between 1995 and 1998. SETTING:Five sites: two teaching hospitals (Madison, Wis, and Chicago, I...

    journal_title:Journal of general internal medicine

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1046/j.1525-1497.2001.016007435.x

    authors: Gustafson DH,Hawkins R,Pingree S,McTavish F,Arora NK,Mendenhall J,Cella DF,Serlin RC,Apantaku FM,Stewart J,Salner A

    更新日期:2001-07-01 00:00:00

  • VA location and structural factors associated with on-site availability of reproductive health services.

    abstract:INTRODUCTION:With the increasing number of women Veterans enrolling in the Veterans Health Administration (VA), there is growing demand for reproductive health services. Little is known regarding the on-site availability of reproductive health services at VA and how this varies by site location and type. OBJECTIVE:To ...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1007/s11606-012-2289-9

    authors: Katon J,Reiber G,Rose D,Bean-Mayberry B,Zephyrin L,Washington DL,Yano EM

    更新日期:2013-07-01 00:00:00

  • Polypharmacy: the cure becomes the disease.

    abstract::Polypharmacy occurs when a medical regimen includes at least one unnecessary medication. Factors that contribute to this problem include: patient characteristics of increasing age, multiple medical problems, therapy expectations, and decisions to self-treat; physician factors such as excessive prescribing; and system ...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章,评审

    doi:10.1007/BF02600099

    authors: Colley CA,Lucas LM

    更新日期:1993-05-01 00:00:00

  • The craft of writing: a physician-writer's workshop for resident physicians.

    abstract:INTRODUCTION:How can residency programs help trainees address conflicting emotions about their professional roles and cultivate a curiosity about their patients' lives beyond their diseases? We drew on the medical humanities to address these challenges by creating an intensive writing workshop for internal medicine res...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1111/j.1525-1497.2006.00550.x

    authors: Reisman AB,Hansen H,Rastegar A

    更新日期:2006-10-01 00:00:00

  • The value of serum iron studies as a test for iron-deficiency anemia in a county hospital.

    abstract::To evaluate the performance of serum iron studies as a diagnostic test for iron-deficiency anemia in a county hospital, the authors identified retrospectively all general medicine patients who had had bone-marrow aspirates for the work-up of non-macrocytic anemias from 1978 through 1983. Re-reading a sample of aspirat...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1007/BF02596144

    authors: Psaty BM,Tierney WM,Martin DK,McDonald CJ

    更新日期:1987-05-01 00:00:00

  • Are Improvements Still Needed to the Modified Hospital Readmissions Reduction Program: a Health and Retirement Study (2000-2014)?

    abstract:BACKGROUND:To address concerns that the Hospital Readmissions Reduction Program (HRRP) unfairly penalized safety net hospitals treating patients with high social and functional risks, Medicare recently modified HRRP to compare hospitals with similar proportions of high-risk, dual-eligible patients ("peer group hospital...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1007/s11606-020-06222-1

    authors: Hsuan C,Braun TM,Ponce NA,Hoffman GJ

    更新日期:2020-12-01 00:00:00

  • Exploring the educational value of clinical vignettes from the Society of General Internal Medicine national meeting in the internal medicine clerkship: a pilot study.

    abstract:INTRODUCTION:Whether the clinical vignettes presented at the Society of General Internal Medicine (SGIM) annual meeting could be of educational value to third year students in the Internal Medicine clerkship has not been studied. OBJECTIVE:To explore the relevance and learning value of clinical vignettes from the SGIM...

    journal_title:Journal of general internal medicine

    pub_type:

    doi:10.1111/j.1525-1497.2006.00596.x

    authors: Wofford JL,Singh S

    更新日期:2006-11-01 00:00:00