当前位置： SCI文献检索 > JOURNAL OF PAIN AND SYMPTOM MANAGEMENT期刊下所有文献 > Differences in Performance Status Assessment Among Palliative Care Specialists, Nurses, and Medical Oncologists.

Differences in Performance Status Assessment Among Palliative Care Specialists, Nurses, and Medical Oncologists.

Abstract：

CONTEXT:The Eastern Cooperative Oncology Group performance status (ECOG PS) is one of the most commonly used assessments in oncology and palliative care (PC). However, the interobserver differences between medical oncologists and PC specialists have never been reported. OBJECTIVES:To determine the interobserver differences in ECOG PS assessment among PC specialists, PC nurses, and medical oncologists in patients with advanced cancer. METHODS:We retrospectively reviewed the medical records of all patients who had an outpatient PC consultation in 2013 and identified 278 eligible patients. We retrieved the ECOG PS scores and symptom burden assessed by the Edmonton Symptom Assessment System (ESAS). RESULTS:PC specialists (median +0.5, P < 0.0001) and nurses (median +1.0, P < 0.0001) rated the ECOG PS significantly higher than medical oncologists. The weighted kappa values were 0.26 between PC specialists and medical oncologists and 0.61 between PC specialists and nurses. PC specialists' assessments correlated with ESAS fatigue, dyspnea, anorexia, feeling of well-being, and symptom distress score. The ECOG PS assessments by all three groups were significantly associated with survival (P < 0.001). However, patients with ECOG PS 2 and 3-4 rated by their medical oncologists had similar survival (P = 0.67). Predictors of discordance in ECOG PS assessments between PC specialists and medical oncologists were the presence of a potentially effective treatment (odds ratio [OR] 2.39; 95% CI 1.09-5.23) and poor feeling of well-being (≥4) (OR 2.38, 95% CI 1.34-4.21). CONCLUSION:ECOG PS assessments by PC specialists and nurses were significantly higher than those of medical oncologists. Systematic efforts to increase regular interdisciplinary communications may help to bridge this gap.

journal_name

J Pain Symptom Manage

journal_title

Journal of pain and symptom management

authors

Kim YJ,Hui D,Zhang Y,Park JC,Chisholm G,Williams J,Bruera E

doi

10.1016/j.jpainsymman.2014.10.015

subject

Has Abstract

pub_date

2015-06-01 00:00:00

pages

1050-1058.e2

issue

6

eissn

0885-3924

issn

1873-6513

pii

S0885-3924(14)00918-X

journal_volume

49

pub_type

杂志文章

相关文献

JOURNAL OF PAIN AND SYMPTOM MANAGEMENT文献大全
  • Assessing the quality of pain care in ambulatory patients with advanced stage cancer.

    abstract：CONTEXT:Pain is common among patients with advanced cancer despite the dissemination of clinical pain care guidelines. OBJECTIVES:We sought to assess the quality of pain care among patients with advanced disease. METHODS:We reviewed the records of 85 adult ambulatory patients with advanced breast, lung, and gastroint...

    journal_title：Journal of pain and symptom management

    pub_type： 杂志文章

    doi：10.1016/j.jpainsymman.2011.06.022

    authors： Weingart SN,Cleary A,Stuver SO,Lynch M,Brandoff D,Schaefer KG,Zhu J,Berry DL,Block S,Weeks JC

    更新日期：2012-06-01 00:00:00

  • Factors Affecting Palliative Care Development in Africa: In-Country Experts' Perceptions in Seven Countries.

    abstract：CONTEXT:Factors contributing to and impeding palliative care (PC) development in Africa can provide insights into current strategies for advancing PC. OBJECTIVES:To identify key factors affecting PC development in African countries from in-country PC experts' perspectives. METHODS:About 16 PC experts from seven Afric...

    journal_title：Journal of pain and symptom management

    pub_type： 杂志文章

    doi：10.1016/j.jpainsymman.2018.01.009

    authors： Rhee JY,Garralda E,Namisango E,Luyirika E,de Lima L,Powell RA,Robinson CA,Centeno C

    更新日期：2018-05-01 00:00:00

  • Secondary Traumatization and Proneness to Dissociation Among Palliative Care Workers: A Cross-Sectional Study.

    abstract：CONTEXT:Exposure to dying patients can contribute to secondary traumatic stress (STS) among palliative care workers. Peritraumatic dissociation (PETD), an individual's personal proneness to dissociation during exposure to a stressful event, is the strongest predictor of post-traumatic stress, but existing research on i...

    journal_title：Journal of pain and symptom management

    pub_type： 杂志文章

    doi：10.1016/j.jpainsymman.2018.04.012

    authors： Samson T,Shvartzman P

    更新日期：2018-08-01 00:00:00

  • Predicting complaints of impaired cognitive functioning in patients with chronic pain.

    abstract：:Patients with chronic pain often complain of difficulties with cognitive functioning. Previous studies suggest that these occur with no history of head trauma or neurological disease. This study examined potential predictors of cognitive complaints in 275 consecutive patients referred to a university pain management c...

    journal_title：Journal of pain and symptom management

    pub_type： 临床试验,杂志文章

    doi：10.1016/s0885-3924(01)00267-6

    authors： McCracken LM,Iverson GL

    更新日期：2001-05-01 00:00:00

  • Pain medication management processes used by oncology outpatients and family caregivers part I: health systems contexts.

    abstract：CONTEXT:Oncology patients with persistent pain treated in outpatient settings and their family caregivers have significant responsibility for managing pain medications. However, little is known about their practical day-to-day experiences with pain medication management. OBJECTIVES:The aim was to describe day-to-day p...

    journal_title：Journal of pain and symptom management

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.jpainsymman.2013.12.242

    authors： Schumacher KL,Plano Clark VL,West CM,Dodd MJ,Rabow MW,Miaskowski C

    更新日期：2014-11-01 00:00:00

  • Methadone response in advanced cancer patients with pain followed at home.

    abstract：:Concerns about the safety of therapy with methadone, which may arise because of its pharmacokinetic characteristics and inappropriate dosing, may deter clinicians from using this drug, especially in elderly patients. Experience is accumulating that the drug may be used safely and successfully if low doses are given in...

    journal_title：Journal of pain and symptom management

    pub_type： 临床试验,杂志文章

    doi：10.1016/s0885-3924(99)00048-2

    authors： Mercadante S,Casuccio A,Agnello A,Barresi L

    更新日期：1999-09-01 00:00:00

  • Consideration of hastening death among hospice patients and their families.

    abstract：:The purpose of this study was to describe hospice social workers' perceptions of cases where hospice patients or their family members expressed a desire to hasten the patient's death. Surveys were mailed to hospice social workers (n=212) in two Southeastern states. Response rate was 36%. Of the 73 respondents, 56.2% h...

    journal_title：Journal of pain and symptom management

    pub_type： 临床试验,杂志文章,多中心研究

    doi：10.1016/j.jpainsymman.2003.10.010

    authors： Arnold EM,Artin KA,Person JL,Griffith DL

    更新日期：2004-06-01 00:00:00

  • Patterns of Storage, Use, and Disposal of Prescription Opioids by Parents of Children With Cancer.

    abstract：CONTEXT:Multiple studies have demonstrated that adults do not store prescription opioids safely. Increased prescription opioid rates have led to an increased incidence of opioid poisonings in children and adolescents. OBJECTIVES:We investigated whether parents practiced safe storage, use, and disposal techniques of op...

    journal_title：Journal of pain and symptom management

    pub_type： 杂志文章

    doi：10.1016/j.jpainsymman.2019.09.018

    authors： Madden K,Reddy AS,De La Cruz MJ,Liu DD,Bruera E

    更新日期：2020-02-01 00:00:00

  • Prescription and Deprescription of Medication During the Last 48 Hours of Life: Multicenter Study in 23 Acute Geriatric Wards in Flanders, Belgium.

    abstract：CONTEXT:Palliative care for the older person is often limited, resulting in poor quality of dying. Pharmacological management can be one of the components to achieve better symptom control. OBJECTIVES:To describe the anticipatory prescription of medication for symptomatic treatment and the deprescription of potentiall...

    journal_title：Journal of pain and symptom management

    pub_type： 杂志文章,多中心研究

    doi：10.1016/j.jpainsymman.2015.12.325

    authors： Van Den Noortgate NJ,Verhofstede R,Cohen J,Piers RD,Deliens L,Smets T

    更新日期：2016-06-01 00:00:00

  • Identification of Symptom Clusters and Their Influencing Factors in Subgroups of Chinese Patients With Acute Exacerbation of Chronic Obstructive Pulmonary Disease.

    abstract：CONTEXT:Limited studies have identified symptom clusters (SCs) and their risk factors and the relationships with inflammatory biomarkers in patients with acute exacerbation of chronic obstructive pulmonary disease (AECOPD). OBJECTIVES:In this study, we aimed to investigate SCs in patients with AECOPD and explore their...

    journal_title：Journal of pain and symptom management

    pub_type： 杂志文章

    doi：10.1016/j.jpainsymman.2020.03.037

    authors： Yang Z,Cui M,Zhang X,Bai J,Tang L,Tan G,Jiang Y

    更新日期：2020-09-01 00:00:00

  • Edmonton, Canada: a regional model of palliative care development.

    abstract：:Palliative care developed unevenly in Edmonton in the 1980s and early 1990s. Health care budget cuts created an opportunity for innovative redesign of palliative care service delivery. This report describes the components that were developed to build an integrated comprehensive palliative care program, the use of comm...

    journal_title：Journal of pain and symptom management

    pub_type： 杂志文章,评审

    doi：10.1016/j.jpainsymman.2007.02.012

    authors： Fainsinger RL,Brenneis C,Fassbender K

    更新日期：2007-05-01 00:00:00

  • "Burst" ketamine for refractory cancer pain: an open-label audit of 39 patients.

    abstract：:The results of a novel approach to the use of ketamine in refractory cancer pain are reported. In this prospective, multicenter, unblinded, open-label audit, 39 patients (with a total of 43 pains) received a short duration (3 to 5 days) ketamine infusion. The initial dose of 100 mg/24 hr was escalated if required to 3...

    journal_title：Journal of pain and symptom management

    pub_type： 杂志文章,多中心研究

    doi：10.1016/s0885-3924(01)00340-2

    authors： Jackson K,Ashby M,Martin P,Pisasale M,Brumley D,Hayes B

    更新日期：2001-10-01 00:00:00

  • Spinal cord stimulation in complex regional pain syndrome and refractory neuropathic back and leg pain/failed back surgery syndrome: results of a systematic review and meta-analysis.

    abstract：:The drive for good quality evidence has highlighted the importance of well-conducted systematic reviews and meta-analyses that critically evaluate and grade studies for new or existing therapies. A systematic review and meta-analysis was performed to review the efficacy, safety, and cost effectiveness of spinal cord s...

    journal_title：Journal of pain and symptom management

    pub_type： 杂志文章,meta分析,评审

    doi：10.1016/j.jpainsymman.2005.12.010

    authors： Taylor RS

    更新日期：2006-04-01 00:00:00

  • Disparities in the contribution of low- and middle-income countries to palliative care research.

    abstract：CONTEXT:Important aspects of the palliative care needs of patients from low- and middle-income countries (LMIC) are largely unexplored. About 44 million of the 56 million annual deaths worldwide occur in developing countries, and it is estimated that more than 33 million of those concerned would benefit from palliative...

    journal_title：Journal of pain and symptom management

    pub_type： 杂志文章

    doi：10.1016/j.jpainsymman.2009.05.023

    authors： Pastrana T,Vallath N,Mastrojohn J,Namukwaya E,Kumar S,Radbruch L,Clark D

    更新日期：2010-01-01 00:00:00

  • Transdermal fentanyl versus sustained-release oral morphine in cancer pain: preference, efficacy, and quality of life. The TTS-Fentanyl Comparative Trial Group.

    abstract：:Cancer patients requiring strong opioid analgesia (n = 202; mean age, 61.5 years; range, 18-89 years; 55% men) were recruited from 38 United Kingdom palliative care centers into a randomized, open, two-period, crossover study comparing transdermal fentanyl with sustained-release oral morphine. Patients received one tr...

    journal_title：Journal of pain and symptom management

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：10.1016/s0885-3924(97)00082-1

    authors： Ahmedzai S,Brooks D

    更新日期：1997-05-01 00:00:00

  • Diuretics Combined With Compression in Resistant Limb Edema of Advanced Disease-A Case Series Report.

    abstract：INTRODUCTION:The extremity edema of advanced disease is a common, multifactorial feature, which impairs patients' activities and quality of life. The most frequently chosen management is based on combined decongestive physiotherapy or pharmacotherapy (with diuretics or steroids). Subcutaneous lymphatic drainage in refr...

    journal_title：Journal of pain and symptom management

    pub_type： 杂志文章

    doi：10.1016/j.jpainsymman.2017.12.481

    authors： Gradalski T

    更新日期：2018-04-01 00:00:00

  • Enrollment and events of hospice patients with heart failure vs. cancer.

    abstract：CONTEXT:Hospice care is traditionally used for patients with advanced cancer, but it is increasingly considered for patients with end-stage heart failure. OBJECTIVES:We compared enrollment patterns and clinical events of hospice patients with end-stage heart failure with those of patients with advanced cancer. METHOD...

    journal_title：Journal of pain and symptom management

    pub_type： 杂志文章

    doi：10.1016/j.jpainsymman.2012.03.006

    authors： Cheung WY,Schaefer K,May CW,Glynn RJ,Curtis LH,Stevenson LW,Setoguchi S

    更新日期：2013-03-01 00:00:00

  • Audio-visual communication and its use in palliative care.

    abstract：:The technology of telemedicine has been used for over 20 years, involving different areas of medicine, providing medical care for the geographically isolated patients, and uniting geographically isolated clinicians. Today audio-visual technology may be useful in palliative care for the patients lacking access to medic...

    journal_title：Journal of pain and symptom management

    pub_type： 杂志文章

    doi：10.1016/s0885-3924(01)00402-x

    authors： Coyle N,Khojainova N,Francavilla JM,Gonzales GR

    更新日期：2002-02-01 00:00:00

  • Objective physical activity and self-reported quality of life in patients receiving palliative chemotherapy.

    abstract：:There is little objective data on how cancer and its therapy affect physical activity. The main aims of this pilot study were 1) to compare physical activity in patients receiving palliative chemotherapy and healthy controls, and 2) to explore the relationship between patients' activity, quality of life (QoL), and cli...

    journal_title：Journal of pain and symptom management

    pub_type： 杂志文章

    doi：10.1016/j.jpainsymman.2006.09.024

    authors： Dahele M,Skipworth RJ,Wall L,Voss A,Preston T,Fearon KC

    更新日期：2007-06-01 00:00:00

  • Exploring the Topics Discussed During a Conversation Card Game About Death and Dying: A Content Analysis.

    abstract：CONTEXT:Substantive discussions between loved ones are necessary for effective advance care planning. Although multiple tools are currently in use for promoting conversations, the content and clinical relevance of the conversations they stimulate is unknown. OBJECTIVE:To describe the content and clinical relevance of ...

    journal_title：Journal of pain and symptom management

    pub_type： 杂志文章

    doi：10.1016/j.jpainsymman.2016.03.021

    authors： Van Scoy LJ,Reading JM,Scott AM,Chuang C,Levi BH,Green MJ

    更新日期：2016-11-01 00:00:00

  • Panel-based pain management in primary care. a pilot study.

    abstract：:Although pain is an extremely common symptom presenting to primary care physicians, it frequently is not optimally managed. The purpose of this feasibility study was to develop and pilot-test an efficient, rapid assessment and management approach for pain in busy community practices. The intervention utilized the Dart...

    journal_title：Journal of pain and symptom management

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：10.1016/s0885-3924(01)00301-3

    authors： Ahles TA,Seville J,Wasson J,Johnson D,Callahan E,Stukel TA

    更新日期：2001-07-01 00:00:00

  • Modified Edmonton Symptom Assessment System including constipation and sleep: validation in outpatients with cancer.

    abstract：CONTEXT:The Edmonton Symptom Assessment System (ESAS) measures the severity of nine symptoms. Constipation and sleep disturbance are common in patients with cancer, but are not currently included in the ESAS. OBJECTIVES:To validate the numerical rating scale (NRS) versions of ESAS and its revised version (ESAS-r), wit...

    journal_title：Journal of pain and symptom management

    pub_type： 杂志文章

    doi：10.1016/j.jpainsymman.2014.10.013

    authors： Hannon B,Dyck M,Pope A,Swami N,Banerjee S,Mak E,Bryson J,Rodin G,Ridley J,Lo C,Le LW,Zimmermann C

    更新日期：2015-05-01 00:00:00

  • Patient-controlled analgesia in patients with advanced cancer. Should patients be in control?

    abstract：:Patient-controlled analgesia (PCA) has been incorporated into the management of chronic pain in cancer patients despite limited evidence of safety and efficacy. Potential benefits of PCA include decreased delay in the administration of opioids from the time requested, rapidity and ease of dose titration, and adaptabil...

    journal_title：Journal of pain and symptom management

    pub_type： 杂志文章

    doi：10.1016/j.jpainsymman.2010.11.020

    authors： Dev R,Del Fabbro E,Bruera E

    更新日期：2011-08-01 00:00:00

  • The evidence for pharmacologic treatment of neuropathic cancer pain: beneficial and adverse effects.

    abstract：CONTEXT:The prevalence of neuropathic pain in patients with cancer pain has been estimated to be around 40%. Neuropathic pain may be caused by tumor invasion and is considered as mixed nociceptive-neuropathic pain, or caused by an anticancer treatment and considered as purely neuropathic pain. The use of adjuvant analg...

    journal_title：Journal of pain and symptom management

    pub_type： 杂志文章,meta分析,评审

    doi：10.1016/j.jpainsymman.2012.10.230

    authors： Jongen JL,Huijsman ML,Jessurun J,Ogenio K,Schipper D,Verkouteren DR,Moorman PW,van der Rijt CC,Vissers KC

    更新日期：2013-10-01 00:00:00

  • The Hot Flash Related Daily Interference Scale: a tool for assessing the impact of hot flashes on quality of life following breast cancer.

    abstract：:To assess the psychometric properties of the Hot Flash Related Daily Interference Scale (HFRDIS), a sample of breast cancer survivors and an age-matched comparison group completed a questionnaire packet and 2-day prospective hot flash diary at an initial time point and again 6 months later. There were 71 breast cancer...

    journal_title：Journal of pain and symptom management

    pub_type： 临床试验,杂志文章

    doi：10.1016/s0885-3924(01)00353-0

    authors： Carpenter JS

    更新日期：2001-12-01 00:00:00

  • A cochrane systematic review of transcutaneous electrical nerve stimulation for cancer pain.

    abstract：:Cancer-related pain is complex and multi-dimensional; yet, the mainstay of cancer pain management has been the biomedical approach. There is a need for nonpharmacological and innovative pain management strategies. Transcutaneous electrical nerve stimulation (TENS) may have a role. The aim of this systematic review was...

    journal_title：Journal of pain and symptom management

    pub_type： 杂志文章,meta分析,评审

    doi：10.1016/j.jpainsymman.2008.03.022

    authors： Robb K,Oxberry SG,Bennett MI,Johnson MI,Simpson KH,Searle RD

    更新日期：2009-04-01 00:00:00

  • Validation of the Spanish Version of the Quality of Dying and Death Questionnaire (QODD-ESP) in a Home-Based Cancer Palliative Care Program and Development of the QODD-ESP-12.

    abstract：CONTEXT:Improving quality of death (QOD) is a key goal in palliative care (PC). To our knowledge, no instruments to measure QOD have been validated in Spanish. OBJECTIVES:The goals of this study were to validate the Spanish version of the quality of dying and death (QODD) questionnaire and to develop and validate a sh...

    journal_title：Journal of pain and symptom management

    pub_type： 杂志文章

    doi：10.1016/j.jpainsymman.2017.02.005

    authors： Pérez-Cruz PE,Padilla Pérez O,Bonati P,Thomsen Parisi O,Tupper Satt L,Gonzalez Otaiza M,Ceballos Yáñez D,Maldonado Morgado A

    更新日期：2017-06-01 00:00:00

  • Lamotrigine in the treatment of chronic refractory neuropathic pain.

    abstract：:Many patients suffer from chronic, intractable neuropathic pain. Despite similar diagnoses and presumed pathophysiologies, symptoms and response to treatment can differ. Monotherapy is only occasionally successful. In this prospective survey, 20 patients with chronic, neuropathic pain not responding to interventional ...

    journal_title：Journal of pain and symptom management

    pub_type： 杂志文章

    doi：10.1016/s0885-3924(00)00131-7

    authors： Devulder J,De Laat M

    更新日期：2000-05-01 00:00:00

  • Important aspects of end-of-life care among veterans: implications for measurement and quality improvement.

    abstract：:To identify aspects of end-of-life care in the U.S. Department of Veterans Affairs (VA) health care system that are not assessed by existing survey instruments and to identify issues that may be unique to veterans, telephone interviews using open-ended questions were conducted with family members of veterans who had r...

    journal_title：Journal of pain and symptom management

    pub_type： 杂志文章

    doi：10.1016/j.jpainsymman.2007.03.008

    authors： Casarett D,Pickard A,Amos Bailey F,Ritchie C,Furman C,Rosenfeld K,Shreve S,Shea JA

    更新日期：2008-02-01 00:00:00

  • Methylphenidate as Needed for Fatigue in Patients With Advanced Cancer. A Prospective, Double-Blind, and Placebo-Controlled Study.

    abstract：CONTEXT:Cancer-related fatigue is a highly prevalent symptom with a strong negative impact on patients' daily life. OBJECTIVES:To evaluate the efficacy of methylphenidate as needed for the management of fatigue in patients with advanced cancer. METHODS:A prospective, controlled, double-blind, and paired design, where...

    journal_title：Journal of pain and symptom management

    pub_type： 杂志文章

    doi：10.1016/j.jpainsymman.2020.05.023

    authors： Pedersen L,Lund L,Petersen MA,Sjogren P,Groenvold M

    更新日期：2020-11-01 00:00:00