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Pre-screening of patient-reported symptoms using the Edmonton Symptom Assessment System in outpatient palliative cancer care

Authors
 Garden Lee  ;  Han Sang Kim  ;  Si Won Lee  ;  Yu Rang Park  ;  Eun Hwa Kim  ;  Bori Lee  ;  Youn Jung Hu  ;  Kyung-A Kim  ;  DooA Kim  ;  Ho Yeon Cho  ;  Beodeul Kang  ;  Hye Jin Choi 
Citation
 EUROPEAN JOURNAL OF CANCER CARE, Vol.29(6) : e13305, 2020-11 
Journal Title
 EUROPEAN JOURNAL OF CANCER CARE 
ISSN
 0961-5423 
Issue Date
2020-11
Keywords
ESAS ; Edmonton Symptom Assessment System ; PRO ; palliative cancer care ; patient-reported outcome ; pre-screening tool
Abstract
Objectives: Although early palliative care is associated with a better quality of life and improved outcomes in end-of-life cancer care, the criteria of palliative care referral are still elusive. Methods: We collected patient-reported symptoms using the Edmonton Symptom Assessment System (ESAS) at the baseline, first and second follow-up visits. A total of 71 patients were evaluable, with a median age of 65 years, male (62%) and Eastern Cooperative Oncology Group (ECOG) performance status distribution of 1/2/3 (28%/39%/33%) respectively. Results: Twenty (28%) patients had moderate/severe symptom burden with the mean ESAS ≥ 5. Interestingly, most of the patients with moderate/severe symptom burdens (ESAS ≥ 5) had globally elevated symptom expression. While the mean ESAS score was maintained in patients with mild symptom burden (ESAS < 5; 2.7 at the baseline; 3.4 at the first follow-up; 3.0 at the second follow-up; p = .117), there was significant symptom improvement in patients with moderate/severe symptom burden (ESAS ≥ 5; 6.5 at the baseline; 4.5 at the first follow-up; 3.6 at the second follow-up; p < .001). Conclusions: In conclusion, advanced cancer patients with ESAS ≥ 5 may benefit from outpatient palliative cancer care. Pre-screening of patient-reported symptoms using ESAS can be useful for identifying unmet palliative care needs in advanced cancer patients.
Full Text
https://onlinelibrary.wiley.com/doi/10.1111/ecc.13305
DOI
10.1111/ecc.13305
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Biomedical Systems Informatics (의생명시스템정보학교실) > 1. Journal Papers
Yonsei Authors
Kim, Han Sang(김한상) ORCID logo https://orcid.org/0000-0002-6504-9927
Park, Yu Rang(박유랑) ORCID logo https://orcid.org/0000-0002-4210-2094
Choi, Hye Jin(최혜진) ORCID logo https://orcid.org/0000-0001-5917-1400
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/180723
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