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Journal of Pain and Symptom Management

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https://www.readbyqxmd.com/read/28533161/differences-in-symptom-clusters-identified-using-ratings-of-symptom-occurrence-versus-severity-in-lung-cancer-patients-receiving-chemotherapy
#1
Melisa L Wong, Bruce A Cooper, Steven M Paul, Jon D Levine, Yvette P Conley, Fay Wright, Marilyn Hammer, Christine Miaskowski
CONTEXT: An important question in symptom clusters research is whether the number and types of symptom clusters vary based on the specific dimension of the symptom experience used to create the clusters. OBJECTIVES: Given that lung cancer patients undergoing chemotherapy (CTX) report an average of 14 co-occurring symptoms and studies of symptom clusters in these patients are limited, the purpose of this study, in lung cancer patients undergoing CTX (n=145), was to identify whether the number and types of symptom clusters differed based on whether symptom occurrence rates or symptom severity ratings were used to create the clusters...
May 19, 2017: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/28533160/cancer-treatment-side-effects-a-meta-analysis-of-the-relationship-between-response-expectancies-and-experience
#2
REVIEW
Elise J Devlin, Linley A Denson, Hayley S Whitford
CONTEXT: Although previous research has, overall, suggested a moderate relationship between response expectancies (REs) and cancer treatment-related side-effects, empirical results have been mixed. OBJECTIVES: We aimed to further explore these relationships, hypothesizing that REs would predict subsequent toxicities with the inclusion of more recent studies, across a broader range of side-effects, while incorporating the impact of potential moderators including patients' experience with treatment and measurement methods...
May 19, 2017: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/28533159/distinguishing-between-spiritual-distress-general-distress-spiritual-well-being-and-spiritual-pain-among-cancer-patients-during-oncology-treatment
#3
Michael Schultz, Tehilah Meged-Book, Tanya Mashiach, Gil Bar-Sela
BACKGROUND: Spiritual distress is present in ∼25% of oncology patients. We examined the extent to which this measure is identical to a variety of other measures, such as spiritual well-being, spiritual injury, spiritual pain, and general distress. METHODS: Structured interview of oncology outpatients over 12 months, approached non-selectively. The presence or absence of spiritual distress was compared against spiritual pain and two spiritual well-being tools: FACIT-Sp-12 and the Spiritual Injury Scale (SIS)...
May 19, 2017: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/28502786/randomized-evaluation-of-cognitive-behavioral-therapy-and-graded-exercise-therapy-for-post-cancer-fatigue
#4
Carolina X Sandler, David Goldstein, Sarah Horsfield, Barbara K Bennett, Michael Friedlander, Patricia A Bastick, Craig R Lewis, Eva Segelov, Frances M Boyle, Melvin T M Chin, Kate Webber, Benjamin K Barry, Andrew R Lloyd
OBJECTIVE: To evaluate the outcomes of a randomized controlled trial, which assigned patients with post-cancer fatigue (PCF) to education, or 12-weeks of integrated cognitive-behavioral therapy (CBT) and graded exercise therapy (GET). METHODS: Three months post treatment for breast or colon cancer, eligible patients had: clinically-significant fatigue; no co-morbid medical or psychiatric conditions which explained the fatigue; and no evidence of recurrence. The CBT/GET arm included individually tailored consultations at approximately two weekly intervals...
May 11, 2017: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/28495487/effect-of-psychiatric-illness-on-acute-care-utilization-at-end-of-life-from-serious-medical-illness
#5
Kyle Lavin, Dimitry S Davydow, Lois Downey, Ruth A Engelberg, Ben Dunlap, James Sibley, William B Lober, Kelson Okimoto, Nita Khandelwal, Elizabeth T Loggers, Joan M Teno, J Randall Curtis
CONTEXT: Little is known about psychiatric illness and utilization of end-of-life care. OBJECTIVES: We hypothesized that pre-existing psychiatric illness would increase hospital utilization at end-of-life among patients with chronic medical illness due to increased severity of illness and care fragmentation. METHODS: We reviewed electronic health records to identify decedents with one or more of eight chronic medical conditions based on International Classification of Diseases (ICD)-9 codes...
May 8, 2017: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/28479417/gait-speed-and-survival-in-patients-with-brain-metastases
#6
Caleb Dulaney, Andrew McDonald, Audrey S Wallace, John Fiveash
CONTEXT: Accurate estimation of life expectancy in patients with brain metastases is critical for counselling and choosing appropriate therapy. Performance status is the single greatest determinant of overall survival in this population. However, current measures of performance status are subjective and often based on brief clinical encounters. Gait speed is an objective, reliable predictor of overall health and survival. OBJECTIVE: The purpose of this study was to evaluate the relationship between gait speed and survival in patients with brain metastases...
May 4, 2017: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/28479416/validation-of-the-persian-version-of-the-brief-pain-inventory-bpi-p-in-chronic-pain-patients
#7
Hossein Majedi, S Sharareh Dehghani, Saeed Soleyman-Jahi, S Ali Emami Meibodi, S Mohammad Mireskandari, Marzieh Hajiaghababaei, Abbas Tafakhori, Tito R Mendoza, Charles S Cleeland
CONTEXT: Chronic pain needs to be evaluated with a standard instrument. The Brief Pain Inventory (BPI) is a pain assessment tool which has been validated in many languages. OBJECTIVES: The aim of the present study was to develop the Persian version of the Brief Pain Inventory (BPI-P) and also to evaluate the psychometric properties of the BPI-P in the Iranian population. METHODS: The BPI-P was translated from the original version of BPI using standard procedure...
May 4, 2017: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/28479415/off-label-medication-use-in-the-inpatient-palliative-care-unit
#8
Jung Hye Kwon, Min Ji Kim, Sebastian Bruera, Minjeong Park, Eduardo Bruera, David Hui
CONTEXT: Although off-label medications are frequently prescribed in palliative care, there are no published studies examining their use in the United States. OBJECTIVES: We examined the frequency of off-label medication use in cancer patients admitted to an acute palliative care unit (APCU). METHODS: This prospective observational study enrolled consecutive patients with advanced cancer admitted to the APCU of a tertiary care cancer center...
May 4, 2017: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/28479414/is-higher-acceptance-associated-with-less-anticipatory-grief-among-patients-in-palliative-care
#9
Esther L Davis, Frank P Deane, Geoffrey C B Lyons, Gregory D Barclay
CONTEXT: Patients in palliative care can experience substantial psychological suffering. Acceptance based interventions from approaches like Acceptance and Commitment Therapy (ACT) have demonstrated effectiveness in helping people cope with a range of life challenges. However, there is a dearth of research examining mechanisms of therapeutic change for patients in palliative care. OBJECTIVES: To assess the relationships between acceptance, anticipatory grief, anxiety and depression amongst patients in palliative care...
May 4, 2017: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/28479413/self-reported-bothersome-symptoms-across-different-socioepidemiological-groups-of-people-living-with-hiv-attending-french-hospitals-results-from-the-anrs-vespa2-survey
#10
Véronique Boyer, Antoine Vilotitch, Fabienne Marcellin, Baptiste Demoulin, Rosemary Dray-Spira, Bruno Spire
CONTEXT: Twenty years after the advent of combined antiretroviral therapies (cART), there is a growing need for up-to-date information about the daily experience of people living with HIV (PLWH). OBJECTIVES: This study aimed to investigate the relationship between socio-epidemiological groups and the types of bothersome symptoms reported by PLWH participating in a national survey in France. METHODS: We analyzed self-reported bothersome symptoms in a representative sample of PLWH (ANRS VESPA2 survey), most of whom were receiving ART treatment...
May 4, 2017: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/28479412/perceived-family-functioning-predicts-baseline-psychosocial-characteristics-in-u-s-participants-of-a-family-focused-grief-therapy-trial
#11
Tammy A Schuler, Talia I Zaider, Yuelin Li, Melissa Masterson, Glynnis A McDonnell, Shira Hichenberg, Rebecca Loeb, David W Kissane
CONTEXT AND OBJECTIVES: Screening and baseline data on 170 American families (620 individuals), selected by screening from a palliative care population for inclusion in a RCT of Family Focused Grief Therapy (FFGT), were examined to determine whether family dysfunction conferred higher levels of psychosocial morbidity. We hypothesized that greater family dysfunction would indeed be associated with poorer psychosocial outcomes among palliative care patients and their family members. METHODS: Screened families were classified according to their functioning on the Family Relationships Index (FRI) and consented families completed baseline assessments...
May 4, 2017: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/28479411/end-of-life-place-of-care-health-care-settings-and-health-care-transitions-among-cancer-patients-impact-of-an-integrated-cancer-palliative-care-plan
#12
V Casotto, M Rolfini, E Ferroni, V Savioli, N Gennaro, F Avossa, M Cancian, F Figoli, D Mantoan, A Brambilla, M C Ghiotto, U Fedeli, M Saugo
CONTEXT: Frequent end-of-life health care setting transitions can lead to an increased risk of fragmented care and exposure to unnecessary treatments. OBJECTIVES: We assessed the relationship between the presence and the intensity of an Integrated Cancer Palliative Care plan and the occurrence of multiple transitions during the last month of life. METHODS: Decedents of cancer aged 18-85 years residents in two Regions of Italy where investigated accessing their integrated administrative data (Death Certificates, Hospital Discharges, Hospice and Home care records)...
May 4, 2017: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/28479410/impact-of-undertreatment-of-cancer-pain-with-analgesic-drugs-on-patient-outcomes-a-nationwide-survey-of-outpatient-cancer-patient-care-in-taiwan
#13
Wen-Chi Shen, Jen-Shi Chen, Yu-Yun Shao, Kuan-Der Lee, Tzeon-Jye Chiou, Yung-Chuan Sung, Kun-Ming Rau, Chia-Jui Yen, Yu-Min Liao, Ta-Chih Liu, Ming-Fang Wu, Ming-Yang Lee, Ming-Sun Yu, Wen-Li Hwang, Pang-Yu Lai, Cheng-Shyong Chang, Wen-Chi Chou, Ruey-Kuen Hsieh
CONTEXT: Undertreatment of cancer pain among outpatient cancer patients needs to be addressed to enhance care and improve patients' quality of life. OBJECTIVES: This prospective, cross-sectional, patient-focused study aimed to explore the prevalence of pain and undertreatment of cancer pain in outpatients in Taiwan. METHODS: A total of 2,652 non-selected outpatients with cancer and aged 20 or older from 16 medical centers across Taiwan were included in this survey...
May 4, 2017: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/28479409/-i-just-felt-like-i-was-stuck-in-the-middle-physician-assistants-experiences-communicating-with-terminally-ill-patients-and-their-families-in-the-acute-care-setting
#14
Elizabeth Chuang, Richard Lamkin, Aluko A Hope, Gina Kim, Jean Burg, Michelle Ng Gong
CONTEXT: Terminally ill hospitalized patients and their families consistently rank effective communication and shared decision-making among their top priorities. Advance Practice Providers such as Physician Assistants (PAs) are increasingly providing care in the hospital setting and are often called to communicate with patients and families. A first step to improving PA communication is to better understand PAs' current experiences in their daily practices. OBJECTIVES: This study aimed to explore: 1) roles PAs serve in communicating with terminally ill patients/families; 2) PAs' attitudes and opinions about communication roles and 3) perceived barriers and facilitators of communication with patients/families in the hospital setting...
May 4, 2017: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/28461221/sacred-moments-palliative-care-as-lived-experience
#15
John E Renfro, Elizabeth Mazurkiewicz, Charles G Sasser
No abstract text is available yet for this article.
April 29, 2017: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/28457746/comparing-the-palliative-care-needs-of-those-with-cancer-to-those-with-common-non-cancer-serious-illness
#16
Doran Bostwick, Steven Wolf, Greg Samsa, Janet Bull, Donald H Taylor, Kimberly S Johnson, Arif Kamal
BACKGROUND: Historically, palliative care has been focused on those with cancer. While these ties persist, palliative care is rapidly integrating into the care of patients with common, non-cancer serious illnesses. Despite this, the bulk of literature informing palliative care practices stems from the care of cancer patients. OBJECTIVES: We compared functionality, advanced care planning, hospital admissions, prognosis, quality of life, pain, dyspnea, fatigue, and depression between patients with cancer and three non-cancer diagnoses--end stage renal disease (ESRD), heart failure (HF), and chronic obstructive pulmonary disease (COPD)...
April 27, 2017: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/28450220/feasibility-and-pilot-studies-in-palliative-care-research-a-systematic-review
#17
REVIEW
Terry A Jones, Timothy S Olds, David C Currow, Marie T Williams
CONTEXT: Feasibility and pilot study designs are common in palliative care research. Finding standard guidelines on the structure and reporting of these study types is difficult. OBJECTIVES: In feasibility and pilot studies in palliative care research, to determine (1) how commonly a priori feasibility are criteria reported and whether results are subsequently reported against these criteria?; and (2) how commonly are participants' views on acceptability of burden of the study protocol assessed? METHODS: Four databases (OVID Medline, EMBASE, CINAHL, and PubMed via caresearch...
April 24, 2017: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/28450219/terminally-ill-taiwanese-cancer-patients-and-family-caregivers-agreement-on-patterns-of-life-sustaining-treatment-preferences-is-poor-to-fair-and-declines-over-a-decade-results-from-two-independent-cross-sectional-studies
#18
Tsang-Wu Liu, Fur-Hsing Wen, Cheng-Hsu Wang, Ruey-Long Hong, Jyh-Ming Chow, Jen-Shi Chen, Chang-Fang Chiu, Siew Tzuh Tang
CONTEXT/OBJECTIVE: Temporal changes have not been examined in patient-caregiver agreement on life-sustaining treatment (LST) preferences at end of life (EOL). We explored the extent of and changes in patient-caregiver agreement on LST-preference patterns for two independent cohorts of Taiwanese cancer patient-family caregiver dyads recruited a decade apart. METHODS: We surveyed preferences for cardiopulmonary resuscitation, intensive care unit care, cardiac massage, intubation with mechanical ventilation, intravenous nutritional support, tube feeding, and dialysis among 1049 and 1901 dyads in 2003-2004 and 2011-2012, respectively...
April 24, 2017: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/28450218/financial-incentives-to-increase-advance-care-planning-among-medicaid-beneficiaries-lessons-learned-from-two-pragmatic-randomized-trials
#19
Amber E Barnato, Robert Moore, Charity G Moore, Neal D Kohatsu, Rebecca L Sudore
CONTEXT: Medicaid populations have low rates of advance care planning (ACP). Potential policy interventions include financial incentives. OBJECTIVE: To test the effectiveness of patient plus provider financial incentive compared to provider financial incentive alone for increasing ACP discussions among Medicaid patients. METHODS: Between April 2014-July 2015 we conducted two sequential assessor-blinded pragmatic randomized trials in a health plan that pays PCPs $100 to discuss ACP: 1) a parallel cluster trial (provider-delivered patient incentive); and 2) an individual-level trial (mail-delivered patient incentive)...
April 24, 2017: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/28450217/hospice-enrollment-after-referral-to-community-based-specialist-palliative-care-impact-of-telephonic-outreach
#20
Alexa Riggs, Brenda Breuer, Lara Dhingra, Jack Chen, Russell K Portenoy, Helena Knotkova
CONTEXT: In the United States, palliative care programs improve access to hospice through enhanced communication and efficiencies in hospice eligibility review and enrollment. For community-based programs, this task may begin with telephone contact. OBJECTIVES: To evaluate the incidence and predictors of hospice enrollment following telephonic outreach by a nurse after referral to a community-based, specialist palliative care program. METHODS: During 2012-2014, 299 consecutive patients who were referred to a palliative care program and subsequently enrolled in hospice provided electronic health record data for a retrospective cohort study...
April 24, 2017: Journal of Pain and Symptom Management
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