Longitudinal screening and management of fatigue,pain, and emotional distress associated with cancer therapy |
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Authors: | Zeeshan Butt Lynne I Wagner Jennifer L Beaumont Judith A Paice Joshua L Straus Amy H Peterman George Carro Jamie H Von Roenn Dan Shevrin David Cella |
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Institution: | (1) Center on Outcomes, Research and Education (CORE), Evanston Northwestern Healthcare, 1001 University Place, Suite 100, Evanston, IL 60201, USA;(2) Department of Psychiatry and Behavioral Sciences, Feinberg School of Medicine, Northwestern University, 446 E. Ontario Avenue, Suite 7-200, Chicago, IL 60611, USA;(3) Institute for Healthcare Studies, Feinberg School of Medicine, Northwestern University, 676 N. St. Clair Street, Suite 200, Chicago, IL 60610, USA;(4) Division of Hematology/Oncology, Feinberg School of Medicine, Northwestern University, 303 E. Superior Street, Lurie 5th Floor, Chicago, IL 60611, USA;(5) Department of Psychology, University of North Carolina at Charlotte, 9201 University City Boulevard, Charlotte, NC 28223, USA;(6) Kellogg Cancer Care Center, Evanston Northwestern Healthcare, 2650 Ridge Avenue, Evanston, IL 60201, USA |
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Abstract: | Goals of work Fatigue, pain, and emotional distress are common symptoms among patients with cancer. We sought to learn about patient perceptions
of these symptoms and their treatment.
Materials and methods At a baseline assessment and two monthly follow-up assessments, we asked a diverse sample of patients with solid tumor or
lymphoma (N = 99) about their fatigue, pain and distress, their treatment for these symptoms, and their satisfaction with treatment via
standardized questionnaires and semistructured interviews.
Main results In this observational study, patients reported fatigue, pain, emotional distress, and general quality of life at expected
levels. Across all assessments, at least half of our sample experienced at least some fatigue, pain, or distress. On the whole,
patients and providers do communicate about these concerns, and at least 75% of patients found these discussions helpful when
they occurred.
Conclusions Improved symptom identification and communication may optimize the detection of those at risk of morbidity and decreased quality
of life because of excess symptom burden. |
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Keywords: | Symptom management Screening Quality of life Communication |
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