nach oben

Erschienen in:

01.11.2005 | Supportive Care International

Assessment and treatment of symptoms among Italian medical oncologists

verfasst von: Giampiero Porzio, Marco Valenti, Federica Aielli, Lucilla Verna, Enrico Ricevuto, Anna Iolanda Rispoli, Katia Cannita, Paolo Marchetti, Corrado Ficorella

Erschienen in: Supportive Care in Cancer | Ausgabe 11/2005

Einloggen, um Zugang zu erhalten

Abstract

Objectives

This work was conducted to evaluate symptoms assessment and use of patient-tailored protocols in clinical practice among Italian medical oncologists.

Methods

A questionnaire based on four topics (assessment of symptoms, assessment of a specific symptom, assessment of pain, use of patient-tailored protocols of treatment) was administered to 250 Italian medical oncologists.Results: Of these oncologists, 43.7% used multiple symptoms tools and 37.9% used symptom specific tools; 58.9% used some instrument to assess pain. More than a third of the respondents (35.5%) used patient-tailored protocols. No statistical differences were found regarding region of residency, availability of consultants in pain therapy and/or palliative care, colleagues with main interest on palliative care, and beds dedicated to palliative care. Statistically significant differences were found regarding the position (staff/resident) in three out four topics.

Conclusions

Among Italian medical oncologists, the instruments used for assessment of symptoms are poorly employed. Even when these instruments are used, patient-tailored protocols are rarely administered.

Cherny NI, Catane RI (2003) Attitudes of medical oncologists toward palliative care for patients with advanced and incurable cancer. Cancer 11:2502–2510CrossRef

Cherny NI, Catane RI, Kosmidis P (2003) ESMO takes a stand on supportive and palliative care. Ann Oncol 14:1335–1337CrossRefPubMed

Cleeland CS, Janian NA, Scott CB et al (2000) Cancer pain management by radiotherapists: a survey of radiation therapy oncology group physician. Int J Radiat Oncol Biol Phys 47:203–208CrossRefPubMed

Cleeland CS (2000) Cancer-related symptoms. Semin Radiat Oncol 10:175–190PubMed

Du Pen SL, Du Pen AR, Polissar N et al (1999) Implementing guidelines for cancer pain management. Result of a randomized controlled trial. J Clin Oncol 17:361–370PubMed

Fisher SM, Gozansky WS, Kutner JS et al (2003) Palliative care education: an intervention to improve medical residents knowledge and attitude. J Palliat Med 6:391–399CrossRefPubMed

Grossman SA, Benedetti C, Payne R et al (1999) NCCN practice guidelines for cancer pain. Oncology 13:33–44PubMed

Homsi J, Walsh D, Nelson KA et al (2001) Symptom assessment in advanced cancer: patient report versus systematic assessment. Proc ASCO 20:1541

Liao S, Amin A, Rucker L (2004) An innovative, longitudinal program to teach residents about end-of-life. Acad Med 79:752–757CrossRefPubMed

10.

Naughton M, Homsi J (2002) Symptom assessment in cancer patient. Curr Oncol Rep 4:256–263PubMed

11.

Paice JA (2004) Assessment of symptom clusters in people with cancer. J Natl Cancer Inst Monogr 32:98–102PubMed

12.

Patrick DL, Ferketich SL, Frame PS et al (2003) National Institutes of Health State-of-the-Science conference statement: Symptom Management in Cancer: Pain, Depression and Fatigue, July 15–17, 2002. J Natl Cancer Inst 95:1110–1117PubMed

13.

Porzio G, Ricevuto E, Aielli F et al (2005) Supportive Care Task Force at the University of L’Aquila: two years experience. Support Care Cancer 2005 Feb 23; Epub ahead of print. PMID: 15726432

14.

Von Gunten CF, Mullan PB, Harrity S et al (2003) Residents from five training programs report improvements in knowledge, attitudes and skills after a rotation with a hospice program. J Cancer Educ 18:68–72CrossRefPubMed

15.

Von Roenn JH, Cleeland CS, Gonin R et al (1993) Physician attitudes and practice in cancer pain management. A survey from the Eastern Cooperative Oncology Group. Ann Intern Med 119:121–126PubMed

16.

Zhukovsky DS, Abdullah O, Richardson M et al (2000) Clinical evaluation in advanced cancer. Semin Oncol 27:14–23

Titel: Assessment and treatment of symptoms among Italian medical oncologists
verfasst von: Giampiero Porzio
Marco Valenti
Federica Aielli
Lucilla Verna
Enrico Ricevuto
Anna Iolanda Rispoli
Katia Cannita
Paolo Marchetti
Corrado Ficorella
Publikationsdatum: 01.11.2005
Verlag: Springer-Verlag
Erschienen in: Supportive Care in Cancer / Ausgabe 11/2005
Print ISSN: 0941-4355
Elektronische ISSN: 1433-7339
DOI: https://doi.org/10.1007/s00520-005-0818-3

Springer Medizin

Assessment and treatment of symptoms among Italian medical oncologists