nach oben

Erschienen in:

01.06.2008

Symptoms, supportive care needs, and function in cancer patients: how are they related?

verfasst von: Claire F. Snyder, Elizabeth Garrett-Mayer, Julie R. Brahmer, Michael A. Carducci, Roberto Pili, Vered Stearns, Antonio C. Wolff, Sydney M. Dy, Albert W. Wu

Erschienen in: Quality of Life Research | Ausgabe 5/2008

Einloggen, um Zugang zu erhalten

Abstract

Aims To explore the associations among symptoms, supportive care needs, and function.

Methods One hundred and seventeen cancer patients completed the Supportive Care Needs Survey and EORTC-QLQ-C30 in a cross-sectional study. Associations among function (physical, role, emotional, cognitive, social), symptoms (fatigue, nausea/vomiting, pain, dyspnea, insomnia, appetite loss, constipation, diarrhea), and supportive care needs (physical and daily living, psychological, patient care and support, health system and information, sexual) were tested using multivariate item regression (MIR). We tested (1) function as the dependent variable with symptoms and supportive care needs as independent variables and (2) supportive care needs as the dependent variable with symptoms and function as independent variables.

Results Worse fatigue, pain, and appetite loss were associated with worse function. Greater unmet physical and daily living needs were associated with worse physical, role, and cognitive function. Greater unmet psychological needs were associated with worse emotional and cognitive function. Worse sleep problems were associated with greater unmet needs. Better physical function was associated with fewer unmet physical and daily living needs, and better emotional function was associated with fewer unmet psychological, patient care and support, and health system and information needs.

Conclusions The results obtained with these models suggest several consistent relationships among symptoms, supportive care needs, and function.

Nur mit Berechtigung zugänglich

McLachlan, S.-A., Allenby, A., Matthews, J., et al. (2001). Randomized trial of coordinated psychosocial interventions based on patient self-assessment versus standard care to improve the psychosocial functioning of patients with cancer. Journal of Clinical Oncology, 19, 4117–4125.PubMed

Velikova, G., Brown, J. M., Smith, A. B., & Selby, P. J. (2002). Computer-based quality of life questionnaires may contribute to doctor–patient interactions in oncology. British Journal of Cancer, 86, 51–59.PubMedCrossRef

Detmar, S. B., & Aaronson, N. K. (1998). Quality of life assessment in daily clinical oncology practice: A feasibility study. European Journal of Cancer, 34, 1181–1186.PubMedCrossRef

Detmar, S. B., Muller, M. J., Schornagel, J. H., et al. (2002). Health-related quality of life assessments and patient-physician communications. A randomized clinical trial. JAMA, 288, 3027–3034.PubMedCrossRef

Velikova, G., Booth, L., Smith, A. B., et al. (2004). Measuring quality of life in routine oncology practice improves communication and patient well-being: A randomized controlled trial. Journal of Clinical Oncology, 22, 714–724.PubMedCrossRef

Rosenbloom, S. K., Victorson, D. E., Hahn, E. A., et al. (2007). Assessment is not enough: A randomized controlled trial of the effects of HRQL assessment on quality of life and satisfaction in oncology clinical practice. Psycho-Oncology, 16, 1069–1079.PubMedCrossRef

Acquadro, C., Berzon, R., Dubois, D., et al. (2001). Incorporating the patient’s perspective into drug development and communication: An ad hoc task force report of the patient-reported outcomes (PRO) harmonization group meeting at the food and drug administration, February 16, 2001. Value in Health, 6, 522–531.CrossRef

Gustafson, D. H. (2005). Needs assessment in cancer. In J. Lipscomb, C. C. Gotay, & C. Snyder (Eds.), Outcomes assessment in cancer: Measures, methods, and applications (pp. 305–328). Cambridge: Cambridge University Press.

Ferrans, C. E. (2005). Definitions and conceptual models of quality of life. In J. Lipscomb, C. C. Gotay, & C. Snyder (Eds.), Outcomes assessment in cancer: Measures, methods, and applications (pp. 14–30). Cambridge: Cambridge University Press.

10.

Lorenz, K. A., Shapiro, M. F., Asch, S. M., et al. (2001). Associations of symptoms and health-related quality of life: Findings from a national study of persons with HIV infection. Annals of Internal Medicine, 134, 854–860.PubMed

11.

Lorenz, K. A., Cunningham, W. E., Spritzer, K. L., & Hays, R. D. (2006). Changes in symptoms and health-related quality of life in a nationally representative sample of adults in treatment for HIV. Quality of Life Research, 15, 951–958.PubMedCrossRef

12.

Snyder, C. F., Dy, S. M., Hendricks, D. E., et al. (2007). Asking the right questions: Investigating needs assessments and health-related quality-of-life questionnaires for use in oncology clinical practice. Support Care Cancer, 15, 1075–1085.PubMedCrossRef

13.

Aaronson, N. K., Cull, A. M., Kaasa, S., & Sprangers, M. A. G. (1996). The European organization for research and treatment of cancer (EORTC) modular approach to quality of life assessment in oncology: An update. In B. Spilker (Ed.), Quality of life and pharmacoeconomics in clinical trials (2nd ed., pp. 179–189). Philadelphia: Lippincott-Raven.

14.

Sanson-Fisher, R., Girgis, A., Boyes, A., et al. (2000). The unmet supportive care needs of patients with cancer. Cancer, 88, 226–237.PubMedCrossRef

15.

Bonevski, B., Sanson-Fisher, R. W., Girgis, A., et al. (2000). Evaluation of an instrument to assess the needs of patients with cancer. Cancer, 88, 217–225.PubMedCrossRef

16.

Johnson, R. A., & Wichern, D. W. (1999). Chapter 7: Multivariate linear regression models. In R. A. Johnson & D. W. Wichern (Eds.), Applied multivariate statistical analysis. Upper Saddle River, NJ: Prentice Hall.

Titel: Symptoms, supportive care needs, and function in cancer patients: how are they related?
verfasst von: Claire F. Snyder
Elizabeth Garrett-Mayer
Julie R. Brahmer
Michael A. Carducci
Roberto Pili
Vered Stearns
Antonio C. Wolff
Sydney M. Dy
Albert W. Wu
Publikationsdatum: 01.06.2008
Verlag: Springer Netherlands
Erschienen in: Quality of Life Research / Ausgabe 5/2008
Print ISSN: 0962-9343
Elektronische ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-008-9331-8

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 5/2008

The use of focus groups in the development of the PROMIS pediatrics item bank

PedsQL relates to function and behavior in very low and normal birth weight 2- and 3-year-olds from a regional cohort

The impact of chronic hepatitis C and co-morbid illnesses on health-related quality of life

Different pathways in social support and quality of life between Korean American and Korean breast and gynecological cancer survivors

Quality of life valuations of mammography screening

An empirical comparison of the WHOQOL-BREF and the SGRQ among patients with COPD