Journal of pain and symptom management
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J Pain Symptom Manage · Feb 2013
Trends in the consumption of opioid analgesics in Taiwan from 2002 to 2007: a population-based study.
Morphine consumption is an important indicator of a country's progress in cancer pain relief. However, opioid prescription data are lacking for Taiwan. ⋯ Opioid prescriptions and expenditure increased steadily from 2002 to 2007 in Taiwan, as in nearby Asian countries, but remained much lower than in developed countries. Pethidine (meperidine) was predominantly prescribed to noncancer patients, whereas morphine and fentanyl were mainly prescribed for cancer patients.
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J Pain Symptom Manage · Feb 2013
Multicenter Study Clinical TrialTrajectories of sleep disturbance and daytime sleepiness in women before and after surgery for breast cancer.
Sleep disturbance is a problem for oncology patients. ⋯ Sleep disturbance is a persistent problem for patients with breast cancer. The effects of interventions that can address modifiable risk factors need to be evaluated.
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J Pain Symptom Manage · Feb 2013
Randomized Controlled TrialDevelopment of fatigue in cancer survivors: a prospective follow-up study from diagnosis into the year after treatment.
There is a lack of longitudinal studies investigating fatigue from before cancer treatment to long after successful cancer treatment. ⋯ Twenty-two percent of the survivors had severe persistent fatigue in the year after cancer treatment. Fatigue and cognitive behavioral factors predicted persistent fatigue in the year after cancer treatment. Diagnosis or cancer treatment did not predict persistent fatigue. The implication is that cognitive behavioral therapy for postcancer fatigue, aimed at the fatigue-perpetuating factors, could be offered from two months after successful cancer treatment.
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J Pain Symptom Manage · Feb 2013
The relationship between spirituality, psychosocial adjustment to illness, and health-related quality of life in patients with advanced chronic kidney disease.
Spirituality may promote psychosocial adjustment to illness, and this may be a mechanism by which patients with greater existential well-being (EWB) experience better health-related quality of life (HRQL) in the context of life-limiting illness. ⋯ Adjustment in the domains of psychological distress and extended family relationships appears to mediate some of the beneficial effect of EWB on HRQL. Spirituality, however, provides unique variance in patients' HRQL, independent of their psychosocial adjustment. This study testifies to the importance of targeting both psychosocial adjustment to illness and spirituality as ways to preserve or enhance HRQL of predialysis and dialysis patients.