Journal of pain and symptom management
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J Pain Symptom Manage · Oct 2015
Multicenter StudyMedical Oncology Patients: Are They Offered Help and Does It Provide Relief?
Identifying modifiable gaps in the symptom management pathway, as perceived by patients, is the first step to relieving patient suffering. ⋯ Quality improvement initiatives must focus primarily on improving providers' awareness of their patients' symptoms and ensuring that patients are subsequently offered help.
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J Pain Symptom Manage · Oct 2015
Randomized Controlled Trial Multicenter Study Comparative StudyPractical Dyspnea Assessment: Relationship Between the 0-10 Numerical Rating Scale and the Four-Level Categorical Verbal Descriptor Scale of Dyspnea Intensity.
Measurement of dyspnea is important for clinical care and research. ⋯ There is strong correlation between VDS and NRS measures for dyspnea. Proposed practical cutpoints for the relationship between the dyspnea VDS and NRS are 0 for none, 1-4 for mild, 5-8 for moderate, and 9-10 for severe.
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J Pain Symptom Manage · Oct 2015
Multicenter StudyValidation of the Simplified Palliative Prognostic Index Using a Single Item From the Communication Capacity Scale.
Although the Palliative Prognostic Index (PPI) is a reliable and validated tool to predict the survival of terminally ill cancer patients, all clinicians cannot always precisely diagnose delirium. ⋯ The simplified PPI showed essentially the same predictive value as the original PPI and is an alternative when clinicians have difficulties in diagnosing delirium.
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J Pain Symptom Manage · Oct 2015
Multicenter Study Comparative Study Observational StudyAccuracy of a Diagnostic Algorithm to Diagnose Breakthrough Cancer Pain as Compared with Clinical Assessment.
Breakthrough cancer pain (BTCP) is a heterogeneous condition, and there are no internationally agreed standardized criteria to diagnose it. There are published algorithms to assist with diagnosis, but these differ in content. There are no comparative data to support use. ⋯ The diagnostic breakthrough pain algorithm had a good positive predictive value but limited sensitivity using a cutoff score of "mild" to define controlled background pain. When the cutoff level was changed to moderate, the sensitivity increased, but specificity reduced. A comprehensive clinical assessment remains the preferred method to diagnose BTCP.
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J Pain Symptom Manage · Oct 2015
Multicenter Study Comparative StudyThe Complementary Nature of Patient-Reported Outcomes and Adverse Event Reporting in Cooperative Group Oncology Clinical Trials: A Pooled Analysis (NCCTG N0591).
Clinical trials use clinician-graded adverse events (AEs) and patient-reported outcomes (PROs) to describe symptoms. ⋯ These results support previous work and an a priori hypothesis that AEs and PROs measure differing aspects of the disease experience and are complementary.