Journal of pain and symptom management
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J Pain Symptom Manage · Mar 2019
Pre-treatment psychoneurological symptoms and their association with longitudinal cognitive function and quality of life in older breast cancer survivors.
Symptoms affect quality of life (QOL), functional status, and cognitive function in cancer survivors, but older survivors are understudied. ⋯ Nearly one-fifth of older breast cancer survivors had high psychoneurological symptoms at diagnosis, which predicted clinically meaningful decrements in perceived cognition and function in the first 24 months after diagnosis. Pretreatment psychoneurological symptom clusters could identify survivors for monitoring or intervention.
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J Pain Symptom Manage · Mar 2019
Multicenter StudyMulticenter Study of the psychometric properties of the new Demoralization Scale (DS-II) in Spanish-speaking advanced cancer patients.
Demoralization is a state of existential distress in patients with advanced illness, typically with coping difficulties, feelings of loss of sense, and purpose in life and despair, among other things. The New Demoralization Scale (DS-II) is an evaluation tool for this syndrome, which has recently been reformulated on a shorter scale. ⋯ The Spanish version of the new Kissane DS-II demoralization scale has shown to be valid, reliable, and feasible with adequate psychometric properties.
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J Pain Symptom Manage · Mar 2019
ReviewRelationships between Financial Toxicity and Symptom Burden in Cancer Survivors: A Systematic Review.
Financial toxicity (FT) is used to describe the financial distress/hardship associated with cancer and its treatment. ⋯ A relatively clear association exists between FT and psychological symptoms. Clinicians should regularly screen for, assess, and manage emotional distress that may be attributed to FT. Although the causal pathway is not known, future intervention studies aimed at minimizing or preventing FT should evaluate psychological symptoms as secondary outcomes. Little is known about the relationships between FT and physical symptoms. Future research should overcome methodological limitations by incorporating longitudinal data collection, use of mixed-methods approaches, and homogeneity of samples.
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J Pain Symptom Manage · Mar 2019
Randomized Controlled TrialFAmily CEntered (FACE) Advance Care Planning among African-American and non-African-American Adults Living with HIV in Washington, DC: A Randomized Controlled Trial to Increase Documentation & Health Equity.
No prospective studies address disease-specific advance care planning (ACP) for adults living with HIV/AIDS. ⋯ The FACE ACP intervention significantly improved ACP completion and advance directive documentation in the medical record among both African-American and non-African-American adults living with HIV in Washington, DC, providing health equity in ACP, which can inform best practices.
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J Pain Symptom Manage · Mar 2019
Opportunities to Improve Detection and Treatment of Depression among Patients with Breast Cancer Treated in an Integrated Delivery System.
Patients with cancer commonly experience depression. If not addressed, depression can lead to reduced quality of life and survival. ⋯ Most patients in our sample did not receive a clinician response to their study-reported depression, and rates of response do not appear to have improved over time. Asian women, and those with less severe depression, appeared to be at increased risk of having unmet mental health care needs.