Journal of pain and symptom management
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J Pain Symptom Manage · Aug 2020
Chronic pain after lung resection: risk factors, neuropathic pain, and quality of life.
Chronic postsurgical pain (CPSP) can occur frequently after thoracic surgery. ⋯ More than one of three patients who underwent lung resection could develop CPSP, frequently showing neuropathic component. Female gender reported a higher CPSP and NP incidence. Moderate-to-severe acute postoperative pain occurrence and open surgery seem to be independent risk factors for CPSP. Chronic pain and NP have a negative impact on quality of life, decreasing the SF-36 scores of all domains.
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J Pain Symptom Manage · Aug 2020
Observational StudyAssessment of the Decision-Making Capacity for Clinical Research Participation in Patients with Advanced Cancer in the Last Weeks of Life.
Few studies have examined how clinicians assess decision-making capacity for research in the last weeks of life. ⋯ Most patients in the palliative and supportive care unit lacked decision-making capacity for participation in clinical research. Clinician impression had high accuracy. Few patients with normal MDAS were found to be incapable with MacCAT-CR assessment.
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J Pain Symptom Manage · Aug 2020
Beliefs and perceptions about parenteral nutrition and hydration by family members of patients with advanced cancer admitted to palliative care units: a nationwide survey of bereaved family members in Japan.
There has been a growing consensus that parenteral nutrition and hydration is to be forgone in terminally ill patients with cancer. However, it remains unclear what the beliefs and perceptions of parenteral nutrition and hydration by the family members are. ⋯ This study showed that beliefs and perceptions about parenteral nutrition and hydration were important in the family members in palliative care.
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J Pain Symptom Manage · Aug 2020
Mild to moderate cognitive impairment does not affect the ability to self-report important symptoms in cancer patients: a prospective longitudinal multi-national study (EPCCS).
Patients with advanced cancer commonly suffer from both distressing symptoms and cognitive impairment, but the effect of cognitive impairment on the reliability and validity of symptom self-report is unknown. ⋯ In advanced cancer, self-report of nine major symptoms was reliable and valid also in people with mild-to-moderate cognitive impairment.
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J Pain Symptom Manage · Aug 2020
CommentPalliative Care Utilization among Patients with COVID-19 in an Underserved Population: A Single-Center Retrospective Study.
As health-care institutions mobilize resources to address the coronavirus disease 2019 (COVID-19) pandemic, palliative care may potentially be underutilized. It is important to assess the use of palliative care in response to the COVID-19 pandemic. ⋯ There was a low utilization rate of palliative care in patients with COVID-19. Conscious utilization of palliative care is needed at the time of COVID-19.