Journal of pain and symptom management
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J Pain Symptom Manage · Mar 2021
Randomized Controlled TrialStable symptom clusters and evolving symptom networks in relation to chemotherapy cycles.
The existence of stable symptom clusters with variations or changes in cluster membership and the merging of symptom clusters over time urge us to investigate how symptom relationships change over time. ⋯ Stable symptom clusters and evolving networks were identified. The most central symptom was fatigue; however, the paucity of studies that investigated symptom networks and central symptoms calls for further investigations on these phenomena. Identification of central symptoms and underlying mechanisms will guide efficient symptom management. Future studies will need to focus on developing comprehensive interventions for managing symptom clusters or targeting central symptoms.
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J Pain Symptom Manage · Feb 2021
Randomized Controlled Trial Pragmatic Clinical TrialElectro-acupuncture for post-stroke spasticity: results of a pilot pragmatic randomized controlled trial.
People with spasticity that occurred between 30 days and one year after stroke onset with a baseline Modified Ashworth Scale (MAS) ≥1. ⋯ It is feasible to conduct a full-scale trial to precisely evaluate the effectiveness and safety of EA for treating poststroke spasticity; however, longer treatment and follow-up phases should be considered in the full-scale trial.
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J Pain Symptom Manage · Feb 2021
Randomized Controlled TrialNephrologist views regarding cannabinoid use in advanced chronic kidney disease and dialysis: a survey.
The efficacy and safety of cannabinoids to treat symptoms in individuals with kidney disease is uncertain. ⋯ Nephrologists broadly support the use and study of cannabinoids for symptoms in patients with kidney disease.
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J Pain Symptom Manage · Feb 2021
Randomized Controlled Trial Multicenter StudyA Question Prompt List for advanced cancer patients promoting advance care planning: a French randomised trial.
Advance care planning is essential to enable informed medical decisions to be made and to reduce aggressiveness in end-of-life (EOL) care. ⋯ Questions on PC and EOL issues in outpatient PC consultations were more frequent, and patient satisfaction was better when a QPL was made available before the consultation.
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J Pain Symptom Manage · Jan 2021
Randomized Controlled TrialHealth Information Preferences and Curability Beliefs Among Patients with Advanced Cancer.
Accurate prognostic understanding is associated with increased advance care planning, symptom control, and patient autonomy in oncology. The impact of prognostic understanding on patients' health information preferences (HIPs) and prognostic information preferences is unknown and has important implications for health care communication. ⋯ In the present study, prognostic understanding (i.e., curability beliefs) was not associated with HIPs. Therefore, oncology clinicians must individually and interatively evaluate patients' interest and preferences for receiving information. Future research should further clarify preferences for the framing and content of prognostic information from providers and improve the measurement of prognostic understanding to facilitate patient-centered end-of-life care.