Palliative and oncologic co-management: symptom management for outpatients with cancer
Purpose Although outpatient palliative care clinics are increasingly common, evidence for their efficacy remains limited. Methods We conducted an observational study at the palliative care clinic of an academic cancer center to assess the association between palliative care co-management and symptom...
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| Veröffentlicht in: | Supportive care in cancer 2013-11, Vol.21 (11), p.3031-3037 |
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| container_title | Supportive care in cancer |
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| creator | Bischoff, Kara Weinberg, Vivian Rabow, Michael W. |
| description | Purpose
Although outpatient palliative care clinics are increasingly common, evidence for their efficacy remains limited.
Methods
We conducted an observational study at the palliative care clinic of an academic cancer center to assess the association between palliative care co-management and symptoms and quality of life. Two hundred sixty-six adult outpatients were seen for a minimum of two palliative care visits within 120 days. A subset of 142 patients was seen for a third visit within 240 days. Patients completed a questionnaire containing validated symptom, quality of life, and spiritual wellbeing questions at each visit.
Results
The first follow-up visit was on average 41 days after the initial visit; the second follow-up visit was on average 81 days after the initial visit. Between the initial and first follow-up visits, there was significant improvement in pain (
p
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| doi_str_mv | 10.1007/s00520-013-1838-z |
| format | Article |
| fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_1443390955</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A346395333</galeid><sourcerecordid>A346395333</sourcerecordid><originalsourceid>FETCH-LOGICAL-c439t-2c2dc3472ad3bc3a6ab6dc1d293b84472fd06499e4698b7124988d1a637765ee3</originalsourceid><addsrcrecordid>eNp1kU9vFSEUxUmjaZ9PP0A3hsSNGypwmWHormn8lzTRhXZLGGBeaWbgFWZq2k8vL6-1ahQWhHt_5-TCQeiY0RNGqXxXKG04JZQBYR105P4ArZgAIBJAPUMrqgQjAprmCL0o5ZpSJmXDD9ERB1lblK7Q5VczjsHM4dZjEx1O0aYxbYLFNpHJRLPxk4_zKS5303ZOE36q4SFlnJZ5W9X1WvCPMF9ha6L1-SV6Ppix-FcP5xp9__D-2_kncvHl4-fzswtiBaiZcMudBSG5cdBbMK3pW2eZ4wr6TtT64GgrlPKiVV0vGReq6xwzLUjZNt7DGr3d-25zull8mfUUivXjaKJPS9FM1O9QVDVNRd_8hV6nJcc6XaVAcSqEoE_UxoxehzikORu7M9VnIFpQDdS1Rif_oOp2fgo2RT-EWv9DwPYCm1Mp2Q96m8Nk8p1mVO-y1Pssdc1S77LU91Xz-mHgpZ-8-6V4DK8CfA-U2oobn3970X9dfwK6b6gD</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1439204440</pqid></control><display><type>article</type><title>Palliative and oncologic co-management: symptom management for outpatients with cancer</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><creator>Bischoff, Kara ; Weinberg, Vivian ; Rabow, Michael W.</creator><creatorcontrib>Bischoff, Kara ; Weinberg, Vivian ; Rabow, Michael W.</creatorcontrib><description>Purpose
Although outpatient palliative care clinics are increasingly common, evidence for their efficacy remains limited.
Methods
We conducted an observational study at the palliative care clinic of an academic cancer center to assess the association between palliative care co-management and symptoms and quality of life. Two hundred sixty-six adult outpatients were seen for a minimum of two palliative care visits within 120 days. A subset of 142 patients was seen for a third visit within 240 days. Patients completed a questionnaire containing validated symptom, quality of life, and spiritual wellbeing questions at each visit.
Results
The first follow-up visit was on average 41 days after the initial visit; the second follow-up visit was on average 81 days after the initial visit. Between the initial and first follow-up visits, there was significant improvement in pain (
p
< 0.001), fatigue (
p
< 0.001), depression (
p
< 0.001), anxiety (
p
< 0.001), quality of life (
p
= 0.002), and spiritual wellbeing (
p
< 0.001), but not nausea (
p
= 0.14). For the subset of patients seen for a second follow-up visit, the improvements in pain, fatigue, depression, anxiety, quality of life, and spiritual wellbeing persisted (
p
≤ 0.005 for trend of each symptom). Patients had similar improvement regardless of their gender, age, ethnicity, disease stage, disease progression, and concurrent oncologic treatments.
Conclusions
Palliative care was associated with significant improvement in nearly all the symptoms evaluated. A sustained change in symptoms was observed in the subset of patients seen for a second follow-up visit. Members of all subgroups improved.</description><identifier>ISSN: 0941-4355</identifier><identifier>EISSN: 1433-7339</identifier><identifier>DOI: 10.1007/s00520-013-1838-z</identifier><identifier>PMID: 23794100</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adult ; Aged ; Ambulatory care ; Anxiety - psychology ; Anxiety - therapy ; Cancer ; Depression - psychology ; Depression - therapy ; Disease Progression ; Fatigue - etiology ; Fatigue - psychology ; Fatigue - therapy ; Female ; Follow-Up Studies ; Humans ; Longitudinal Studies ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Nausea - etiology ; Nausea - psychology ; Nausea - therapy ; Neoplasms - complications ; Neoplasms - psychology ; Neoplasms - therapy ; Nursing ; Nursing Research ; Oncology ; Original Article ; Outpatients - psychology ; Pain - etiology ; Pain - psychology ; Pain Management - methods ; Pain Medicine ; Palliative care ; Palliative Care - methods ; Quality of Life ; Rehabilitation Medicine ; Surveys ; Surveys and Questionnaires</subject><ispartof>Supportive care in cancer, 2013-11, Vol.21 (11), p.3031-3037</ispartof><rights>Springer-Verlag Berlin Heidelberg 2013</rights><rights>COPYRIGHT 2013 Springer</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c439t-2c2dc3472ad3bc3a6ab6dc1d293b84472fd06499e4698b7124988d1a637765ee3</citedby><cites>FETCH-LOGICAL-c439t-2c2dc3472ad3bc3a6ab6dc1d293b84472fd06499e4698b7124988d1a637765ee3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00520-013-1838-z$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00520-013-1838-z$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51298</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23794100$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bischoff, Kara</creatorcontrib><creatorcontrib>Weinberg, Vivian</creatorcontrib><creatorcontrib>Rabow, Michael W.</creatorcontrib><title>Palliative and oncologic co-management: symptom management for outpatients with cancer</title><title>Supportive care in cancer</title><addtitle>Support Care Cancer</addtitle><addtitle>Support Care Cancer</addtitle><description>Purpose
Although outpatient palliative care clinics are increasingly common, evidence for their efficacy remains limited.
Methods
We conducted an observational study at the palliative care clinic of an academic cancer center to assess the association between palliative care co-management and symptoms and quality of life. Two hundred sixty-six adult outpatients were seen for a minimum of two palliative care visits within 120 days. A subset of 142 patients was seen for a third visit within 240 days. Patients completed a questionnaire containing validated symptom, quality of life, and spiritual wellbeing questions at each visit.
Results
The first follow-up visit was on average 41 days after the initial visit; the second follow-up visit was on average 81 days after the initial visit. Between the initial and first follow-up visits, there was significant improvement in pain (
p
< 0.001), fatigue (
p
< 0.001), depression (
p
< 0.001), anxiety (
p
< 0.001), quality of life (
p
= 0.002), and spiritual wellbeing (
p
< 0.001), but not nausea (
p
= 0.14). For the subset of patients seen for a second follow-up visit, the improvements in pain, fatigue, depression, anxiety, quality of life, and spiritual wellbeing persisted (
p
≤ 0.005 for trend of each symptom). Patients had similar improvement regardless of their gender, age, ethnicity, disease stage, disease progression, and concurrent oncologic treatments.
Conclusions
Palliative care was associated with significant improvement in nearly all the symptoms evaluated. A sustained change in symptoms was observed in the subset of patients seen for a second follow-up visit. Members of all subgroups improved.</description><subject>Adult</subject><subject>Aged</subject><subject>Ambulatory care</subject><subject>Anxiety - psychology</subject><subject>Anxiety - therapy</subject><subject>Cancer</subject><subject>Depression - psychology</subject><subject>Depression - therapy</subject><subject>Disease Progression</subject><subject>Fatigue - etiology</subject><subject>Fatigue - psychology</subject><subject>Fatigue - therapy</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Nausea - etiology</subject><subject>Nausea - psychology</subject><subject>Nausea - therapy</subject><subject>Neoplasms - complications</subject><subject>Neoplasms - psychology</subject><subject>Neoplasms - therapy</subject><subject>Nursing</subject><subject>Nursing Research</subject><subject>Oncology</subject><subject>Original Article</subject><subject>Outpatients - psychology</subject><subject>Pain - etiology</subject><subject>Pain - psychology</subject><subject>Pain Management - methods</subject><subject>Pain Medicine</subject><subject>Palliative care</subject><subject>Palliative Care - methods</subject><subject>Quality of Life</subject><subject>Rehabilitation Medicine</subject><subject>Surveys</subject><subject>Surveys and Questionnaires</subject><issn>0941-4355</issn><issn>1433-7339</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp1kU9vFSEUxUmjaZ9PP0A3hsSNGypwmWHormn8lzTRhXZLGGBeaWbgFWZq2k8vL6-1ahQWhHt_5-TCQeiY0RNGqXxXKG04JZQBYR105P4ArZgAIBJAPUMrqgQjAprmCL0o5ZpSJmXDD9ERB1lblK7Q5VczjsHM4dZjEx1O0aYxbYLFNpHJRLPxk4_zKS5303ZOE36q4SFlnJZ5W9X1WvCPMF9ha6L1-SV6Ppix-FcP5xp9__D-2_kncvHl4-fzswtiBaiZcMudBSG5cdBbMK3pW2eZ4wr6TtT64GgrlPKiVV0vGReq6xwzLUjZNt7DGr3d-25zull8mfUUivXjaKJPS9FM1O9QVDVNRd_8hV6nJcc6XaVAcSqEoE_UxoxehzikORu7M9VnIFpQDdS1Rif_oOp2fgo2RT-EWv9DwPYCm1Mp2Q96m8Nk8p1mVO-y1Pssdc1S77LU91Xz-mHgpZ-8-6V4DK8CfA-U2oobn3970X9dfwK6b6gD</recordid><startdate>20131101</startdate><enddate>20131101</enddate><creator>Bischoff, Kara</creator><creator>Weinberg, Vivian</creator><creator>Rabow, Michael W.</creator><general>Springer Berlin Heidelberg</general><general>Springer</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88J</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HEHIP</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2R</scope><scope>M2S</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20131101</creationdate><title>Palliative and oncologic co-management: symptom management for outpatients with cancer</title><author>Bischoff, Kara ; Weinberg, Vivian ; Rabow, Michael W.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c439t-2c2dc3472ad3bc3a6ab6dc1d293b84472fd06499e4698b7124988d1a637765ee3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Ambulatory care</topic><topic>Anxiety - psychology</topic><topic>Anxiety - therapy</topic><topic>Cancer</topic><topic>Depression - psychology</topic><topic>Depression - therapy</topic><topic>Disease Progression</topic><topic>Fatigue - etiology</topic><topic>Fatigue - psychology</topic><topic>Fatigue - therapy</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Longitudinal Studies</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Nausea - etiology</topic><topic>Nausea - psychology</topic><topic>Nausea - therapy</topic><topic>Neoplasms - complications</topic><topic>Neoplasms - psychology</topic><topic>Neoplasms - therapy</topic><topic>Nursing</topic><topic>Nursing Research</topic><topic>Oncology</topic><topic>Original Article</topic><topic>Outpatients - psychology</topic><topic>Pain - etiology</topic><topic>Pain - psychology</topic><topic>Pain Management - methods</topic><topic>Pain Medicine</topic><topic>Palliative care</topic><topic>Palliative Care - methods</topic><topic>Quality of Life</topic><topic>Rehabilitation Medicine</topic><topic>Surveys</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bischoff, Kara</creatorcontrib><creatorcontrib>Weinberg, Vivian</creatorcontrib><creatorcontrib>Rabow, Michael W.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Proquest Nursing & Allied Health Source</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Social Science Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Sociology Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Social Science Database</collection><collection>Sociology Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Supportive care in cancer</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bischoff, Kara</au><au>Weinberg, Vivian</au><au>Rabow, Michael W.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Palliative and oncologic co-management: symptom management for outpatients with cancer</atitle><jtitle>Supportive care in cancer</jtitle><stitle>Support Care Cancer</stitle><addtitle>Support Care Cancer</addtitle><date>2013-11-01</date><risdate>2013</risdate><volume>21</volume><issue>11</issue><spage>3031</spage><epage>3037</epage><pages>3031-3037</pages><issn>0941-4355</issn><eissn>1433-7339</eissn><abstract>Purpose
Although outpatient palliative care clinics are increasingly common, evidence for their efficacy remains limited.
Methods
We conducted an observational study at the palliative care clinic of an academic cancer center to assess the association between palliative care co-management and symptoms and quality of life. Two hundred sixty-six adult outpatients were seen for a minimum of two palliative care visits within 120 days. A subset of 142 patients was seen for a third visit within 240 days. Patients completed a questionnaire containing validated symptom, quality of life, and spiritual wellbeing questions at each visit.
Results
The first follow-up visit was on average 41 days after the initial visit; the second follow-up visit was on average 81 days after the initial visit. Between the initial and first follow-up visits, there was significant improvement in pain (
p
< 0.001), fatigue (
p
< 0.001), depression (
p
< 0.001), anxiety (
p
< 0.001), quality of life (
p
= 0.002), and spiritual wellbeing (
p
< 0.001), but not nausea (
p
= 0.14). For the subset of patients seen for a second follow-up visit, the improvements in pain, fatigue, depression, anxiety, quality of life, and spiritual wellbeing persisted (
p
≤ 0.005 for trend of each symptom). Patients had similar improvement regardless of their gender, age, ethnicity, disease stage, disease progression, and concurrent oncologic treatments.
Conclusions
Palliative care was associated with significant improvement in nearly all the symptoms evaluated. A sustained change in symptoms was observed in the subset of patients seen for a second follow-up visit. Members of all subgroups improved.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>23794100</pmid><doi>10.1007/s00520-013-1838-z</doi><tpages>7</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0941-4355 |
| ispartof | Supportive care in cancer, 2013-11, Vol.21 (11), p.3031-3037 |
| issn | 0941-4355 1433-7339 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1443390955 |
| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Adult Aged Ambulatory care Anxiety - psychology Anxiety - therapy Cancer Depression - psychology Depression - therapy Disease Progression Fatigue - etiology Fatigue - psychology Fatigue - therapy Female Follow-Up Studies Humans Longitudinal Studies Male Medicine Medicine & Public Health Middle Aged Nausea - etiology Nausea - psychology Nausea - therapy Neoplasms - complications Neoplasms - psychology Neoplasms - therapy Nursing Nursing Research Oncology Original Article Outpatients - psychology Pain - etiology Pain - psychology Pain Management - methods Pain Medicine Palliative care Palliative Care - methods Quality of Life Rehabilitation Medicine Surveys Surveys and Questionnaires |
| title | Palliative and oncologic co-management: symptom management for outpatients with cancer |
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