Characteristics of episodic breathlessness as reported by patients with advanced chronic obstructive pulmonary disease and lung cancer: Results of a descriptive cohort study
Background: Episodic breathlessness is one form of refractory breathlessness. Better understanding of the symptom is necessary for effective management. Aim: The aim was to describe the characteristics of episodic breathlessness in patients with advanced chronic obstructive pulmonary disease or lung...
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creator | Weingärtner, Vera Scheve, Christine Gerdes, Verena Schwarz-Eywill, Michael Prenzel, Regina Otremba, Burkhard Mühlenbrock, Juliane Bausewein, Claudia Higginson, Irene J Voltz, Raymond Herich, Lena Simon, Steffen T |
description | Background:
Episodic breathlessness is one form of refractory breathlessness. Better understanding of the symptom is necessary for effective management.
Aim:
The aim was to describe the characteristics of episodic breathlessness in patients with advanced chronic obstructive pulmonary disease or lung cancer.
Design:
This is a longitudinal cohort study. Outcomes were assessed monthly by up to 13 telephone interviews: peak severity (modified Borg scale: 0–10), duration, frequency, and timing of breathlessness episodes. Data from each episode were pooled and analyzed using descriptive statistics. Associations between outcomes were explored by correlation coefficients.
Setting/participants:
Patients with chronic obstructive pulmonary disease (Global Initiative for Chronic Obstructive Lung Disease classification stage III or IV) or primary lung cancer (any stage) were recruited in two inpatient units (internal medicine) and two outpatient clinics in Oldenburg, Germany.
Results:
A total of 82 patients (50 chronic obstructive pulmonary disease, 32 lung cancer), mean age (standard deviation) 67 years (8 years) and 36% female, were included reporting on 592 breathlessness episodes (chronic obstructive pulmonary disease: 403, lung cancer: 189). Peak severity was perceived significantly higher in chronic obstructive pulmonary disease patients than in lung cancer patients (mean (standard deviation) Borg scale: 6.2 (2.1) vs 4.2 (1.9); p |
doi_str_mv | 10.1177/0269216314563428 |
format | Article |
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Episodic breathlessness is one form of refractory breathlessness. Better understanding of the symptom is necessary for effective management.
Aim:
The aim was to describe the characteristics of episodic breathlessness in patients with advanced chronic obstructive pulmonary disease or lung cancer.
Design:
This is a longitudinal cohort study. Outcomes were assessed monthly by up to 13 telephone interviews: peak severity (modified Borg scale: 0–10), duration, frequency, and timing of breathlessness episodes. Data from each episode were pooled and analyzed using descriptive statistics. Associations between outcomes were explored by correlation coefficients.
Setting/participants:
Patients with chronic obstructive pulmonary disease (Global Initiative for Chronic Obstructive Lung Disease classification stage III or IV) or primary lung cancer (any stage) were recruited in two inpatient units (internal medicine) and two outpatient clinics in Oldenburg, Germany.
Results:
A total of 82 patients (50 chronic obstructive pulmonary disease, 32 lung cancer), mean age (standard deviation) 67 years (8 years) and 36% female, were included reporting on 592 breathlessness episodes (chronic obstructive pulmonary disease: 403, lung cancer: 189). Peak severity was perceived significantly higher in chronic obstructive pulmonary disease patients than in lung cancer patients (mean (standard deviation) Borg scale: 6.2 (2.1) vs 4.2 (1.9); p < 0.001). Episodes described by chronic obstructive pulmonary disease patients were longer than those described by lung cancer patients (median (range): 7 min (0–600) vs 5 min (0.3–120), p = 0.002)). Frequency was similar and most often daily in both groups. Severity and frequency of episodes were correlated in lung cancer patients (r = 0.324, p = 0.009).
Conclusion:
Most breathlessness episodes are short (minutes) and severe with significant differences between chronic obstructive pulmonary disease and lung cancer patients. Effective management strategies are warranted to improve symptom relief and coping.</description><identifier>ISSN: 0269-2163</identifier><identifier>EISSN: 1477-030X</identifier><identifier>DOI: 10.1177/0269216314563428</identifier><identifier>PMID: 25634633</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Chronic illnesses ; Chronic obstructive pulmonary disease ; Cohort analysis ; Dyspnea ; Dyspnea - epidemiology ; Dyspnea - etiology ; Dyspnea - physiopathology ; Epidemiology ; Female ; Germany - epidemiology ; Hospitals ; Humans ; Internal medicine ; Longitudinal Studies ; Lung cancer ; Lung diseases ; Lung Neoplasms - complications ; Male ; Medicine ; Middle Aged ; Palliative care ; Prospective Studies ; Pulmonary Disease, Chronic Obstructive - complications ; Severity of Illness Index</subject><ispartof>Palliative medicine, 2015-05, Vol.29 (5), p.420-428</ispartof><rights>The Author(s) 2015</rights><rights>The Author(s) 2015.</rights><rights>SAGE Publications © May 2015</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c440t-f6ddd56dd22b8678890901a22c4b5b3e1399c361431e37bd892a24a43ab480763</citedby><cites>FETCH-LOGICAL-c440t-f6ddd56dd22b8678890901a22c4b5b3e1399c361431e37bd892a24a43ab480763</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/0269216314563428$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/0269216314563428$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,776,780,12825,21798,27901,27902,30976,43597,43598</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25634633$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Weingärtner, Vera</creatorcontrib><creatorcontrib>Scheve, Christine</creatorcontrib><creatorcontrib>Gerdes, Verena</creatorcontrib><creatorcontrib>Schwarz-Eywill, Michael</creatorcontrib><creatorcontrib>Prenzel, Regina</creatorcontrib><creatorcontrib>Otremba, Burkhard</creatorcontrib><creatorcontrib>Mühlenbrock, Juliane</creatorcontrib><creatorcontrib>Bausewein, Claudia</creatorcontrib><creatorcontrib>Higginson, Irene J</creatorcontrib><creatorcontrib>Voltz, Raymond</creatorcontrib><creatorcontrib>Herich, Lena</creatorcontrib><creatorcontrib>Simon, Steffen T</creatorcontrib><creatorcontrib>PAALiativ</creatorcontrib><title>Characteristics of episodic breathlessness as reported by patients with advanced chronic obstructive pulmonary disease and lung cancer: Results of a descriptive cohort study</title><title>Palliative medicine</title><addtitle>Palliat Med</addtitle><description>Background:
Episodic breathlessness is one form of refractory breathlessness. Better understanding of the symptom is necessary for effective management.
Aim:
The aim was to describe the characteristics of episodic breathlessness in patients with advanced chronic obstructive pulmonary disease or lung cancer.
Design:
This is a longitudinal cohort study. Outcomes were assessed monthly by up to 13 telephone interviews: peak severity (modified Borg scale: 0–10), duration, frequency, and timing of breathlessness episodes. Data from each episode were pooled and analyzed using descriptive statistics. Associations between outcomes were explored by correlation coefficients.
Setting/participants:
Patients with chronic obstructive pulmonary disease (Global Initiative for Chronic Obstructive Lung Disease classification stage III or IV) or primary lung cancer (any stage) were recruited in two inpatient units (internal medicine) and two outpatient clinics in Oldenburg, Germany.
Results:
A total of 82 patients (50 chronic obstructive pulmonary disease, 32 lung cancer), mean age (standard deviation) 67 years (8 years) and 36% female, were included reporting on 592 breathlessness episodes (chronic obstructive pulmonary disease: 403, lung cancer: 189). Peak severity was perceived significantly higher in chronic obstructive pulmonary disease patients than in lung cancer patients (mean (standard deviation) Borg scale: 6.2 (2.1) vs 4.2 (1.9); p < 0.001). Episodes described by chronic obstructive pulmonary disease patients were longer than those described by lung cancer patients (median (range): 7 min (0–600) vs 5 min (0.3–120), p = 0.002)). Frequency was similar and most often daily in both groups. Severity and frequency of episodes were correlated in lung cancer patients (r = 0.324, p = 0.009).
Conclusion:
Most breathlessness episodes are short (minutes) and severe with significant differences between chronic obstructive pulmonary disease and lung cancer patients. Effective management strategies are warranted to improve symptom relief and coping.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Chronic illnesses</subject><subject>Chronic obstructive pulmonary disease</subject><subject>Cohort analysis</subject><subject>Dyspnea</subject><subject>Dyspnea - epidemiology</subject><subject>Dyspnea - etiology</subject><subject>Dyspnea - physiopathology</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Germany - epidemiology</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Internal medicine</subject><subject>Longitudinal Studies</subject><subject>Lung cancer</subject><subject>Lung diseases</subject><subject>Lung Neoplasms - complications</subject><subject>Male</subject><subject>Medicine</subject><subject>Middle Aged</subject><subject>Palliative care</subject><subject>Prospective Studies</subject><subject>Pulmonary Disease, Chronic Obstructive - complications</subject><subject>Severity of Illness Index</subject><issn>0269-2163</issn><issn>1477-030X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>BENPR</sourceid><recordid>eNqNkU-L1TAUxYMozpvRvSsJuHFTzb-mjTt56CgMCKLgrqTJfdMMfU3NTUfeh_I7mr43igwILpIs7u-cw80h5BlnrzhvmtdMaCO4llzVWirRPiAbrpqmYpJ9e0g267ha52fkHPGGMS6ZVo_JmVhxLeWG_NwONlmXIQXMwSGNOwpzwOiDo30Cm4cREKdyqEWaYI4pg6f9gc42B5gy0h8hD9T6Wzu5MnFDilMRxx5zWlwOt0DnZdzHyaYD9QHBIlA7eTou0zV1qyq9oZ8BlzEf8y31gC6F-ah1cSiRFPPiD0_Io50dEZ7evRfk6_t3X7YfqqtPlx-3b68qpxTL1U577-tyCdG3umlbwwzjVgin-rqXwKUxTmquJAfZ9L41wgpllbS9almj5QV5efKdU_y-AOZuH9DBONoJ4oId16YWzLSq_g-0UaY2jVpdX9xDb-KSprLIkVKlKWMKxU6USxExwa6bU9iXv-s469bWu_utF8nzO-Ol34P_I_hdcwGqE4D2Gv5K_ZfhL1C8tww</recordid><startdate>20150501</startdate><enddate>20150501</enddate><creator>Weingärtner, Vera</creator><creator>Scheve, Christine</creator><creator>Gerdes, Verena</creator><creator>Schwarz-Eywill, Michael</creator><creator>Prenzel, Regina</creator><creator>Otremba, Burkhard</creator><creator>Mühlenbrock, Juliane</creator><creator>Bausewein, Claudia</creator><creator>Higginson, Irene J</creator><creator>Voltz, Raymond</creator><creator>Herich, Lena</creator><creator>Simon, Steffen T</creator><general>SAGE Publications</general><general>Sage Publications Ltd</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>7QJ</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AN0</scope><scope>ASE</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FPQ</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HEHIP</scope><scope>K6X</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2S</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20150501</creationdate><title>Characteristics of episodic breathlessness as reported by patients with advanced chronic obstructive pulmonary disease and lung cancer: Results of a descriptive cohort study</title><author>Weingärtner, Vera ; Scheve, Christine ; Gerdes, Verena ; Schwarz-Eywill, Michael ; Prenzel, Regina ; Otremba, Burkhard ; Mühlenbrock, Juliane ; Bausewein, Claudia ; Higginson, Irene J ; Voltz, Raymond ; Herich, Lena ; Simon, Steffen T</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c440t-f6ddd56dd22b8678890901a22c4b5b3e1399c361431e37bd892a24a43ab480763</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Chronic illnesses</topic><topic>Chronic obstructive pulmonary disease</topic><topic>Cohort analysis</topic><topic>Dyspnea</topic><topic>Dyspnea - epidemiology</topic><topic>Dyspnea - etiology</topic><topic>Dyspnea - physiopathology</topic><topic>Epidemiology</topic><topic>Female</topic><topic>Germany - epidemiology</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Internal medicine</topic><topic>Longitudinal Studies</topic><topic>Lung cancer</topic><topic>Lung diseases</topic><topic>Lung Neoplasms - complications</topic><topic>Male</topic><topic>Medicine</topic><topic>Middle Aged</topic><topic>Palliative care</topic><topic>Prospective Studies</topic><topic>Pulmonary Disease, Chronic Obstructive - complications</topic><topic>Severity of Illness Index</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Weingärtner, Vera</creatorcontrib><creatorcontrib>Scheve, Christine</creatorcontrib><creatorcontrib>Gerdes, Verena</creatorcontrib><creatorcontrib>Schwarz-Eywill, Michael</creatorcontrib><creatorcontrib>Prenzel, Regina</creatorcontrib><creatorcontrib>Otremba, Burkhard</creatorcontrib><creatorcontrib>Mühlenbrock, Juliane</creatorcontrib><creatorcontrib>Bausewein, Claudia</creatorcontrib><creatorcontrib>Higginson, Irene J</creatorcontrib><creatorcontrib>Voltz, Raymond</creatorcontrib><creatorcontrib>Herich, Lena</creatorcontrib><creatorcontrib>Simon, Steffen T</creatorcontrib><creatorcontrib>PAALiativ</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>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</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>British Nursing Database</collection><collection>British Nursing Index</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Sociology Collection</collection><collection>British Nursing Index</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest Psychology</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 One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Palliative medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Weingärtner, Vera</au><au>Scheve, Christine</au><au>Gerdes, Verena</au><au>Schwarz-Eywill, Michael</au><au>Prenzel, Regina</au><au>Otremba, Burkhard</au><au>Mühlenbrock, Juliane</au><au>Bausewein, Claudia</au><au>Higginson, Irene J</au><au>Voltz, Raymond</au><au>Herich, Lena</au><au>Simon, Steffen T</au><aucorp>PAALiativ</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Characteristics of episodic breathlessness as reported by patients with advanced chronic obstructive pulmonary disease and lung cancer: Results of a descriptive cohort study</atitle><jtitle>Palliative medicine</jtitle><addtitle>Palliat Med</addtitle><date>2015-05-01</date><risdate>2015</risdate><volume>29</volume><issue>5</issue><spage>420</spage><epage>428</epage><pages>420-428</pages><issn>0269-2163</issn><eissn>1477-030X</eissn><abstract>Background:
Episodic breathlessness is one form of refractory breathlessness. Better understanding of the symptom is necessary for effective management.
Aim:
The aim was to describe the characteristics of episodic breathlessness in patients with advanced chronic obstructive pulmonary disease or lung cancer.
Design:
This is a longitudinal cohort study. Outcomes were assessed monthly by up to 13 telephone interviews: peak severity (modified Borg scale: 0–10), duration, frequency, and timing of breathlessness episodes. Data from each episode were pooled and analyzed using descriptive statistics. Associations between outcomes were explored by correlation coefficients.
Setting/participants:
Patients with chronic obstructive pulmonary disease (Global Initiative for Chronic Obstructive Lung Disease classification stage III or IV) or primary lung cancer (any stage) were recruited in two inpatient units (internal medicine) and two outpatient clinics in Oldenburg, Germany.
Results:
A total of 82 patients (50 chronic obstructive pulmonary disease, 32 lung cancer), mean age (standard deviation) 67 years (8 years) and 36% female, were included reporting on 592 breathlessness episodes (chronic obstructive pulmonary disease: 403, lung cancer: 189). Peak severity was perceived significantly higher in chronic obstructive pulmonary disease patients than in lung cancer patients (mean (standard deviation) Borg scale: 6.2 (2.1) vs 4.2 (1.9); p < 0.001). Episodes described by chronic obstructive pulmonary disease patients were longer than those described by lung cancer patients (median (range): 7 min (0–600) vs 5 min (0.3–120), p = 0.002)). Frequency was similar and most often daily in both groups. Severity and frequency of episodes were correlated in lung cancer patients (r = 0.324, p = 0.009).
Conclusion:
Most breathlessness episodes are short (minutes) and severe with significant differences between chronic obstructive pulmonary disease and lung cancer patients. Effective management strategies are warranted to improve symptom relief and coping.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>25634633</pmid><doi>10.1177/0269216314563428</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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source | Applied Social Sciences Index & Abstracts (ASSIA); MEDLINE; SAGE Complete |
subjects | Adult Aged Aged, 80 and over Chronic illnesses Chronic obstructive pulmonary disease Cohort analysis Dyspnea Dyspnea - epidemiology Dyspnea - etiology Dyspnea - physiopathology Epidemiology Female Germany - epidemiology Hospitals Humans Internal medicine Longitudinal Studies Lung cancer Lung diseases Lung Neoplasms - complications Male Medicine Middle Aged Palliative care Prospective Studies Pulmonary Disease, Chronic Obstructive - complications Severity of Illness Index |
title | Characteristics of episodic breathlessness as reported by patients with advanced chronic obstructive pulmonary disease and lung cancer: Results of a descriptive cohort study |
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