Prospective Assessment of Symptom Palliation for Patients Attending a Rapid Response Radiotherapy Program: Feasibility of Telephone Follow-Up
Clinical trials generally include motivated patients with relatively good performance status. This can result in an overestimation of the effectiveness of an intervention. Clinic follow-up protocols for outcome assessment after palliative treatments suffer from high attrition rates. In this study, t...
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| Veröffentlicht in: | Journal of pain and symptom management 2001-08, Vol.22 (2), p.649-656 |
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| container_title | Journal of pain and symptom management |
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| creator | Chow, Edward Wong, Rebecca Connolly, Ruth Hruby, George Franzcr Franssen, Edmee Fung, Kin Wah Vachon, Mary Andersson, Lourdes Pope, Joan Holden, Lori Szumacher, Ewa Schueller, Trudi Bsp Stefaniuk, Kim Finkelstein, Joel Hayter, Charles Danjoux, Cyril |
| description | Clinical trials generally include motivated patients with relatively good performance status. This can result in an overestimation of the effectiveness of an intervention. Clinic follow-up protocols for outcome assessment after palliative treatments suffer from high attrition rates. In this study, the feasibility of telephone follow-up for the assessment of symptom palliation in patients receiving outpatient palliative radiotherapy as a tool to evaluate outcome was examined. Patients referred for palliative radiotherapy were asked to rate their symptom distress using the modified Edmonton Symptom Assessment System (ESAS) at initial consultation. Patient demographics and analgesic consumption were collected. For those who received radiotherapy, follow-up was conducted through telephone interviews at week 1, 2, 4, 8, and 12 post-treatment using the same modified ESAS and analgesic diary. One hundred ninety patients received radiotherapy to 256 sites from January to August 1999. Seventy-eight patients (41%) died during the 12-week follow-up period. The percentage of surviving patients responding to the telephone interview ranged from 63% to 68% during the 12-week study. Telephone follow-up is a feasible tool for the prospective outcome assessment of symptom palliation in this population. It compares well to clinic visits or mailed questionnaires. However, to improve the follow-up rates, other modalities may also need to be implemented. |
| doi_str_mv | 10.1016/S0885-3924(01)00313-X |
| format | Article |
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This can result in an overestimation of the effectiveness of an intervention. Clinic follow-up protocols for outcome assessment after palliative treatments suffer from high attrition rates. In this study, the feasibility of telephone follow-up for the assessment of symptom palliation in patients receiving outpatient palliative radiotherapy as a tool to evaluate outcome was examined. Patients referred for palliative radiotherapy were asked to rate their symptom distress using the modified Edmonton Symptom Assessment System (ESAS) at initial consultation. Patient demographics and analgesic consumption were collected. For those who received radiotherapy, follow-up was conducted through telephone interviews at week 1, 2, 4, 8, and 12 post-treatment using the same modified ESAS and analgesic diary. One hundred ninety patients received radiotherapy to 256 sites from January to August 1999. Seventy-eight patients (41%) died during the 12-week follow-up period. The percentage of surviving patients responding to the telephone interview ranged from 63% to 68% during the 12-week study. Telephone follow-up is a feasible tool for the prospective outcome assessment of symptom palliation in this population. It compares well to clinic visits or mailed questionnaires. However, to improve the follow-up rates, other modalities may also need to be implemented.</description><identifier>ISSN: 0885-3924</identifier><identifier>EISSN: 1873-6513</identifier><identifier>DOI: 10.1016/S0885-3924(01)00313-X</identifier><identifier>PMID: 11495711</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Biological and medical sciences ; Clinical death. Palliative care. Organ gift and preservation ; Female ; Follow-Up Studies ; Humans ; Male ; Medical sciences ; Middle Aged ; Neoplasms - complications ; Neoplasms - radiotherapy ; Palliative Care - standards ; Prospective assessment ; Prospective Studies ; radiotherapy ; Radiotherapy - adverse effects ; symptom palliation ; Telephone ; telephone follow-up</subject><ispartof>Journal of pain and symptom management, 2001-08, Vol.22 (2), p.649-656</ispartof><rights>2001 U.S. Cancer Pain Relief Committee</rights><rights>2001 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S088539240100313X$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1073808$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11495711$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chow, Edward</creatorcontrib><creatorcontrib>Wong, Rebecca</creatorcontrib><creatorcontrib>Connolly, Ruth</creatorcontrib><creatorcontrib>Hruby, George</creatorcontrib><creatorcontrib>Franzcr</creatorcontrib><creatorcontrib>Franssen, Edmee</creatorcontrib><creatorcontrib>Fung, Kin Wah</creatorcontrib><creatorcontrib>Vachon, Mary</creatorcontrib><creatorcontrib>Andersson, Lourdes</creatorcontrib><creatorcontrib>Pope, Joan</creatorcontrib><creatorcontrib>Holden, Lori</creatorcontrib><creatorcontrib>Szumacher, Ewa</creatorcontrib><creatorcontrib>Schueller, Trudi</creatorcontrib><creatorcontrib>Bsp</creatorcontrib><creatorcontrib>Stefaniuk, Kim</creatorcontrib><creatorcontrib>Finkelstein, Joel</creatorcontrib><creatorcontrib>Hayter, Charles</creatorcontrib><creatorcontrib>Danjoux, Cyril</creatorcontrib><title>Prospective Assessment of Symptom Palliation for Patients Attending a Rapid Response Radiotherapy Program: Feasibility of Telephone Follow-Up</title><title>Journal of pain and symptom management</title><addtitle>J Pain Symptom Manage</addtitle><description>Clinical trials generally include motivated patients with relatively good performance status. This can result in an overestimation of the effectiveness of an intervention. Clinic follow-up protocols for outcome assessment after palliative treatments suffer from high attrition rates. In this study, the feasibility of telephone follow-up for the assessment of symptom palliation in patients receiving outpatient palliative radiotherapy as a tool to evaluate outcome was examined. Patients referred for palliative radiotherapy were asked to rate their symptom distress using the modified Edmonton Symptom Assessment System (ESAS) at initial consultation. Patient demographics and analgesic consumption were collected. For those who received radiotherapy, follow-up was conducted through telephone interviews at week 1, 2, 4, 8, and 12 post-treatment using the same modified ESAS and analgesic diary. One hundred ninety patients received radiotherapy to 256 sites from January to August 1999. Seventy-eight patients (41%) died during the 12-week follow-up period. The percentage of surviving patients responding to the telephone interview ranged from 63% to 68% during the 12-week study. Telephone follow-up is a feasible tool for the prospective outcome assessment of symptom palliation in this population. It compares well to clinic visits or mailed questionnaires. However, to improve the follow-up rates, other modalities may also need to be implemented.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Biological and medical sciences</subject><subject>Clinical death. Palliative care. Organ gift and preservation</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Neoplasms - complications</subject><subject>Neoplasms - radiotherapy</subject><subject>Palliative Care - standards</subject><subject>Prospective assessment</subject><subject>Prospective Studies</subject><subject>radiotherapy</subject><subject>Radiotherapy - adverse effects</subject><subject>symptom palliation</subject><subject>Telephone</subject><subject>telephone follow-up</subject><issn>0885-3924</issn><issn>1873-6513</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpF0dtqVDEUBuAgih2rj6DkQlAvtuawD9neyFAcFQqWHqB3IdlZaSPZOzHJVOYhfGcz7ahXYYWPFfL_CL2k5D0ltP9wQYToGj6y9i2h7wjhlDfXj9CKioE3fUf5Y7T6R47Qs5x_EEI63vOn6IjSduwGSlfo91kKOcJU3B3gdc6Q8wxLwcHii90cS5jxmfLeqeLCgm1IdSyuiozXpcBi3HKDFT5X0Rl8DjmGJUMdjQvlFpKKO1xfuElq_og3oLLTzruy2--_BA_xNiyAN8H78Ku5is_RE6t8hheH8xhdbT5fnnxtTr9_-XayPm2As7Y0QmjWE2soE5oIRhS1Yn_XatMP1vIJrDHK9NryjuuRs1Ez2o9M2b4dlQZ-jN487I0p_NxCLnJ2eQLv1QJhm-XQt5QPpGVVvjrIrZ7ByJjcrNJO_k2wgtcHoPKkvE1qmVz-78jABRGVfXpgUL915yDJPNUYJzAu1fSlCa5aua9W3lcr971JQuV9tfKa_wGV55ew</recordid><startdate>20010801</startdate><enddate>20010801</enddate><creator>Chow, Edward</creator><creator>Wong, Rebecca</creator><creator>Connolly, Ruth</creator><creator>Hruby, George</creator><creator>Franzcr</creator><creator>Franssen, Edmee</creator><creator>Fung, Kin Wah</creator><creator>Vachon, Mary</creator><creator>Andersson, Lourdes</creator><creator>Pope, Joan</creator><creator>Holden, Lori</creator><creator>Szumacher, Ewa</creator><creator>Schueller, Trudi</creator><creator>Bsp</creator><creator>Stefaniuk, Kim</creator><creator>Finkelstein, Joel</creator><creator>Hayter, Charles</creator><creator>Danjoux, Cyril</creator><general>Elsevier Inc</general><general>Elsevier Science</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope></search><sort><creationdate>20010801</creationdate><title>Prospective Assessment of Symptom Palliation for Patients Attending a Rapid Response Radiotherapy Program: Feasibility of Telephone Follow-Up</title><author>Chow, Edward ; Wong, Rebecca ; Connolly, Ruth ; Hruby, George ; Franzcr ; Franssen, Edmee ; Fung, Kin Wah ; Vachon, Mary ; Andersson, Lourdes ; Pope, Joan ; Holden, Lori ; Szumacher, Ewa ; Schueller, Trudi ; Bsp ; Stefaniuk, Kim ; Finkelstein, Joel ; Hayter, Charles ; Danjoux, Cyril</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-e324t-88b260fd128b0820a1f888b24bd67ff3cefddad6bf353b9329b21692af649abe3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Biological and medical sciences</topic><topic>Clinical death. Palliative care. Organ gift and preservation</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Neoplasms - complications</topic><topic>Neoplasms - radiotherapy</topic><topic>Palliative Care - standards</topic><topic>Prospective assessment</topic><topic>Prospective Studies</topic><topic>radiotherapy</topic><topic>Radiotherapy - adverse effects</topic><topic>symptom palliation</topic><topic>Telephone</topic><topic>telephone follow-up</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chow, Edward</creatorcontrib><creatorcontrib>Wong, Rebecca</creatorcontrib><creatorcontrib>Connolly, Ruth</creatorcontrib><creatorcontrib>Hruby, George</creatorcontrib><creatorcontrib>Franzcr</creatorcontrib><creatorcontrib>Franssen, Edmee</creatorcontrib><creatorcontrib>Fung, Kin Wah</creatorcontrib><creatorcontrib>Vachon, Mary</creatorcontrib><creatorcontrib>Andersson, Lourdes</creatorcontrib><creatorcontrib>Pope, Joan</creatorcontrib><creatorcontrib>Holden, Lori</creatorcontrib><creatorcontrib>Szumacher, Ewa</creatorcontrib><creatorcontrib>Schueller, Trudi</creatorcontrib><creatorcontrib>Bsp</creatorcontrib><creatorcontrib>Stefaniuk, Kim</creatorcontrib><creatorcontrib>Finkelstein, Joel</creatorcontrib><creatorcontrib>Hayter, Charles</creatorcontrib><creatorcontrib>Danjoux, Cyril</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><jtitle>Journal of pain and symptom management</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chow, Edward</au><au>Wong, Rebecca</au><au>Connolly, Ruth</au><au>Hruby, George</au><au>Franzcr</au><au>Franssen, Edmee</au><au>Fung, Kin Wah</au><au>Vachon, Mary</au><au>Andersson, Lourdes</au><au>Pope, Joan</au><au>Holden, Lori</au><au>Szumacher, Ewa</au><au>Schueller, Trudi</au><au>Bsp</au><au>Stefaniuk, Kim</au><au>Finkelstein, Joel</au><au>Hayter, Charles</au><au>Danjoux, Cyril</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prospective Assessment of Symptom Palliation for Patients Attending a Rapid Response Radiotherapy Program: Feasibility of Telephone Follow-Up</atitle><jtitle>Journal of pain and symptom management</jtitle><addtitle>J Pain Symptom Manage</addtitle><date>2001-08-01</date><risdate>2001</risdate><volume>22</volume><issue>2</issue><spage>649</spage><epage>656</epage><pages>649-656</pages><issn>0885-3924</issn><eissn>1873-6513</eissn><abstract>Clinical trials generally include motivated patients with relatively good performance status. This can result in an overestimation of the effectiveness of an intervention. Clinic follow-up protocols for outcome assessment after palliative treatments suffer from high attrition rates. In this study, the feasibility of telephone follow-up for the assessment of symptom palliation in patients receiving outpatient palliative radiotherapy as a tool to evaluate outcome was examined. Patients referred for palliative radiotherapy were asked to rate their symptom distress using the modified Edmonton Symptom Assessment System (ESAS) at initial consultation. Patient demographics and analgesic consumption were collected. For those who received radiotherapy, follow-up was conducted through telephone interviews at week 1, 2, 4, 8, and 12 post-treatment using the same modified ESAS and analgesic diary. One hundred ninety patients received radiotherapy to 256 sites from January to August 1999. Seventy-eight patients (41%) died during the 12-week follow-up period. The percentage of surviving patients responding to the telephone interview ranged from 63% to 68% during the 12-week study. Telephone follow-up is a feasible tool for the prospective outcome assessment of symptom palliation in this population. It compares well to clinic visits or mailed questionnaires. However, to improve the follow-up rates, other modalities may also need to be implemented.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>11495711</pmid><doi>10.1016/S0885-3924(01)00313-X</doi><tpages>8</tpages></addata></record> |
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| ispartof | Journal of pain and symptom management, 2001-08, Vol.22 (2), p.649-656 |
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| language | eng |
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| subjects | Adult Aged Aged, 80 and over Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Clinical death. Palliative care. Organ gift and preservation Female Follow-Up Studies Humans Male Medical sciences Middle Aged Neoplasms - complications Neoplasms - radiotherapy Palliative Care - standards Prospective assessment Prospective Studies radiotherapy Radiotherapy - adverse effects symptom palliation Telephone telephone follow-up |
| title | Prospective Assessment of Symptom Palliation for Patients Attending a Rapid Response Radiotherapy Program: Feasibility of Telephone Follow-Up |
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