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Assessment of Palliative Care in Lung Cancer in Turkey
- Source :
- Medical Principles and Practice
- Publication Year :
- 2017
- Publisher :
- Karger, 2017.
-
Abstract
- WOS: 000391457100008<br />PubMed ID: 27780164<br />Objective: To investigate the symptoms of lung cancer in Turkey and to evaluate approaches to alleviate these symptoms. Subjects and Methods: This study included 1,245 lung cancer patients from 26 centers in Turkey. Demographic characteristics as well as information regarding the disease and treatments were obtained from medical records and patient interviews. Symptoms were evaluated using the Edmonton Symptom Assessment Scale (ESAS) and were graded on a scale between 0 and 10 points. Data were compared using the. 2, Student t, and Mann-Whitney U tests. Potential predictors of symptoms were analyzed using logistic regression analysis. Results: The most common symptom was tiredness (n = 1,002; 82.1%), followed by dyspnea (n = 845; 69.3%), appetite loss (n = 801; 65.7%), pain (n = 798; 65.4%), drowsiness (n = 742; 60.8%), anxiety (n = 704; 57.7%), depression (n = 623; 51.1%), and nausea (n = 557; 45.5%). Of the 1,245 patients, 590 (48.4%) had difficulty in initiating or maintaining sleep. The symptoms were more severe in stages III and IV. Logistic regression analysis indicated a clear association between demographic characteristics and symptom distress, as well as between symptom distress (except nausea) and well-being. Overall, 804 (65.4%) patients used analgesics, 630 (51.5%) received treatment for dyspnea, 242 (19.8%) used enteral/parenteral nutrition, 132 (10.8%) used appetite stimulants, and 129 (10.6%) used anxiolytics/antidepressants. Of the 799 patients who received analgesics, 173 (21.7%) reported that their symptoms were under control, and also those on other various treatment modalities (dyspnea: 78/627 [12.4%], appetite stimulant: 25/132 [18.9%], and anxiolytics/antidepressants: 25/129 [19.4%]) reported that their symptoms were controlled. Conclusion: In this study, the symptoms progressed and became more severe in the advanced stages of lung cancer, and palliative treatment was insufficient in most of the patients in Turkey. (C) 2016 S. Karger AG, Basel
- Subjects :
- squamous cell carcinoma
Male
cancer pain
Lung Neoplasms
Turkey
Palliative treatment
oxygen therapy
Comorbidity
fentanyl
Lung cancer
Palliation
Symptoms
Treatment
0302 clinical medicine
middle aged
antidepressant agent
bisphosphonic acid derivative
comparative study
Edmonton Symptom Assessment Scale
adult
Palliative Care
vitamin
morphine
General Medicine
cyproheptadine
nausea
aged
Impact
030220 oncology & carcinogenesis
depression
disease severity
prospective study
cancer fatigue
medicine.medical_specialty
palliative therapy
Nausea
nutritional support
complication
percutaneous endoscopic gastrostomy
Article
03 medical and health sciences
Humans
human
Neoplasms, Squamous Cell
SLEEP DISTURBANCES
noninvasive ventilation
interview
drowsiness
dyspnea
medicine.disease
sedative agent
major clinical study
Logistic Models
Parenteral nutrition
quality of life
pleurodesis
cancer patient
Palliative care
IMPACT
paracetamol
dysphagia
Turkey (republic)
appetite stimulant
wellbeing
Quality of life
QUALITY-OF-LIFE
nonsteroid antiinflammatory agent
Prevalence
anxiety disorder
pain
030212 general & internal medicine
Fatigue
Depression (differential diagnoses)
bone metastasis
sleep disorder
Analgesics
analgesia
analgesic agent
cancer palliative therapy
CHEMOTHERAPY
PREVALENCE
female
Anxiety
pain severity
SYMPTOM EXPERIENCE
medicine.symptom
bronchodilating agent
nasogastric tube
tramadol
combination drug therapy
anxiolytic agent
nebulizer
Pain
parenteral nutrition
psychology
cachexia
psychopharmacotherapy
Interviews as Topic
Quality-Of-Life
Internal medicine
SUPPORTIVE CARE
medicine
cancer radiotherapy
Chemotherapy
controlled study
Neoplasm Staging
loss of appetite
thoracocentesis
Original Paper
symptom assessment
business.industry
cancer staging
statistical model
Symptom Experience
megestrol acetate
vitamin supplementation
Supportive Care
Physical therapy
stent
business
Sleep Disturbances
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Journal :
- Medical Principles and Practice
- Accession number :
- edsair.doi.dedup.....b84c03ba6b56adcf5bfa56496a5edcbe