Measuring symptoms in terminal cancer: are pain and dyspnoea controlled?
Identifieur interne : 001935 ( Pmc/Corpus ); précédent : 001934; suivant : 001936Measuring symptoms in terminal cancer: are pain and dyspnoea controlled?
Auteurs : I. Higginson ; M. MccarthySource :
- Journal of the Royal Society of Medicine [ 0141-0768 ] ; 1989.
Abstract
The symptoms of 86 patients referred to a district terminal care support team were rated throughout care using a standardized schedule. Pain was the most common main symptom at referral, occurring in 35 (41%) of the patients. The assessment scores for pain showed significant improvements after one week of care (P less than 0.01) and there was a further improvement into the week of death. However, towards death, 18 (21%) patients developed dyspnoea as their main symptom, and this became the most severe symptom at death. The symptom assessment scores for patients with dyspnoea showed no change over time, suggesting that existing methods to control dyspnoea are ineffective and that new interventions are needed.
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PubMed: 2474072
PubMed Central: 1292128
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<front><div type="abstract" xml:lang="en"><p>The symptoms of 86 patients referred to a district terminal care support team were rated throughout care using a standardized schedule. Pain was the most common main symptom at referral, occurring in 35 (41%) of the patients. The assessment scores for pain showed significant improvements after one week of care (P less than 0.01) and there was a further improvement into the week of death. However, towards death, 18 (21%) patients developed dyspnoea as their main symptom, and this became the most severe symptom at death. The symptom assessment scores for patients with dyspnoea showed no change over time, suggesting that existing methods to control dyspnoea are ineffective and that new interventions are needed.</p>
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<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">J R Soc Med</journal-id>
<journal-title>Journal of the Royal Society of Medicine</journal-title>
<issn pub-type="ppub">0141-0768</issn>
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<article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject>
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<title-group><article-title>Measuring symptoms in terminal cancer: are pain and dyspnoea controlled?</article-title>
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<contrib-group><contrib contrib-type="author"><name><surname>Higginson</surname>
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<contrib contrib-type="author"><name><surname>McCarthy</surname>
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<aff>Department of Community Medicine, University College, London.</aff>
<pub-date pub-type="ppub"><month>5</month>
<year>1989</year>
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<volume>82</volume>
<issue>5</issue>
<fpage>264</fpage>
<lpage>267</lpage>
<abstract><p>The symptoms of 86 patients referred to a district terminal care support team were rated throughout care using a standardized schedule. Pain was the most common main symptom at referral, occurring in 35 (41%) of the patients. The assessment scores for pain showed significant improvements after one week of care (P less than 0.01) and there was a further improvement into the week of death. However, towards death, 18 (21%) patients developed dyspnoea as their main symptom, and this became the most severe symptom at death. The symptom assessment scores for patients with dyspnoea showed no change over time, suggesting that existing methods to control dyspnoea are ineffective and that new interventions are needed.</p>
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