5,167 results match your criteria Journal of pain and symptom management[Journal]


Understanding the type of support offered within the caregiver, family, and spiritual/religious contexts of cancer patients.

J Pain Symptom Manage 2019 Mar 13. Epub 2019 Mar 13.

Department of Surgery, The Ohio State University Wexner Medical Center, Columbus, USA. Electronic address:

Context/objectives: We sought to characterize patterns of social support types (i.e. emotional, informational, appraisal and instrumental) within the caregiver/spouse, family and spiritual/religious contexts for patients diagnosed with cancer. Read More

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http://dx.doi.org/10.1016/j.jpainsymman.2019.03.003DOI Listing

Frequency of Concomitant Use of Opioids and Psychoactive Medications among Cancer Patients Referred to Outpatient Palliative Care.

J Pain Symptom Manage 2019 Mar 13. Epub 2019 Mar 13.

Department of Palliative Care, Rehabilitation and Integrative Medicine. Electronic address:

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http://dx.doi.org/10.1016/j.jpainsymman.2019.03.004DOI Listing

Interprofessional Teamwork During Family Meetings in the Pediatric Cardiac Intensive Care Unit.

J Pain Symptom Manage 2019 Mar 12. Epub 2019 Mar 12.

Children's Hospital of Philadelphia, Philadelphia, PA, USA.

Background: Parents of children in the pediatric cardiac intensive care unit (CICU) report inadequate communication and a lack of empathy during conversations with their clinicians.

Objective: To assess quantitatively and qualitatively the contributions made by team members of different professions in communicating with parents during family meetings.

Design: Prospective observational study. Read More

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http://dx.doi.org/10.1016/j.jpainsymman.2019.03.002DOI Listing

PC-FACS March 4, 2019.

Authors:
Andie Bernard

J Pain Symptom Manage 2019 Mar 12. Epub 2019 Mar 12.

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http://dx.doi.org/10.1016/j.jpainsymman.2019.03.001DOI Listing

Identifying Older Adults with Serious Illness: Transitioning from ICD-9 to ICD-10.

J Pain Symptom Manage 2019 Mar 12. Epub 2019 Mar 12.

Division of Geriatrics, Department of Medicine University of California, San Francisco San Francisco, California, USA.

Context: Identifying the seriously ill population is integral to improving the value of health care. Efforts to identify this population using existing data are anchored to a list of severe medical conditions (SMCs) using diagnostic codes. Published approaches have utilized International Classification of Diseases, Ninth Revision (ICD-9) codes, which has since been replaced by ICD-10. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S08853924193011
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http://dx.doi.org/10.1016/j.jpainsymman.2019.03.006DOI Listing
March 2019
1 Read

Volunteer involvement in advance care planning: a scoping review.

J Pain Symptom Manage 2019 Mar 7. Epub 2019 Mar 7.

Advance Care Planning Australia, Austin Health, Melbourne, Australia; Faculty of Medicine, Dentistry and Health Sciences, Melbourne University, Parkville Vic 3010. Australia.

Context: Volunteer involvement may support organizations to initiate and operationalize complex interventions such as advance care planning (ACP).

Objectives: A scoping review was conducted to map existing research on volunteer involvement in ACP, and to identify gaps in current knowledge base.

Methods: We Followed the PRISMA extension for Scoping Reviews (PRISMA-ScR) guidelines. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S08853924193011
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http://dx.doi.org/10.1016/j.jpainsymman.2019.02.031DOI Listing
March 2019
1 Read

A Tool to Assess Patient and Surrogate Knowledge about the POLST (Physician Orders for Life-Sustaining Treatment) Program.

J Pain Symptom Manage 2019 Mar 7. Epub 2019 Mar 7.

Respecting Choices, A Division of C-TAC Innovations, La Crosse, Wisconsin.

Context: It is especially important that patients are well-informed when making high stakes, preference-sensitive decisions like those on the Physician Orders for Life-Sustaining Treatment (POLST) form. However, there is currently no way to easily evaluate whether patients understand key concepts when making these important decisions.

Objectives: To develop a POLST knowledge survey. Read More

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http://dx.doi.org/10.1016/j.jpainsymman.2019.02.030DOI Listing

Challenges in Recruiting Patients to a Controlled Feasibility Study of a Drug for Opioid-Induced Constipation: Lessons from the Population with Advanced Cancer.

J Pain Symptom Manage 2019 Mar 7. Epub 2019 Mar 7.

MJHS Institute for Innovation in Palliative Care, New York, NY, USA; Department of Family and Social Medicine, Albert Einstein College of Medicine, Bronx, NY, USA; Department of Neurology, Albert Einstein College of Medicine, Bronx, NY, USA; Hospice and Palliative Care, New York, NY, USA.

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http://dx.doi.org/10.1016/j.jpainsymman.2018.09.024DOI Listing

A fixed nitrous oxide and oxygen mixture for analgesia in children with leukemia with lumbar puncture-induced pain: A randomized, double-blind controlled trial.

J Pain Symptom Manage 2019 Mar 7. Epub 2019 Mar 7.

School of Nursing, Ningxia Medical University, 1160 Shengli Street, Yinchuan 750004, China. Electronic address:

Background: The present study aims to evaluate the efficacy of a fixed NO/O mixture to reduce pain in children with leukemia during lumbar puncture (LP) as compared with placebo.

Methods: A double-blind, placebo-controlled, and randomized clinical trial involving children who needed LP for diagnosis or treatment was conducted in the pediatrics department of the General Hospital of Ningxia Medical University. Eligible patients were randomly assigned to inhale either a fixed NO/O mixture or O. Read More

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http://dx.doi.org/10.1016/j.jpainsymman.2019.02.029DOI Listing

Association of persistent intense thirst with delirium among critically ill patients: A cross-sectional study.

J Pain Symptom Manage 2019 Mar 1. Epub 2019 Mar 1.

Intensive Care Unit, Kanazawa University Hospital, 13-1 Takara-machi, Kanazawa 920-8641, Japan; Department of Anesthesiology and Intensive Care Medicine, Graduate School of Medical Sciences, Kanazawa University, Kanazawa 920-8640, Japan.

Context: Thirst is a prevalent distressing symptom often reported by patients in the intensive care unit (ICU). Little is known about the association of thirst with delirium.

Objective: We aimed to investigate the relationship between thirst and delirium. Read More

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http://dx.doi.org/10.1016/j.jpainsymman.2019.02.022DOI Listing
March 2019
2 Reads

Illness as transformative experience: Implications of philosophy for advance care planning.

J Pain Symptom Manage 2019 Mar 1. Epub 2019 Mar 1.

Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.

Advance care planning has been shown to improve patient outcomes and is recommended as part of routine care for people with a life-limiting illness. Nevertheless, developing an advance care plan can be complex and challenging for both patients and family members, and the clinicians who support them. One complexity is that illness and its treatments often cannot be deeply understood without lived experience. Read More

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http://dx.doi.org/10.1016/j.jpainsymman.2019.02.025DOI Listing

Factors associated with opioid use in long term cancer survivors.

J Pain Symptom Manage 2019 Mar 1. Epub 2019 Mar 1.

McMaster University, Department of Oncology, Hamilton, Ontario, Canada.

Purpose: To evaluate factors associated with opioid use in cancer patients surviving more than 5 years without recurrence. We evaluated exposures of opioid use before cancer diagnosis, opioid use between cancer diagnosis and 5 year anniversary, surgeries and chemotherapy.

Methods: We conducted a retrospective cohort study using linked provincial administrative data. Read More

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http://dx.doi.org/10.1016/j.jpainsymman.2019.02.024DOI Listing

Patient patterns and perspectives on using opioid regimens for chronic cancer pain.

J Pain Symptom Manage 2019 Mar 1. Epub 2019 Mar 1.

Massachusetts General Hospital Cancer Center, Boston, MA, USA; Harvard Medical School, Boston, MA, USA. Electronic address:

Context: With increasing attention to the under-treatment of cancer pain in parallel with concerns about opioid misuse, little is known about how patients with advanced cancer adhere to opioid regimens for chronic cancer pain.

Objectives: We explored patient approaches to managing chronic cancer pain with long-acting opioids.

Methods: In a multi-methods study at an academic medical center, adult patients with chronic cancer pain (n=17) used electronic pill caps to record adherence to prescribed long-acting opioid regimens. Read More

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http://dx.doi.org/10.1016/j.jpainsymman.2019.02.023DOI Listing

Ministry.

J Pain Symptom Manage 2019 Feb 28. Epub 2019 Feb 28.

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http://dx.doi.org/10.1016/j.jpainsymman.2019.02.028DOI Listing
February 2019

Preferences for continence care experienced at end of life: a qualitative study.

J Pain Symptom Manage 2019 Feb 27. Epub 2019 Feb 27.

Background: Functional dependence at end of life often leaves individuals requiring help for personal care, including maintaining continence. Current continence guidelines offer little direction for end of life continence care, and little is known of the perspectives of people receiving palliative care.

Objective: The aim of the study was to examine the continence care preferences of people receiving palliative care to understand what approaches to care and what goals of care are important to them. Read More

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http://dx.doi.org/10.1016/j.jpainsymman.2019.02.020DOI Listing
February 2019
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Breakthrough cancer pain in patients with abdominal visceral cancer pain.

J Pain Symptom Manage 2019 Feb 26. Epub 2019 Feb 26.

Department of Applied Clinical Sciences and Biotechnology, University of L'Aquila, L'Aquila, Italy.

Aim: To assess the characteristics of breakthrough cancer pain (BTcP) in patients with abdominal cancer pain, and the eventual factors associated with its presentation.

Methods: Patients with abdominal visceral cancer presenting BTcP were included in the analysis. Pain intensity, current analgesic therapy, number of BTcP episodes, intensity of BTcP, its predictability and triggers, onset (≤10 min or >10 min), duration, interference with daily activities, medications, and doses currently used for BTcP, and time to meaningful pain relief were collected. Read More

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http://dx.doi.org/10.1016/j.jpainsymman.2019.02.014DOI Listing
February 2019

The effects of adding reassurance statements: Cancer patients' preferences for phrases in end-of-life discussions.

J Pain Symptom Manage 2019 Feb 25. Epub 2019 Feb 25.

Division of Cohort Consortium Research, Epidemiology and Prevention Group, Center for Public Health Sciences, National Cancer Center, Tokyo, Japan; Innovation Center for Supportive, Palliative and Psychosocial Care, National Cancer Center Hospital, Tokyo, Japan.

Context: When discussing end-of-life (EOL) issues with cancer patients, the addition of reassurance statements is considered helpful. However, patients' preferences for such statements have not been systematically demonstrated.

Objectives: To clarify if phrases with additional reassurance statements would be more preferable to phrases without them, and explore variables associated with patients' preferences. Read More

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http://dx.doi.org/10.1016/j.jpainsymman.2019.02.019DOI Listing
February 2019

Chronic pain, functional status, and life satisfaction are associated with patients living with HIV discussing advanced care planning with their family or friends.

J Pain Symptom Manage 2019 Feb 25. Epub 2019 Feb 25.

Department of Health Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.

Context: In the era of effective antiretroviral therapy, persons living with HIV/AIDS (PLWHA) are living longer, transforming HIV into a serious chronic illness, warranting discussions between patients and their loved ones about advanced care planning (ACP). Evidence is needed on factors associated with patients' likelihood to discuss ACP with loved ones.

Objectives: To further characterize factors associated with successful ACP in PLWHA with their loved ones, we examined associations between patients having ACP discussions with the need for assistance with personal care, chronic pain, life satisfaction, prior family disagreements over healthcare decisions, sex, age, and interference in daily routines due to memory problems. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S08853924193009
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http://dx.doi.org/10.1016/j.jpainsymman.2019.02.018DOI Listing
February 2019
1 Read

The hand-held fan and the Calming Hand for people with chronic breathlessness: a feasibility trial.

J Pain Symptom Manage 2019 Feb 22. Epub 2019 Feb 22.

Wolfson Palliative Care Research Centre, Hull York Medical School (HYMS), University of Hull, Cottingham Road, Hull, HU6 7RX.

Introduction: The battery operated hand-held fan ("fan") and the Calming Hand (CH), a cognitive strategy, are interventions used in clinical practice to relieve chronic breathlessness.

Objective: To test the feasibility of a phase III randomised controlled trial (RCT) evaluating the impact of the fan and/or CH compared with exercise advice alone for the relief of chronic breathlessness due to respiratory conditions.

Methods: Single site, feasibility "2x2" factorial, non-blinded, mixed-methods RCT. Read More

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http://dx.doi.org/10.1016/j.jpainsymman.2019.02.017DOI Listing
February 2019
6 Reads

Intensity of Cancer Care Near the End-of-Life at a Tertiary Care Cancer Center in Jordan.

J Pain Symptom Manage 2019 Feb 22. Epub 2019 Feb 22.

MD Anderson Cancer Center, Houston, TX, USA.

Purpose: Chemotherapy use in the last month of life is an indicator of poor quality of end-of-life care. We assessed the frequency of chemotherapy use at the end-of-life at our comprehensive cancer center in Jordan, and identified the factors associated with chemotherapy use.

Patients And Methods: We conducted a retrospective chart review to examine the use of chemotherapy in the last 30 days and 14 days of life in consecutive adult cancer patients seen at King Hussein Cancer Center (KHCC) who died between January 1, 2010 and December 31, 2012. Read More

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http://dx.doi.org/10.1016/j.jpainsymman.2019.02.016DOI Listing
February 2019
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2.795 Impact Factor

Patient controlled analgesia for children with life-limiting conditions in the community: Results of a prospective observational study.

J Pain Symptom Manage 2019 Feb 22. Epub 2019 Feb 22.

The Louis Dundas Centre for Children's Palliative Care, UCL Great Ormond Street Institute of Child Health, London, UK; Rutgers University, Camden, New Jersey, USA. Electronic address:

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http://dx.doi.org/10.1016/j.jpainsymman.2019.02.015DOI Listing
February 2019

Predatory Publishing in Palliative Care.

J Pain Symptom Manage 2019 Feb 19. Epub 2019 Feb 19.

Radiotherapy. Hospital Clínico Universitario de Valladolid. Valladolid, Spain.

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http://dx.doi.org/10.1016/j.jpainsymman.2019.02.003DOI Listing
February 2019

Symptom Burden and Palliative Care Needs among High Risk Veterans with Multi-morbidity.

J Pain Symptom Manage 2019 Feb 19. Epub 2019 Feb 19.

Department of Veterans Affairs, Puget Sound Health Care System, Health Services R&D; University of Washington, School of Medicine, Pulmonary and Critical Care Medicine Division.

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http://dx.doi.org/10.1016/j.jpainsymman.2019.02.011DOI Listing
February 2019

Towards a conceptual model of affective predictions in palliative care.

J Pain Symptom Manage 2019 Feb 19. Epub 2019 Feb 19.

National Cancer Institute, Bethesda, MD, USA.

Context: Being diagnosed with cancer often forces patients and families to make difficult medical decisions. How patients think they and others will feel in the future, termed affective predictions, may influence these decisions. These affective predictions are often biased, which may contribute to suboptimal care outcomes by influencing decisions related to palliative care and advance care planning. Read More

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http://dx.doi.org/10.1016/j.jpainsymman.2019.02.008DOI Listing
February 2019
1 Read

Medical Oncologists' Views on the Utility of Medical Marijuana Across the Cancer Trajectory.

J Pain Symptom Manage 2019 Feb 19. Epub 2019 Feb 19.

Dana-Farber Cancer Institute, Boston, MA; Harvard Medical School, Boston, MA.

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http://dx.doi.org/10.1016/j.jpainsymman.2019.02.001DOI Listing
February 2019

The Stability of Treatment Preferences among Patients with Advanced Cancer.

J Pain Symptom Manage 2019 Feb 19. Epub 2019 Feb 19.

Cornell Center for Research on End-of-Life Care, Weill Cornell Medicine, New York, New York, U.S.A.; Division of Geriatrics and Palliative Medicine, Department of Medicine, Weill Cornell Medicine, New York, New York, U.S.A.. Electronic address:

Context: Stability of patients' treatment preferences has important implications for decisions about concurrent and future treatment.

Objectives: To examine the stability of treatment preferences and correlates among patients with advanced cancer.

Methods: In this cohort, 104 patients with metastatic cancer, progression after at least one chemotherapy regimen and an oncologist-estimated life-expectancy of ≤ six months participated in structured interviews following clinical visits in which patients' recent scans were discussed. Read More

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http://dx.doi.org/10.1016/j.jpainsymman.2019.01.016DOI Listing
February 2019

Development of Curricular Milestones for Hospice and Palliative Medicine Fellowship Training in the United States.

J Pain Symptom Manage 2019 Feb 18. Epub 2019 Feb 18.

Department of Internal Medicine, University of Kansas Medical Center, Kansas City, KS, USA.

Context: A physician workgroup of the American Academy of Hospice and Palliative Medicine sought to define Curricular Milestones (CM) for Hospice and Palliative Medicine (HPM) fellowship programs. The developed list of CMs would serve as components upon which to organize curriculum and standardize what to teach during training. These would complement Entrustable Professional Activities (EPA's) previously developed by this group and new specialty specific Reporting Milestones (RM's) for HPM developed through the ACGME. Read More

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http://dx.doi.org/10.1016/j.jpainsymman.2019.02.013DOI Listing
February 2019

Multiple Stakeholders' Perspectives Regarding Barriers to Hospice Enrollment in Diverse Patient Populations: A Qualitative Study.

J Pain Symptom Manage 2019 Feb 18. Epub 2019 Feb 18.

The Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA; Hope Hospice and Palliative Care Rhode Island, Providence, Rhode Island, USA. Electronic address:

Context: Although studies show disparities in hospice care utilization, many questions remain regarding the causes of these disparities. Most studies focus on a single ethnic/racial group, and most use physician informants. None compare and contrast views of multiple stakeholders or use a systems approach within a single geographic region. Read More

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http://dx.doi.org/10.1016/j.jpainsymman.2019.02.012DOI Listing
February 2019

The Surprise Question Can Be Used to Identify Heart Failure Patients in the Emergency Department Who Would Benefit From Palliative Care.

J Pain Symptom Manage 2019 Feb 16. Epub 2019 Feb 16.

Division of Palliative Care, Department of Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.

Context: Heart failure (HF) is associated with symptom exacerbations and risk of mortality after an emergency department (ED) visit. Although emergency physicians (EPs) treat symptoms of HF, often the opportunity to connect with palliative care is missed. The "surprise question" (SQ) "Would you be surprised if this patient died in the next 12 months?" is a simple tool to identify patients at risk for 12-month mortality. Read More

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http://dx.doi.org/10.1016/j.jpainsymman.2019.02.007DOI Listing
February 2019

Clinically significant drug-drug interactions involving medications used for symptom control in patients with advanced malignant disease. A systematic review.

J Pain Symptom Manage 2019 Feb 15. Epub 2019 Feb 15.

Regional Centre of Excellence for Palliative Care, Western Norway, Haukeland University Hospital, Bergen, Norway; Department of Clinical Medicine K1, University of Bergen, Bergen, Norway.

Context: Most patients with advanced malignant disease need to take several drugs to control symptoms. This treatment raises risks of serious adverse effects and drug-drug interactions (DDIs).

Objectives: To identify studies reporting clinically significant DDIs involving medications used for symptom control, other than opioids used for pain management, in adult patients with advanced malignant disease. Read More

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http://dx.doi.org/10.1016/j.jpainsymman.2019.02.006DOI Listing
February 2019
2 Reads

THE BURDEN OF OPIOID ADVERSE EVENTS AND THE INFLUENCE ON CANCER PATIENTS' SYMPTOMATOLOGY.

J Pain Symptom Manage 2019 Feb 15. Epub 2019 Feb 15.

Department of Oncology, Unit of Cancer Epidemiology, Laboratory of Methodology for Clinical Research, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, Italy.

Context: Opioids are frequently used for the treatment of moderate to severe pain and their use may produce a number of unwanted adverse events (AEs).

Objectives: To understand the burden of opioid-induced AEs in cancer patients with pain after the introduction of strong opioids (WHO step III).

Methods: This is a cohort study derived from a randomized controlled trial involving 498 cancer patients with pain who received strong opioids. Read More

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http://dx.doi.org/10.1016/j.jpainsymman.2019.02.009DOI Listing
February 2019
1 Read

Exploring the diurnal course of fatigue in patients on haemodialysis treatment and its relation with depressive symptoms and classical conditioning.

J Pain Symptom Manage 2019 Feb 15. Epub 2019 Feb 15.

Haemodialysis Unit, Fondazione Policlinico A. Gemelli, Università Cattolica del Sacro Cuore, Rome, Italy.

Context: Fatigue is one of the most prevalent symptoms among haemodialysis (HD) patients. In order to design effective treatments it is crucial to understand the diurnal pattern of fatigue in this population.

Objectives: To assess diurnal changes in fatigue in patients undergoing haemodialysis and their relation with depressive symptoms. Read More

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http://dx.doi.org/10.1016/j.jpainsymman.2019.02.010DOI Listing
February 2019
2 Reads

PC-FACS.

Authors:
Mellar P Davis

J Pain Symptom Manage 2019 Feb 13. Epub 2019 Feb 13.

PC-FACS(FastArticleCriticalSummaries for Clinicians inPalliativeCare) provides hospice and palliative care clinicians with concise summaries of the most important findings from more than 100 medical and scientific journals. If you have colleagues who would benefit from receiving PCFACS, please encourage them to join the AAHPM at aahpm.org. Read More

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http://dx.doi.org/10.1016/j.jpainsymman.2019.02.004DOI Listing
February 2019

Stability of Symptom Clusters in Patients With Lung Cancer Receiving Chemotherapy.

J Pain Symptom Manage 2019 Feb 12. Epub 2019 Feb 12.

Schools of Nursing. Electronic address:

Context: Lung cancer patients who undergo chemotherapy (CTX) experience multiple symptoms. Evaluation of how these symptoms cluster together and how these symptom clusters change over time are salient questions in symptom clusters research.

Objectives: The purposes of this analysis, in a sample of lung cancer patients (n=145) who were receiving chemotherapy were to evaluate for differences in the number and types of symptom clusters at three time points (i. Read More

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http://dx.doi.org/10.1016/j.jpainsymman.2019.02.002DOI Listing
February 2019
2.795 Impact Factor

Introduction to a New Special Series for the Journal of Pain and Symptom Management-Science in Action: Evidence and Opportunities for Palliative Care Across Diverse Populations and Care Settings.

J Pain Symptom Manage 2019 Feb 11. Epub 2019 Feb 11.

Director of Quality and Research, American Academy of Hospice and Palliative Medicine (AAHPM), Chicago, Illinois, USA.

Practices to optimize palliative care delivery and new opportunities in which to integrate palliative care vary across populations and care settings. Systematic reviews are an efficient and methodologically rigorous approach to summarize existing research to identify both evidence-based best practices and new areas for future research and clinical practice. This is the introduction to a special series of articles in which members of the American Academy of Hospice and Palliative Medicine Research Committee report the results of circumscribed systematic reviews, which in a specific population or care setting seek to 1) summarize existing evidence for optimal palliative care practices or 2) identify opportunities where better palliative care delivery could improve patient and/or family outcomes. Read More

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http://dx.doi.org/10.1016/j.jpainsymman.2019.02.005DOI Listing
February 2019

Delays in palliative care referral among surgical patients: perspectives of surgical residents across the state of Michigan.

J Pain Symptom Manage 2019 Feb 8. Epub 2019 Feb 8.

Center for Healthcare Outcomes and Policy, Institute for Healthcare Policy and Innovation, University of Michigan; Department of Surgery, University of Michigan. Electronic address:

Context: Palliative care services (PCS) are underutilized and frequently delayed among surgical patients. Surgical residents often serve at the forefront for patient issues, including conducting conversations regarding prognosis and goals of care.

Objectives: This qualitative study identifies critical barriers to palliative care referral among seriously-ill surgical patients from the perspective of surgical residents. Read More

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http://dx.doi.org/10.1016/j.jpainsymman.2019.01.018DOI Listing
February 2019
1 Read

Bisphosphonates.

J Pain Symptom Manage 2019 Feb 6. Epub 2019 Feb 6.

University of Nottingham, Nottingham, United Kingdom. Electronic address:

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http://dx.doi.org/10.1016/j.jpainsymman.2019.01.017DOI Listing
February 2019

Pediatric Perioperative DNR Orders: A Case Series in a Children's Hospital.

J Pain Symptom Manage 2019 Feb 4. Epub 2019 Feb 4.

The Pediatric Advanced Care Team, The Children's Hospital of Philadelphia.

Context: Do-not-resuscitate (DNR) orders are common among children receiving palliative care, who may nevertheless benefit from surgery and other procedures. Although anesthesia, surgery, and pediatric guidelines recommend systematic reconsideration of DNR orders in the perioperative period, data regarding how clinicians evaluate and manage DNR orders in the perioperative period is limited.

Objectives: Evaluate perioperative management of DNR orders at a tertiary care children's hospital. Read More

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http://dx.doi.org/10.1016/j.jpainsymman.2019.01.006DOI Listing
February 2019
1 Read

Circadian Rhythmicity as a Predictor of Quality of Life in Allogeneic Hematopoietic Cell Transplant Patients.

J Pain Symptom Manage 2019 Jan 31. Epub 2019 Jan 31.

Department of Blood and Marrow Transplantation and Cellular Immunotherapy, Moffitt Cancer Center, Tampa, Florida, USA. Electronic address:

Context: Quality of life (QoL) is increasingly recognized as an important outcome of cancer treatment. Previous studies have examined clinical predictors of QoL, but with the increasing prevalence of wearable sensors that monitor sleep and activity patterns, further investigation into whether these behaviors are predictive of post-treatment QoL is now feasible. Among patients receiving aggressive cancer treatment such as hematopoietic cell transplantation (HCT), analysis of circadian rhythms (24-hour patterns of sleep and activity) via wearable sensors is limited. Read More

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http://dx.doi.org/10.1016/j.jpainsymman.2019.01.015DOI Listing
January 2019
1 Read

The Association Between Benzodiazepines and Survival in Patients With Cancer: A Systematic Review.

J Pain Symptom Manage 2019 Jan 30. Epub 2019 Jan 30.

Hull York Medical School, University of Hull, Hull, United Kingdom.

Context: Patients with cancer often experience distressing symptoms such as anxiety or dyspnea, which can be managed with benzodiazepines; however, concerns regarding the impact of these drugs on survival may dissuade prescribing and compliance.

Objectives: We aimed to identify and appraise studies examining benzodiazepine use and survival in adults with cancer, to investigate the relationship and context of use.

Methods: Systematic review of the international literature prepared according to preferred reporting items for systematic reviews. Read More

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http://dx.doi.org/10.1016/j.jpainsymman.2019.01.010DOI Listing
January 2019

A Prospective Cohort Study of Factors Associated With Place of Death Among Patients With Late-Stage Cancer in Southern Africa.

J Pain Symptom Manage 2019 Jan 30. Epub 2019 Jan 30.

Division of Medical Oncology, Department of Internal Medicine, University of the Witwatersrand Faculty of Health Sciences, Johannesburg, South Africa; Non Communicable Diseases Research Division, Wits Health Consortium, Johannesburg, South Africa.

Context: Identifying factors that affect terminally ill patients' preferences for and actual place of death may assist patients to die wherever they wish.

Objective: The objective of this study was to investigate factors associated with preferred and actual place of death for cancer patients in Johannesburg, South Africa.

Methods: In a prospective cohort study at a tertiary hospital in Johannesburg, South Africa, adult patients with advanced cancer and their caregivers were enrolled from 2016 to 2018. Read More

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http://dx.doi.org/10.1016/j.jpainsymman.2019.01.014DOI Listing
January 2019
3 Reads
2.795 Impact Factor

End-of-Life Health Care Utilization Between Chronic Obstructive Pulmonary Disease and Lung Cancer Patients.

J Pain Symptom Manage 2019 Jan 30. Epub 2019 Jan 30.

School of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan; School of Nursing, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Pokfulam, Hong Kong; Alice Ho Miu Ling Nethersole Charity Foundation Professor in Nursing, Hong Kong. Electronic address:

Context: At the end of life, chronic obstructive pulmonary disease (COPD) and lung cancer (LC) patients exhibit similar symptoms; however, a large-scale study comparing end-of-life health care utilization between these two groups has not been conducted in East Asia.

Objectives: To explore and compare end-of-life resource use during the last six months before death between COPD and LC patients.

Methods: Using data from the Taiwan National Health Insurance Research Database, we conducted a nationwide retrospective cohort study in COPD (n = 8640) and LC (n = 3377) patients who died between 1997 and 2013. Read More

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http://dx.doi.org/10.1016/j.jpainsymman.2019.01.011DOI Listing
January 2019
1 Read

Cancer and Opioids: Patient Experiences With Stigma (COPES)-A Pilot Study.

J Pain Symptom Manage 2019 Jan 28. Epub 2019 Jan 28.

Moffitt Cancer Center, Tampa, Florida, USA.

Context: Cancer-related pain is a common symptom that is often treated with opioids. However, legislation aimed at containing the opioid crisis, coupled with public fears about opioid risks, may contribute to opioid stigma in cancer patients. To our knowledge, no prior research has examined opioid stigma and stigma-related behavior in this population. Read More

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http://dx.doi.org/10.1016/j.jpainsymman.2019.01.013DOI Listing
January 2019

Ultrasound-Guided Dorsal Penile Neurolysis for Malignant Priapism Pain Management.

J Pain Symptom Manage 2019 Feb 26;57(2):e4-e5. Epub 2018 Oct 26.

Clínica de Dolor, Instituto Nacional de Cancerología, México.

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http://dx.doi.org/10.1016/j.jpainsymman.2018.10.501DOI Listing
February 2019
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Pediatric Palliative Care in the Multi-Cultural Context: Findings from a workshop conference.

J Pain Symptom Manage 2019 Jan 24. Epub 2019 Jan 24.

Seattle Children's Research Institute; Treuman Katz Center for Pediatric Bioethics & Center for Clinical and Translational Research; Seattle, WA; Division of Bioethics & Palliative Care; Department of Pediatrics; University of Washington School of Medicine; Seattle, WA.

Context: In our increasingly multicultural society, providing sensitive and respectful pediatric palliative care is vital.

Objectives: We held a one-day workshop conference with stakeholders and pediatric clinicians to identify suggestions for navigating conflict when cultural differences are present and for informing standard care-delivery.

Methods: Participants explored cases in one of four workshops focused on differences based on either race/ethnicity, economic disparity, religion/spirituality, or family-values. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S08853924193003
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http://dx.doi.org/10.1016/j.jpainsymman.2019.01.005DOI Listing
January 2019
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The Effect of 20-Minute Mindful Breathing on the Rapid Reduction of Dyspnoea at Rest in Patients with Lung Diseases: A Randomized Controlled Trial.

J Pain Symptom Manage 2019 Jan 23. Epub 2019 Jan 23.

Department of Medicine, Faculty of Medicine and Health Science, University Malaysia Sarawak, Kota Samarahan, Sarawak, Malaysia. Electronic address:

Context: Dyspnoea is a common and distressing symptom in respiratory diseases. Despite advances in the treatment of various lung diseases, the treatment modalities for dyspnoea remain limited.

Objectives: This study aims to examine the effect of 20-minute mindful breathing on the rapid reduction of dyspnoea at rest in patients with lung cancer, chronic obstructive pulmonary disease (COPD) and asthma. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S08853924193004
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http://dx.doi.org/10.1016/j.jpainsymman.2019.01.009DOI Listing
January 2019
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Validation and Application of the Chinese Version of the MD Anderson Symptom Inventory Gastrointestinal Cancer Module (MDASI-GI-C).

J Pain Symptom Manage 2019 Jan 23. Epub 2019 Jan 23.

Cancer Center, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China. Electronic address:

Objectives: To validate and use the Chinese Version of the MD Anderson Symptom Inventory Gastrointestinal Cancer Module (MDASI-GI-C) in order to assess the symptom burden of Chinese-speaking patients with gastrointestinal cancer.

Methods: In total, 527 patients with postoperative or advanced digestive tract tumors were enrolled in the trial, who had definitive diagnoses and different treatments in our cancer center. MDASI-GI-C was administered to these patients between February and December 2017. Read More

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http://dx.doi.org/10.1016/j.jpainsymman.2019.01.007DOI Listing
January 2019
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