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Jun 29, 2018

MASCC/ISOO Annual Meeting on Supportive Care in Cancer

19 / CORRELATION OF HEALTH-RELATED QUALITY OF LIFE WITH QUALITY OF SYMPTOM MANAGEMENT: BASED ON PERSONALIZED SYMPTOM GOALS IN OUTPATIENT PALLIATIVE CARE SETTING

;

Tagami;

K.;

Miura;

T.;

Kawaguchi;

T.;

Yoshihisa;

M.;

Watanabe-Sumazaki;

Y.;

Uehara;

Y.;

Okizaki;

A.;

Masuda;

Y.;

Hiroko;

K.;

Yamaguchi;

T.;

Morita;

T.

personalized symptom goal

quality of life

patient reported outcome

symptom management

Abstract

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Keywords

personalized symptom goal

quality of life

patient reported outcome

symptom management

Abstract

Introduction : Personalized symptom goals (PSG) have been proposed as a good indicator of symptom management. The correlations of health-related quality of life (HRQOL) with quality of symptom management based on PSG, have not yet presented. Objects: The aim of this study is to clarify the achievement of PSG and the correlations of HRQOL with achievement of PSG in outpatient palliative care setting. Methods: We performed a cross-sectional study among cancer patients who visited the palliative care outpatient clinic of our institute between April 2016 and September 2016. We investigated their Edmonton Symptom Assessment System-revised (ESAS-r) scores and PSG scores on ESAS-r physical symptoms. HRQOL scores were measured by Functional Assessment of Cancer Therapy – General. The relationship between HRQOL scores and the number of symptoms not achieving PSG (ESAS-r score > PPG score) was examined using the Jonckheere–Terpstra test. To compare HRQOL scores between patients achieving (ESAS-r score < PPG score) and not achieving PSG, the Student t test was performed. Results: A total of 171 patients were enrolled (37.4% female, median 68 years old). The prevalence of PSG achievement was as follows: pain (36.4%), tiredness (35.7%), drowsiness (45%), nausea (80%), lack of appetite (58.6%), and dyspnea (61. 4%).The number of symptoms not achieving PSG was associated with low HRQOL scores (p<0.01).Poor management to achieve PSG of pain, tiredness, lack of appetite and dyspnea had association with low HRQOL scores (p < 0.05). Conclusion: We first showed the correlations of HRQOL with quality of symptom management, based on PSG.

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© Copyright 2019 Morressier GmbH.
All rights reserved.