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.
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.
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.
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).
We first showed the correlations of HRQOL with quality of symptom management, based on PSG.