The effects of alcoholism and smoking on advanced cancer patients admitted to an acute supportive/palliative care unit.
Aim: The aim of this prospective study was to determine the characteristics and symptom burden of advanced cancer patients with alcoholism problems and smoking, who were referred to an acute palliative/supportive care unit (ASPCU) of a comprehensive cancer center.Methods: Patients' characteristics,...
| Publicado en: | Supportive Care in Cancer Vol. 25; no. 7; pp. 2147 - 2154 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Jul2017
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=123225026&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 123225026 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09414355 O1J jtl: Supportive Care in Cancer issn: 09414355 maglogo: N pubinfo: dt: Jul2017 vid: 25 iid: 7 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 123225026 123225026 144182886 NLM28210861 123225026 10.1007/s00520-017-3620-0 NLM28210861 123225026 ppf: 2147 ppct: 7 formats: fmt: @attributes: type: P tig: atl: The effects of alcoholism and smoking on advanced cancer patients admitted to an acute supportive/palliative care unit. aug: au: Mercadante, Sebastiano Adile, Claudio Ferrera, Patrizia Casuccio, Alessandra sug: subj: Palliative Care Methods Neoplasms Complications Alcoholism Complications Smoking Neoplasms Pathology Female Neoplasms Therapy Aged Male Middle Age Prospective Studies Questionnaires Scales Human Aged: 65+ years Middle Aged: 45-64 years Female Male ab: Aim: The aim of this prospective study was to determine the characteristics and symptom burden of advanced cancer patients with alcoholism problems and smoking, who were referred to an acute palliative/supportive care unit (ASPCU) of a comprehensive cancer center.Methods: Patients' characteristics, indications for admission, kind of admission, awareness of prognosis, and anticancer treatments were recorded. The Edmonton Symptom Assessment Scale (ESAS) was used to assess physical and psychological symptoms, and the CAGE questionnaire for the diagnosis of alcoholism. Patients were also divided in three groups: persistent smokers (PS), former smokers (FS), and non-smokers (NS). The Memorial Delirium Assessment Scale (MDAS) was used to assess the cognitive status of patients. Analgesic drugs and their doses at admission and discharge were recorded, as well opioid escalation index during hospital stay.Results: Three hundred fourteen consecutive cancer patients were surveyed. Forty-seven (14.9%), 143 (45.5%), and 124 (39.5%) subjects were PS-patients, FS-patients, and NS-patients, respectively. Sixteen patients were CAGE-positive. Females were more frequently NS, while males were more frequently FS (p = 0.0005). Statistical differences were also observed in disease awareness among the categories of smoking (p = 0.048). No statistical differences were found in ESAS items, except for drowsiness at T0 in NS-patients. Differences were found in OME and OEI, although the large variability of data did not determined a statistical difference. Higher values of nausea (at T0, p = 0.0005), dyspnea (at T0 and TX, p = 0.08 and 0.023, respectively), and well-being (at TX p = 0.003) were reported in CAGE-positive patients. No correlation was found between CAGE-positive patients and smokers.Conclusion: Although smoking and alcoholism have obvious implications in advanced cancer patients, data remain controversial, as present data did provide limited data to confirm risk factors for advanced cancer patients. Clinical response was not strongly influenced by these risk factors. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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