Metastatic breast cancer patients' expectations and priorities for symptom improvement.
Purpose: Little research has examined cancer patients' expectations, goals, and priorities for symptom improvement. Thus, we examined these outcomes in metastatic breast cancer patients to provide patients' perspectives on clinically meaningful symptom improvement and priorities for symptom manageme...
| Publicado en: | Supportive Care in Cancer Vol. 26; no. 11; pp. 3781 - 3789 |
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| Autores principales: | , , , , , , , , , , , |
| Formato: | Journal Article |
| Publicado: |
Springer Nature
Nov2018
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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=132002172&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 132002172 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09414355 O1J jtl: Supportive Care in Cancer issn: 09414355 maglogo: N pubinfo: dt: Nov2018 vid: 26 iid: 11 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 132002172 132002172 NLM29736866 10.1007/s00520-018-4244-8 NLM29736866 132002172 ppf: 3781 ppct: 8 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Metastatic breast cancer patients' expectations and priorities for symptom improvement. aug: au: Tometich, Danielle B. Mosher, Catherine E. Hirsh, Adam T. Rand, Kevin L. Johns, Shelley A. Matthias, Marianne S. Outcalt, Samantha D. Schneider, Bryan P. Storniolo, Anna Maria V. Newton, Erin V. Miller, Kathy D. Mina, Lida affil: Department of Psychology, Indiana University-Purdue University Indianapolis, 402 North Blackford Street, LD 124, 46202, Indianapolis, IN, USA sug: subj: Health and Welfare Planning Palliative Care Psychosocial Factors Breast Neoplasms Therapy Breast Neoplasms Psychosocial Factors Patient Care Plans Perception Motivation Aged Fatigue Therapy Female Neoplasm Metastasis Middle Age Fatigue Psychosocial Factors Breast Neoplasms Pathology Quality of Life Adult Treatment Outcomes Patient Centered Care Clinical Assessment Tools Ferrans and Powers Quality of Life Index Aged: 65+ years Middle Aged: 45-64 years Adult: 19-44 years Female ab: Purpose: Little research has examined cancer patients' expectations, goals, and priorities for symptom improvement. Thus, we examined these outcomes in metastatic breast cancer patients to provide patients' perspectives on clinically meaningful symptom improvement and priorities for symptom management.Methods: Eighty women with metastatic breast cancer participated in a survey with measures of comorbidity, functional status, engagement in roles and activities, distress, quality of life, and the modified Patient-Centered Outcomes Questionnaire that focused on 10 common symptoms in cancer patients.Results: On average, patients reported low to moderate severity across the 10 symptoms and expected symptom treatment to be successful. Patients indicated that a 49% reduction in fatigue, 48% reduction in thinking problems, and 43% reduction in sleep problems would represent successful symptom treatment. Cluster analysis based on ratings of the importance of symptom improvement yielded three clusters of patients: (1) those who rated thinking problems, sleep problems, and fatigue as highly important, (2) those who rated pain as moderately important, and (3) those who rated all symptoms as highly important. The first patient cluster differed from other subgroups in severity of thinking problems and education.Conclusions: Metastatic breast cancer patients report differing symptom treatment priorities and criteria for treatment success across symptoms. Considering cancer patients' perspectives on clinically meaningful symptom improvement and priorities for symptom management will ensure that treatment is consistent with their values and goals. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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