Journal of pain and symptom management
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J Pain Symptom Manage · Nov 2015
Phenotypic and Molecular Evidence Suggests That Decrements in Morning and Evening Energy Are Distinct but Related Symptoms.
Little is known about energy levels in oncology patients and their family caregivers. ⋯ This study provides preliminary evidence that decrements in morning and evening energy are associated with different phenotypic risk factors and cytokine gene variations.
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The physician orders for life-sustaining treatment (POLST) paradigm allows health care professionals to document the treatment preferences of patients with advanced illness or frailty as portable and actionable medical orders. National standards encourage offering POLST orders to patients for whom clinicians would not be surprised if they died in the next year. ⋯ More than half of POLST forms were completed in the final two months of life. Cause of death influenced when POLST forms were completed. POLST forms changed in the two years preceding death, more frequently recording fewer life-sustaining treatment orders than the earlier form(s).
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J Pain Symptom Manage · Nov 2015
Randomized Controlled Trial Multicenter Study Comparative StudyFentanyl Buccal Tablet vs. Oral Morphine in Doses Proportional to the Basal Opioid Regimen for the Management of Breakthrough Cancer Pain: A Randomized, Crossover, Comparison Study.
Fentanyl products have shown superiority to oral opioids for the management of breakthrough cancer pain (BTcP). However, these studies did not use appropriate patient selection, and drugs have been compared by using different rationales. ⋯ When used in doses proportional to the basal opioid regimen, FBT showed a clear superiority and was well tolerated when compared with OM during the first 30 minutes, which is the approximate target for a timely intervention required for a BTcP medication.
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J Pain Symptom Manage · Nov 2015
Psychometric Validation of Edmonton Symptom Assessment System in Chinese Patients.
The Edmonton Symptom Assessment System is a simple and widely used questionnaire to assess patient symptoms. ⋯ The C-ESAS is a good tool for measuring multidimensional symptoms in Chinese patients.
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J Pain Symptom Manage · Nov 2015
Multicenter Study Observational StudyValidation of the Japanese Version of Edmonton Symptom Assessment System-Revised.
The Edmonton Symptom Assessment System-revised (ESAS-r) is a brief and widely used symptom measurement tool. ⋯ The Japanese version of the ESAS-r is a reliable and valid tool for measuring symptoms in Japanese adult patients with cancer.