Journal of pain and symptom management
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J Pain Symptom Manage · Aug 2023
Development of a Japanese Version of the Quality of Life at the End of Life-Cancer Scale.
The Quality of Life at the End of Life-Cancer Scale (QUAL-EC) is a self-reported instrument to assesses the quality of life of patients with cancer near the end of life. ⋯ The QUAL-EC-J has a three-factor structure with acceptable reliability and sufficient validity. Differences in the factor structure between the QUAL-EC-J and the QUAL-EC may be due to cultural factors. Study findings suggest that utilization of the QUAL-EC-J could help to improve research and clinical care in advanced cancer in Japan.
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J Pain Symptom Manage · Aug 2023
Editorial LetterStrategies to promote population-based palliative care.
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J Pain Symptom Manage · Aug 2023
Multicenter StudyDo types of opioids matter for terminal cancer dyspnea? A preliminary multicenter cohort study.
Dyspnea is among the most distressing symptoms in the last weeks to days of life (terminal dyspnea). While physicians frequently use parenteral opioids other than morphine for terminal dyspnea, little is known about their effects in cancer patients. ⋯ Parenteral morphine, oxycodone, and hydromorphone may be similarly effective and safe for cancer patients with terminal dyspnea.
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J Pain Symptom Manage · Aug 2023
Randomized Controlled TrialSHARING Choices: Lessons Learned from a Primary-Care Focused Advance Care Planning Intervention.
Few advance care planning (ACP) interventions have been scaled in primary care. ⋯ Study findings reinforce the value of adaptable study design; co-designing workflow adaptations with practice staff; adapting implementation processes to fit the unique needs of two health systems; and modifying efforts to meet health system goals and priorities.
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J Pain Symptom Manage · Aug 2023
Differential Use of Outpatient Palliative Care by Demographic and Clinical Characteristics.
Little is known about equity in utilization of outpatient palliative care (PC). ⋯ We found that Black and Latinx patients were less likely to complete an initial visit and those with a preferred language other than English were less likely to complete a follow-up visit. To promote equity in PC, these differences and their impact on outcomes must be explored.