Journal of pain and symptom management
-
J Pain Symptom Manage · Apr 2022
What is a good death? A choice experiment on care indicators for patients at end of life.
Health systems should aim to deliver on what matters most to patients. With respect to end of life (EOL) care, knowledge on patient preferences for care is currently lacking. ⋯ Results reveal that not all aspects of EOL care are equally valued. Not accounting for these differences would lead to inappropriate conclusions on how best to improve EOL care.
-
J Pain Symptom Manage · Apr 2022
LetterBroad Needs Assessment of Pain Education in Graduate Medical Education.
This article describes a survey-based study of graduate medical residents and fellows in an integrated health system. The study explores pain curricula, learner perspectives about pain education, and learner knowledge, attitudes, and confidence. Results indicate that pain education in the graduate medical setting is inadequate to meet learner needs.
-
J Pain Symptom Manage · Apr 2022
Randomized Controlled TrialClinical decision support for symptom management in lung cancer patients: A group RCT.
Clinical guidelines are available to enhance symptom management during cancer treatment but often are not used in the practice setting. Clinical decision support can facilitate the implementation and adherence to clinical guidelines. and improve the quality of cancer care. ⋯ SAMI improved clinical management for all target symptoms but did not improve patient outcomes. A larger study is warranted to evaluate effectiveness.
-
J Pain Symptom Manage · Apr 2022
ReviewHandling missing data and drop out in hospice/palliative care trials through the estimand framework.
Missing data are common in hospice/palliative care randomized trials due to high drop-out because of the demographic of interest. It can introduce bias in the estimate of the treatment effect and its precision. ⋯ When planning a palliative care trial, the estimand should be explicitly stated, including how intercurrent events will be handled in the analysis. This should be informed by the scientific objectives of the trial. The estimand guides the handling of missing data during the conduct and analysis of the trial. Defining an estimand is not a statistical activity, but a multi-disciplinary process involving all stakeholders.