Journal of pain and symptom management
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J Pain Symptom Manage · Dec 2019
Randomized Controlled TrialEfficacy of a decision aid consisting of a video and booklet on advance care planning for advanced cancer patients: randomized controlled trial.
Few randomized controlled trials of advance care planning (ACP) with a decision aid (DA) show an effect on patient preferences for end-of-life (EOL) care over time, especially in racial/ethnic settings outside the U.S. ⋯ ACP interventions that included a video and an accompanying book improved preferences for EOL care.
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J Pain Symptom Manage · Dec 2019
Randomized Controlled TrialBrief English and Spanish Survey Detects Change in Response to Advance Care Planning Interventions.
The validated 82-item Advance Care Planning (ACP) Engagement Survey measures a broad range of ACP behaviors but is long. ⋯ Shorter versions of the ACP Engagement Survey were able to detect within-group and between-group changes comparable with the 82-item version and can be useful for efficiently and effectively measuring ACP engagement in research and clinical settings.
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J Pain Symptom Manage · Dec 2019
Randomized Controlled TrialPhysical activity for symptom management in women with metastatic breast cancer: a randomised feasibility trial.
Physical activity for women with early-stage breast cancer is well recognized for managing cancer-related symptoms and improving quality of life. While typically excluded from interventions, women with metastatic breast cancer may also benefit from physical activity. ⋯ A partially supervised home-based physical activity program for women with metastatic breast cancer is feasible and safe. The dose of the resistance training component was well tolerated and achievable in this population. In contrast, adherence and compliance to the walking program were poor. Preliminary data suggest a physical activity program, comprising predominantly resistance training, may lead to improvements in physical capacity and may help women to live well with their disease.
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J Pain Symptom Manage · Nov 2019
Letter Randomized Controlled Trial Multicenter StudyA randomised, double-blind, multi-site, pilot placebo-controlled trial of regular, low dose morphine on outcomes of pulmonary rehabilitation in COPD.
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J Pain Symptom Manage · Oct 2019
Randomized Controlled Trial Multicenter StudyAdditive Duloxetine for Cancer-related Neuropathic Pain Nonresponsive or Intolerant to Opioid-Pregabalin Therapy: A Randomized Controlled Trial (JORTC-PAL08).
Although opioids and pregabalin are widely used for cancer-related neuropathic pain (CNP), no clinical trials exist to determine which medications are effective when an opioid-pregabalin combination therapy fails. ⋯ Adding duloxetine to opioid-pregabalin therapy might have clinical benefit in alleviating refractory CNP. Further studies are needed to conclude the efficacy of adding duloxetine.