Online citations, reference lists, and bibliographies.
← Back to Search

Impact Of A Palliative Care Consultation Team On Cancer-related Symptoms In Advanced Cancer Patients Referred To An Outpatient Supportive Care Clinic.

S. Yennurajalingam, D. Urbauer, K. Casper, C. Reyes-Gibby, R. Chacko, V. Poulter, E. Bruera
Published 2011 · Medicine

Cite This
Download PDF
Analyze on Scholarcy
CONTEXT Patients with advanced cancer may develop severe physical and psychosocial symptoms. There are limited data on the impact of an outpatient palliative consultation (PC) team on cancer-related symptoms. OBJECTIVES To study the impact of the PC on symptoms in patients with advanced cancer receiving outpatient palliative care. METHODS Four hundred six consecutive patients referred to a supportive care outpatient center (OPC) from January 2006 to June 2007 with complete Edmonton Symptom Assessment Scale (0-10 scale) at the initial and follow-up visits were reviewed. Patient characteristics, change of symptoms at follow-up visit, and response rate were analyzed. Using logistic regression models, the predictors of improvement of pain and fatigue were assessed. RESULTS Median age was 59 years; 53% were female. Median interval between visits was 15 days. Mean scores at baseline and follow-up visits were fatigue 6.8 and 5.3 (P<0.0001), pain 5.3 and 4.1 (P<0.0001), depression 3.2 and 2.5 (P<0.0001), anxiety 3.7 and 2.8 (P<0.0001), dyspnea 2.7 and 2.5 (P=0.05), sleep 5 and 4 (P<0.0001), and well-being 5.2 and 4.4 (P<0.0001). Dyspnea (odds ratio and P-value, 0.90, 0.03), nausea (0.92, 0.06), and depression (0.91, 0.04) were associated with improvement in fatigue; drowsiness (1.10, 0.04), and feeling of well-being (0.87, 0.02) were associated with improvement in pain. CONCLUSION The initial consult by PC achieved significant symptom improvement in patients receiving treatment in the OPC. Further prospective studies are needed.
This paper references
The symptoms of advanced cancer: relationship to age, gender, and performance status in 1,000 patients
D. Walsh (2000)
Symptom distress and quality of life in patients with cancer newly admitted to hospice home care.
S. McMillan (2002)
Observations on the analgesic effects of needle puncture (acupuncture)
J. Levine (1976)
Effects of a palliative care intervention on clinical outcomes in patients with advanced cancer: the Project ENABLE II randomized controlled trial.
Marie Bakitas (2009)
Cross-sectional validity of a modified Edmonton symptom assessment system in dialysis patients: a simple assessment of symptom burden.
S. Davison (2006)
U.S. Hospice between Two Worlds
P. Torrens (1986)
Phase II study of an outpatient palliative care intervention in patients with metastatic cancer.
M. Follwell (2009)
The Development of Palliative Care at the University of Texas M.D. Anderson Cancer Center
E. Bruera (2001)
Impact of a half-day multidisciplinary symptom control and palliative care outpatient clinic in a comprehensive cancer center on recommendations, symptom intensity, and patient satisfaction: a retrospective descriptive study.
F. Strasser (2004)
Clinical importance of changes in chronic pain intensity measured on an 11-point numerical pain rating scale
J. Farrar (2001)
Prevalence of symptoms among patients with advanced cancer: an international collaborative study. Symptom Prevalence Group.
A. Vainio (1996)
Self‐assessment in cancer patients referred to palliative care
A. Strömgren (2002)
Validation of the Edmonton Symptom Assessment Scale
V. Chang (2000)
Symptom priority and course of symptomatology in specialized palliative care.
A. Strömgren (2006)
The comprehensive care team: a controlled trial of outpatient palliative medicine consultation.
M. Rabow (2004)
Concurrent validity of the modified Edmonton Symptom Assessment System with the Rotterdam Symptom Checklist and the Brief Pain Inventory
J. Philip (1998)
Palliative management of fatigue at the close of life: "it feels like my body is just worn out".
S. Yennurajalingam (2007)
Defining the clinically important difference in pain outcome measures
J. Farrar (2000)
Effectiveness of specialized palliative care: a systematic review.
C. Zimmermann (2008)
The Edmonton Symptom Assessment System (ESAS): A Simple Method for the Assessment of Palliative Care Patients
E. Bruera (1991)
Assessment of symptom clusters in people with cancer.
J. Paice (2004)
Do specialist palliative care teams improve outcomes for cancer patients? A systematic literature review
J. Hearn (1998)
Auditory analgesia: somatosensory evoked response and subjective pain rating : R. Lavine, M.S. Buchsbaum and M. Poncy, Psychophysiology, 13 (1976) 140–148
R. Lavine (1977)

This paper is referenced by
Opioid prescribing practices before and after initiation of palliative care in outpatients.
J. C. Muir (2013)
Co-Occurring Symptoms Contribute to Persistent Fatigue in Prostate Cancer
L. Feng (2019)
The Current State of Palliative Care for Patients Cared for at Leading US Cancer Centers: The 2015 NCCN Palliative Care Survey.
B. Calton (2016)
Improvement in symptom burden within one day after palliative care consultation in a cohort of gynecologic oncology inpatients.
C. Lefkowits (2015)
The Edmonton Symptom Assessment System 25 Years Later: Past, Present, and Future Developments.
D. Hui (2017)
Palliative care in advanced cancer patients: how and when?
E. Bruera (2012)
Prescribing Trends of Palliative Care Team's Use of Dexamethasone for Cancer-Related Pain
Katayoun Barghi (2018)
Challenges in defining ‘palliative care’ for the purposes of clinical trials
C. Bausewein (2012)
Avoidable and unavoidable visits to the emergency department among patients with advanced cancer receiving outpatient palliative care.
M. Delgado-Guay (2015)
of the Patient-and Carer-Related Factors Affecting the Experience of Pain for Advanced Cancer Patients Cared
Martin Dempster (2018)
Palliative Care in the Outpatient Cancer Center: Current Trends
P. Davies (2012)
Chapter 71 – What Are the Arguments That Show Outpatient Palliative Care Is Beneficial to Medical Systems?
M. Rabow (2013)
Use of Palliative Care Services in a Tertiary Cancer Center
S. Dalal (2016)
The opioid rotation ratio of strong opioids to transdermal fentanyl in cancer patients
A. Reddy (2016)
Opioid Prescribing Patterns Before and After an Inpatient Palliative Care Consultation
M. Al-Shahri (2019)
Development of a Question Prompt Sheet for Cancer Patients Receiving Outpatient Palliative Care.
Joseph A Arthur (2016)
Integrative Oncology Outpatient Consultations: Long-Term Effects on Patient-Reported Symptoms and Quality of Life
G. Lopez (2017)
Pathophysiology of Cancer Cachexia and Significance of Nutritional Support during the Treatment in Palliative Care
Koji Amano (2017)
Impact of timing and setting of palliative care referral on quality of end‐of‐life care in cancer patients
D. Hui (2014)
Agreement for depression diagnosis between DSM-IV-TR criteria, three validated scales, oncologist assessment, and psychiatric clinical interview in elderly patients with advanced ovarian cancer
W. Rhondali (2015)
Palliative and oncologic co-management: symptom management for outpatients with cancer
K. Bischoff (2013)
Chapter – Palliative Care
C. S. Anjos (2019)
Association between supportive care interventions and patient self-reported depression among advanced cancer outpatients
W. Rhondali (2013)
Childhood Sexual Abuse Survivors Undergoing Cancer Treatment: A Case for Trauma-Informed Integrated Care
Rachel A. Regal (2020)
A systematic review of the impact of outpatient clinical pharmacy services on medication-related outcomes in patients receiving anticancer therapies
Sam Maleki (2019)
Comparing Unmet Needs to Optimize Quality: Characterizing Inpatient and Outpatient Palliative Care Populations.
M. Hochman (2016)
Supportive and palliative care: a poorly understood science for the perioperative clinician.
Joseph A Arthur (2013)
Snapshot of an Outpatient Supportive Care Center at a Comprehensive Cancer Center.
Lindsey E. Pimentel (2017)
Frequency,Outcome,andPredictorsof SuccessWithin6Weeks ofanOpioidRotationAmongOutpatientswithCancerReceiving StrongOpioids
StrongOpioids (2013)
Factors Influencing the Uptake of Community-based Palliative Care
N. Dudley (2016)
Clinical practice guideline series update: care of the adult patient with a brain tumor.
P. Blissitt (2014)
Palliative Care Psychiatry: Update on an Emerging Dimension of Psychiatric Practice
N. Fairman (2013)
See more
Semantic Scholar Logo Some data provided by SemanticScholar