journal
Journals Journal of Pain and Symptom Ma...

Journal of Pain and Symptom Management

https://read.qxmd.com/read/37769823/psychometric-properties-of-the-chinese-version-of-the-functional-assessment-of-chronic-illness-therapy-palliative-care-facit-pal-in-patients-with-advanced-cancer
#1
JOURNAL ARTICLE
Xiaojun Zhou, Xia Tian, Yidan Fan, Mimi Sun, Zheng Wang, Yongqi Huang, Wenli Xiao
CONTEXT: The Functional Assessment of Chronic Illness Therapy-Palliative Care (FACIT-Pal) has been widely used in assessing the quality of life (QOL) of patients with life-limiting illness. However, the Chinese version of the FACIT-Pal has not been psychometrically validated yet. OBJECTIVES: The purpose of this study was to psychometrically validate the FACIT-Pal in Chinese patients with advanced cancer. METHODS: 160 patients with advanced cancer in mainland China participated in this cross-sectional study...
September 26, 2023: Journal of Pain and Symptom Management
https://read.qxmd.com/read/37769822/impact-of-dosing-and-duration-of-dexamethasone-on-serious-corticosteroid-related-adverse-events
#2
JOURNAL ARTICLE
Amy W An, Xi Chen, Diana L Urbauer, Eduardo Bruera, David Hui
CONTEXT: Corticosteroids are commonly prescribed in oncology, but few studies have examined its adverse events (AEs) compared to placebo control. OBJECTIVES: Using data from a double-blind, placebo-controlled randomized trial, we evaluated the association between the dose and duration of dexamethasone and serious AEs. METHODS: This is a pre-planned secondary analysis of the Alleviating Breathlessness in Cancer Patients with Dexamethasone (ABCD) trial in which patients were randomized to dexamethasone 8 mg BID x1 week, then 4 mg BID x1 week or placebo, followed by an optional open-label phase with 4 mg BID x1 week, then 2 mg BID x1 week...
September 26, 2023: Journal of Pain and Symptom Management
https://read.qxmd.com/read/37769821/challenges-in-implementing-guideline-on-integrative-oncology-and-pain-the-israeli-perspective
#3
JOURNAL ARTICLE
Eran Ben-Arye, Jun Mao, Eduardo Bruera, Noah Samuels, Yael Keshet, Richard T Lee, Dina Ben-Yehuda, Elon Eisenberg, Gil Bar-Sela, Pesach Shvartzman, Lynda G Balneaves, Michal Shani, Martin Ellis, Debu Tripathy, Shifra Ash, Avishay Elis, Zvi Vaknin, Ruth Ofir, Elad Schiff
CONTEXT AND OBJECTIVES: To explore the feasibility of implementing the joint guideline on integrative medicine for pain management in oncology, published by the Society for Integrative Oncology (SIO) and the American Society of Clinical Oncology (ASCO), for integrative oncology (IO) services in supportive and palliative care. METHODS: A qualitative research methodology was co-designed by the SIO-ASCO guideline committee, with the Society for Complementary Medicine, Israel Medical Association (IMA)...
September 26, 2023: Journal of Pain and Symptom Management
https://read.qxmd.com/read/37769820/palliative-management-of-inoperable-malignant-bowel-obstruction-prospective-open-label-phase-2-study-at-an-nci-comprehensive-cancer-center
#4
JOURNAL ARTICLE
M Walter, E Hansen, S Hamid, D Carozza, G N Mann, C Roche, A George, K Attwood, A A Case
INTRODUCTION: Malignant bowel obstruction (MBO) is a common complication of intraabdominal cancer, frequently seen in advanced gastrointestinal and gynecologic cancer. Management of MBO can be challenging, particularly if the patient is not a surgical candidate. No consensus exists on how best to manage these patients medically. Retrospective studies suggest that the combination of dexamethasone, octreotide and metoclopramide may lead to relief of obstruction and improvement in symptoms associated with the obstruction...
September 26, 2023: Journal of Pain and Symptom Management
https://read.qxmd.com/read/37757956/comparison-of-the-effects-of-oprm1-a118g-polymorphism-using-different-opioids-a-prospective-study
#5
JOURNAL ARTICLE
Miho Takemura, Kazuyuki Niki, Yoshiaki Okamoto, Tomohiro Kawamura, Makie Kohno, Yoshinobu Matsuda, Kenji Ikeda
CONTEXT: μ-opioid receptor gene (OPRM1) A118G polymorphism (rs1799971) causes loss of N-glycosylation sites at the extracellular domain of μ-opioid receptors. G-allele carriers show a limited response to morphine; however, studies investigating the impact of A118G polymorphism on the efficacy of opioids other than morphine are limited. OBJECTIVE: To compare the effects of A118G polymorphism on the efficacy of various opioids. METHODS: This prospective cohort study enrolled 222 in-patients administered one of the following opioid therapies for cancer pain as part of an opioid introduction or rotation strategy: tapentadol extended-release tablets, methadone tablets, hydromorphone controlled-release tablets, oxycodone controlled-release tablets, or transdermal fentanyl patches...
September 25, 2023: Journal of Pain and Symptom Management
https://read.qxmd.com/read/37742793/patient-controlled-subcutaneous-analgesia-of-hydromorphone-versus-morphine-to-treat-moderate-and-severe-cancer-pain-a-randomized-double-blind-controlled-trial
#6
JOURNAL ARTICLE
Xianzheng Zeng, Jiang Zhu, Jun Li, Chan Chen, Ling Sang, Maotong Liu, Li Song, Hui Liu
CONTEXT: Hydromorphone and morphine are the common drugs used for the treatment of moderate to severe cancer pain. Patient controlled subcutaneous analgesia (PCSA) is an effective technique to manage cancer pain. However, few studies have been conducted to show the efficacy and safety of PCSA of hydromorphone for the relief of cancer pain. OBJECTIVES: To explore the short-term efficacy and safety of PCSA elicited by hydromorphone for moderate to severe cancer pain...
September 22, 2023: Journal of Pain and Symptom Management
https://read.qxmd.com/read/37734480/evaluating-the-psychometric-properties-of-patient-reported-outcome-measures-for-assessing-symptoms-in-hemodialysis-a-systematic-review-using-cosmin-guidelines
#7
REVIEW
Helena Sousa, Oscar Ribeiro, Beatriz Aleixo, Alan J Christensen, Daniela Figueiredo
CONTEXT: Patient-reported outcome measures (PROMs) may have an important role in screening and monitoring for unpleasant symptoms in kidney failure. However, there is still little evidence on the psychometric properties of the measures available to assess physical and psychological symptoms in people on hemodialysis. This gap makes it difficult to decide which measure is the most appropriate for use in clinical practice and research with this population. OBJECTIVES: This systematic review aimed to critically appraise, compare, and summarize the quality of the measurement properties of PROMs used to assess symptoms in adults on hemodialysis...
September 19, 2023: Journal of Pain and Symptom Management
https://read.qxmd.com/read/37730073/cancer-pain-management-in-patients-receiving-inpatient-specialized-palliative-care-services
#8
JOURNAL ARTICLE
Keita Tagami, Shih-Wei Chiu, Kazuhiro Kosugi, Hiroto Ishiki, Yusuke Hiratsuka, Masaki Shimizu, Masanori Mori, Emi Kubo, Tomoo Ikari, Sayaka Arakawa, Tetsuya Eto, Mayu Shimoda, Hideyuki Hirayama, Kaoru Nishijima, Kota Ouchi, Tatsunori Shimoi, Tomoko Shigeno, Takuhiro Yamaguchi, Mitsunori Miyashita, Tatsuya Morita, Akira Inoue, Eriko Satomi
CONTEXT: Cancer pain is a common complication that is frequently undertreated in patients with cancer. OBJECTIVES: This study is aimed at assessing the time needed to achieve cancer pain management goals through specialized palliative care (SPC). METHODS: This was a multicenter, prospective, longitudinal study of inpatients with cancer pain who received SPC. Patients were continuously followed up until they considered cancer pain management successful, and we estimated this duration using the Kaplan-Meier method...
September 18, 2023: Journal of Pain and Symptom Management
https://read.qxmd.com/read/37726027/multilevel-determinants-of-palliative-care-referral-in-women-with-advanced-ovarian-cancer-a-scoping-review
#9
REVIEW
Susie Cho, Barbara A Goff, Donna L Berry
CONTEXT: Receipt of palliative care (PC) has long been suggested in practice for patients with advanced cancer for improved quality of life, mood, and prolonged survival. However, PC referrals in women with ovarian cancer remain suboptimal. OBJECTIVE: To consolidate existing literature on the multiple factors associated with PC referrals in women with advanced ovarian cancer to better understand the contextual factors of PC referrals and frame receipt of PC using a socioecological model...
September 17, 2023: Journal of Pain and Symptom Management
https://read.qxmd.com/read/37717708/barriers-for-adult-patients-to-access-palliative-care-in-hospitals-a-mixed-methods-systematic-review
#10
REVIEW
Stefan Pitzer, Patrick Kutschar, Piret Paal, Patrick Mülleder, Stefan Lorenzl, Paulina Wosko, Jürgen Osterbrink, Johannes Bükki
BACKGROUND: Access to palliative care services is variable, and many inpatients do not receive palliative care. An overview of potential barriers could facilitate the development of strategies to overcome factors that impede access for patients with palliative care needs. AIM: To review the current evidence on barriers that impair, delay, or prohibit access to palliative care for adult hospital inpatients. DESIGN: A mixed methods systematic review was conducted using an integrated convergent approach and thematic synthesis (PROSPERO ID: CRD42021279477)...
September 15, 2023: Journal of Pain and Symptom Management
https://read.qxmd.com/read/37716482/in-the-madhouse
#11
JOURNAL ARTICLE
Rebecca E Kowaloff
No abstract text is available yet for this article.
September 14, 2023: Journal of Pain and Symptom Management
https://read.qxmd.com/read/37716481/fresh-air
#12
JOURNAL ARTICLE
Benjamin M Skoch
No abstract text is available yet for this article.
September 14, 2023: Journal of Pain and Symptom Management
https://read.qxmd.com/read/37709176/religious-cultural-and-sex-influences-on-advance-care-directives-in-patients-admitted-to-a-tertiary-care-center-in-kenya
#13
JOURNAL ARTICLE
Fariah Oshow, Jasmit Shah, Sayed K Ali
INTRODUCTION: Advance care directives (AD) are instructions from patients regarding the care they would prefer if they could not make medical decisions in the future. It is widely recognized that racial and ethnic as well as sex differences, particularly in the West, can influence AD. However, to the best of our knowledge, there is limited understanding of how these factors impact AD in sub-Saharan Africa. This study aimed to identify differences in AD among various religious, cultural and sex groups and assess the level of knowledge and attitudes toward AD...
September 12, 2023: Journal of Pain and Symptom Management
https://read.qxmd.com/read/37709175/medicine-the-grey-bridge-between-life-and-death
#14
JOURNAL ARTICLE
Fernando Kawai
No abstract text is available yet for this article.
September 12, 2023: Journal of Pain and Symptom Management
https://read.qxmd.com/read/37704116/we-care-a-wellness-intervention-project-for-palliative-care-physicians
#15
JOURNAL ARTICLE
Christa Burke, Stephanie Clark, Katie L Gholson, Josh Mazur
No abstract text is available yet for this article.
September 11, 2023: Journal of Pain and Symptom Management
https://read.qxmd.com/read/37666370/navigating-stress-in-the-pediatric-intensive-care-unit-among-parents-of-children-with-severe-neurological-impairment
#16
JOURNAL ARTICLE
Jori Bogetz, Justin Yu, Ellie Oslin, Krysta S Barton, Joyce P Yi-Frazier, R Scott Watson, Abby R Rosenberg
INTRODUCTION: Children with severe neurological impairment (SNI) make up nearly 50% of pediatric intensive care unit (PICU) admissions, yet little is known about how their parents and family caregivers navigate stress during these difficult times. METHODS: This qualitative single-center study used content and thematic networks analysis to evaluate data from 1:1 semi-structured interviews conducted around the time of PICU discharge with parents and family caregivers of children with SNI to examine ways they navigate stress...
September 2, 2023: Journal of Pain and Symptom Management
https://read.qxmd.com/read/37666369/ethical-and-practical-considerations-of-perimortem-gamete-procurement-for-palliative-care-providers
#17
JOURNAL ARTICLE
Jesse Pollens-Voigt, Laura Taylor, Adam Marks
No abstract text is available yet for this article.
September 2, 2023: Journal of Pain and Symptom Management
https://read.qxmd.com/read/37666368/treatment-effect-estimates-from-pilot-trials-are-unreliable
#18
REVIEW
Jesse D Troy, Megan L Neely, Gina-Maria Pomann, Steven C Grambow, Gregory P Samsa
The CONSORT guideline defines a pilot trial as a small-scale version of a desired future efficacy trial that is intended to answer the key questions of whether and how a larger study should be done. For example, a pilot trial might evaluate willingness of participants to undergo randomization or test different instruments for measuring an outcome. In addition to assessing feasibility of a future study, many investigators use pilot trials to obtain preliminary estimates of efficacy that might be used to gauge the promise of a new intervention, or to use in grant proposals to justify research funding...
September 2, 2023: Journal of Pain and Symptom Management
https://read.qxmd.com/read/37666367/pc-facs-september-2023
#19
JOURNAL ARTICLE
(no author information available yet)
No abstract text is available yet for this article.
September 2, 2023: Journal of Pain and Symptom Management
https://read.qxmd.com/read/37657725/radiation-therapy-in-the-last-month-of-life-association-with-aggressive-care-at-the-end-of-life
#20
JOURNAL ARTICLE
Mellar P Davis, Erin Vanenkevort, Amanda Young, Mark Wojtowicz, Mudit Gupta, Braxton Lagerman, Edward Liu, Heath Mackley, Rajiv Panikkar
CONTEXT: Half of the patients with cancer who undergo radiation therapy do so with palliative intent. OBJECTIVE: To determine the proportion of undergoing radiation in the last month of life, patient characteristics, cancer course, the type and duration of radiation, whether palliative care was involved, and the of radiation with aggressive cancer care metrics. METHOD: 1727 patients who died of cancer between January 1, 2018, and December 31, 2019, were included...
August 30, 2023: Journal of Pain and Symptom Management
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