Document Detail


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.
MedLine Citation:
PMID:  15165646     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
To characterize a new, one-stop multidisciplinary palliative care (MD) clinic which offers standardized multidisciplinary assessment, specific care recommendations, patient and family education, and on-site counseling, we retrospectively compared the assessments of 138 consecutive patients with advanced cancer referred to the MD clinic and 77 patients referred to a traditional pain and symptom management (PSM) clinic. The two groups were similar in tumor type, demographics, and symptom distress. The MD clinic team (physicians; nurses; pharmacists; physical, speech, and occupational therapists; social workers; chaplains; nutritionists; psychiatric nurse practitioner) delivered 1,066 non-physician recommendations (median 4 per patient, range 0-37). The PSM clinic team made no non-physician recommendations, but referred 14 patients to other medical specialists. In 80 (58%) MD-clinic patients with follow-up 9 days (median) after assessment, significant improvement was observed in pain, nausea, depression, anxiety, sleep, dyspnea, and well-being, but not in fatigue, anorexia, or drowsiness. In 83 patients interviewed after the MD clinic, satisfaction was rated as excellent (5 out of 5) in 86-97% of seven areas. Assessment at an MD clinic results in a high number of patient care recommendations, improved symptoms, and high levels of patient satisfaction.
Authors:
Florian Strasser; Catherine Sweeney; Jie Willey; Susanne Benisch-Tolley; J Lynn Palmer; Eduardo Bruera
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Publication Detail:
Type:  Clinical Trial; Controlled Clinical Trial; Journal Article; Research Support, Non-U.S. Gov't; Validation Studies    
Journal Detail:
Title:  Journal of pain and symptom management     Volume:  27     ISSN:  0885-3924     ISO Abbreviation:  J Pain Symptom Manage     Publication Date:  2004 Jun 
Date Detail:
Created Date:  2004-05-28     Completed Date:  2004-07-14     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8605836     Medline TA:  J Pain Symptom Manage     Country:  United States    
Other Details:
Languages:  eng     Pagination:  481-91     Citation Subset:  IM    
Affiliation:
Section Oncology and Palliative Medicine, Department of Internal Medicine, Kantonsspital, St.Gallen, Switzerland.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aged, 80 and over
Female
Humans
Japan / epidemiology
Male
Middle Aged
Neoplasms / epidemiology*,  psychology,  therapy*
Outpatient Clinics, Hospital / statistics & numerical data
Pain / epidemiology*,  psychology,  therapy*
Pain Clinics / statistics & numerical data*
Pain Measurement
Palliative Care / methods*,  psychology,  statistics & numerical data*
Patient Satisfaction / statistics & numerical data
Quality Assurance, Health Care / methods*
Reproducibility of Results
Retrospective Studies
Sensitivity and Specificity
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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