| 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. | |
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MedLine Citation:
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PMID: 15165646 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Florian Strasser; Catherine Sweeney; Jie Willey; Susanne Benisch-Tolley; J Lynn Palmer; Eduardo Bruera |
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Publication Detail:
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Type: Clinical Trial; Controlled Clinical Trial; Journal Article; Research Support, Non-U.S. Gov't; Validation Studies |
Journal Detail:
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Title: Journal of pain and symptom management Volume: 27 ISSN: 0885-3924 ISO Abbreviation: J Pain Symptom Manage Publication Date: 2004 Jun |
Date Detail:
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Created Date: 2004-05-28 Completed Date: 2004-07-14 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 8605836 Medline TA: J Pain Symptom Manage Country: United States |
Other Details:
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Languages: eng Pagination: 481-91 Citation Subset: IM |
Affiliation:
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Section Oncology and Palliative Medicine, Department of Internal Medicine, Kantonsspital, St.Gallen, Switzerland. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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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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