کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3328917 1212360 2012 19 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Symptoms tell it all: A systematic review of the value of symptom assessment to predict survival in advanced cancer patients
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی هماتولوژی
پیش نمایش صفحه اول مقاله
Symptoms tell it all: A systematic review of the value of symptom assessment to predict survival in advanced cancer patients
چکیده انگلیسی

PurposeTo determine the prognostic meaning of symptoms in patients with advanced cancer.DesignMedline, Embase, Cochrane and Cinahl databases were systematically explored. The predicting symptoms were also evaluated in the three stages of palliative care: disease-directed palliation, symptom-oriented palliation and palliation in the terminal stage.ResultsOut of 3167 papers, forty-four papers satisfied all criteria. Confusion, anorexia, fatigue, cachexia, weight loss, cognitive impairment, drowsiness, dyspnea, dysphagia, dry mouth and depressed mood were associated with survival in ≥50% of the studies evaluating these symptoms. Multivariate analysis showed confusion, anorexia, fatigue, cachexia, weight loss, dyspnea and dysphagia as independent prognostic factors in 30–56% of the studies.In the stage of disease-directed palliation anorexia, cachexia, weight loss, dysphagia and pain and in the stage of symptom-oriented palliation confusion, fatigue, cachexia, weight loss, dyspnea, dysphagia and nausea were shown to be independent predictors of survival in >30% of the studies.ConclusionSymptoms with independent predictive value are confusion, anorexia, fatigue, cachexia, weight loss, dyspnea and dysphagia. New insights are added by the variance between the three palliative stages.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Critical Reviews in Oncology/Hematology - Volume 84, Issue 1, October 2012, Pages 130–148
نویسندگان
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