Can patient reported outcomes help identify the optimal outcome in palliative surgery?

Journal of Surgical Oncology - Tập 109 Số 2 - Trang 145-150 - 2014
Brian D. Badgwell1,2, Éduardo Bruera3, Suzanne Klimberg1
1Department of Surgery, University of Arkansas for Medical Sciences, Little Rock, Arkansas
2Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas
3Palliative Care and Rehabilitation Medicine The University of Texas MD Anderson Cancer Center Houston Texas

Tóm tắt

AbstractBackgroundThe purpose of this pilot study was to determine whether an open‐ended questionnaire captures severe symptoms in cancer patients undergoing palliative surgical consultation that a structured, validated quality‐of‐life assessment does not capture.MethodsWe prospectively used the Functional Assessment of Cancer Therapy–General (FACT‐G) and an open‐ended questionnaire to assess the symptoms of patients with incurable malignancies who underwent palliative surgical consultation at our institution between January 2011 and September 2012.ResultsOf the 69 patients enrolled, the most common indications for consultation were bowel obstruction (54%), jaundice (13%), wound problems (10%), and gastrointestinal bleeding (7%). Of the severe symptoms patients reported, 76% were identified with the FACT‐G alone, 22% were identified with the open‐ended questionnaire alone, and 2% were duplicate responses captured with both the FACT‐G and open‐ended questionnaire. The open‐ended questionnaire captured 68 instances of severe symptoms in 47 patients that the FACT‐G did not capture; of these symptoms, 52 were considered to be highly relevant to surgery and potential outcome measures.ConclusionsAn open‐ended questionnaire can identify severe symptoms that a global quality of life survey cannot capture and could be used in conjunction with a global survey to reassess symptoms after palliative surgical consultation. J. Surg. Oncol. 2014 109:145–150. © 2013 Wiley Periodicals, Inc.

Từ khóa


Tài liệu tham khảo

10.1200/JCO.2011.38.5161

10.1634/theoncologist.2011-0219

10.1056/NEJMoa1000678

10.1001/jama.2009.1198

10.1001/jama.2010.258

10.1097/01.sla.0000141707.09312.dd

10.1001/archsurg.136.7.773

10.1007/s00520-008-0554-6

American College of Surgeons National Surgical Quality Improvement Program. Data Collection Analysis and Reporting. Available at:http://site.acsnsqip.org/program‐specifics/data‐collection‐analysis‐and‐reporting/. [accessed February 3 2013].

10.1016/j.jamcollsurg.2004.10.007

10.1200/JCO.2010.33.2080

10.1016/S0002-9610(98)00323-7

10.1007/BF02574487

10.1089/jpm.2006.0174

10.1200/JCO.1993.11.3.570

World Health Organization. Palliative Care Program Available at:http://www.who.int/cancer/palliative/en/. [accessed April 2 2013].

10.1245/s10434-006-9238-y

10.1245/s10434-012-2420-5

Snyder CF, Using the EORTC‐QLQ‐C30 in clinical practice for patient management: Identifying scores requiring a clinician's attention, Qual Life Res

10.1007/s11136-010-9636-2

10.1001/jama.288.23.3027

10.1200/JCO.20.4.1056

10.1002/jso.23215

Thông tin
Thông tin xuất bản

Journal of Surgical Oncology

Tập 109 Số 2

145-150

Thông tin tác giả