A comparison of symptom prevalence in far advanced cancer, AIDS, heart disease, chronic obstructive pulmonary disease and renal disease

A comparison of symptom prevalence in far advanced cancer, AIDS, heart disease, chronic obstructive pulmonary disease and renal disease

Author Solano, Joao Paulo Autor UNIFESP Google Scholar
Gomes, Barbara Google Scholar
Higginson, Irene J. Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Kings Coll London
Abstract Little attention has been paid to the symptom management needs of Patients with life-threatening diseases other than cancer. in this study, we aimed to determine to what extent patients with progressive chronic diseases have similar symptom profiles. A systematic search of medical databases (MEDLINE, EMBASE, and PsycINFO) and textbooks identified 64 original studies reporting the prevalence of 11 common symptoms among end-stage patients with cancer, acquired immunodeficiency syndrome (AIDS), heart disease, chronic obstructive pulmonary disease, or renal disease. Analyzing the data in a comparative table (a grid), we found that the prevalence of the 11 symptoms was often widely but homogeneously spread across the five diseases. Three symptoms-pain, breathlessness, and fatigue- were found among more than 50% of patients, for all five diseases. There appears to be a common pathway toward death for malignant and nonmalignant diseases. the designs of symptom prevalence studies need to be improved because of methodological disparities in symptom assessment. and designs.
Keywords cancer
AIDS
heart disease
chronic obstructive pulmonary disease
renal disease
palliative care
terminal care
end of life
symptoms
prevalence
Language English
Date 2006-01-01
Published in Journal of Pain and Symptom Management. New York: Elsevier B.V., v. 31, n. 1, p. 58-69, 2006.
ISSN 0885-3924 (Sherpa/Romeo, impact factor)
Publisher Elsevier B.V.
Extent 58-69
Origin http://dx.doi.org/10.1016/j.jpainsymman.2005.06.007
Access rights Open access Open Access
Type Review
Web of Science ID WOS:000235422300010
URI http://repositorio.unifesp.br/handle/11600/28600

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