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Symptom burden, psychological distress, and symptom management status in hospitalized patients with advanced cancer: a multicenter study in China

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资源类型：
Pubmed体系：
作者：
He Y[1] ; Pang Y[1] ; Su Z[1] ; Zhou Y[1] ; Wang Y[2] ; Lu Y[3] ; Jiang Y[4] ; Han X[1] ; Song L[5] ; Wang L[6] ; Li Z[1] ; Lv X[7] ; Wang Y[1] ; Yao J[8] ; Liu X[9] ; Zhou X[10] ; He S[1] ; Zhang Y[1] ; Song L[1] ; Li J[11] ; Wang B[1] ; Tang L[1,*1] ;
机构： [1]Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Department of Psycho-oncology, Peking University Cancer Hospital & Institute, Beijing, China. [2]Department of Breast Cancer Radiotherapy, Chinese Academy of Medical Sciences, Cancer Hospital Affiliated to Shanxi Medical University, Taiyuan, China. [3]The Fifth Department of Chemotherapy, The Affiliated Cancer Hospital of Guangxi Medical University, Guangxi Zhuang Autonomous Region, Nanning, China. [4]Department of Medical Oncology, Cancer Center, West China Hospital, Sichuan University, Chengdu, China. [5]Department of Breast Medical Oncology, Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan, China. [6]Department of Oncology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou, China. [7]Department of Oncology, Xiamen Humanity Hospital, Xiamen, China. [8]Department of Integrated Chinese and Western Medicine, Shaanxi Provincial Cancer Hospital Affiliated to Medical College of Xi'an Jiaotong University, Xi'an, China. [9]Department of Clinical Spiritual Care, Hunan Cancer Hospital/The Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University, Changsha, China. [10]Radiotherapy Center, Hubei Cancer Hospital, Wuhan, China. [11]Department of Psycho-oncology, Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan, China
出处：
DOI： 10.1016/j.esmoop.2022.100595

关键词： symptom burden psychological distress symptom management cancer

摘要：
The management of physical symptoms and psychological distress of cancer patients is an important component of cancer care. The purpose of this study was to evaluate the symptom burden, psychological distress, and management status of hospitalized patients with advanced cancer in China and explore the potential influencing factors of undertreatment and non-treatment of symptoms.A total of 2930 hospitalized patients with advanced cancer (top six types of cancer in China) were recruited from 10 centers all over China. Patient-reported MD Anderson Symptom Inventory, Hospital Anxiety and Depression Scale (HADS), and Patient Health Questionnaire-9 (PHQ-9) scales and symptom management-related information were collected and linked with the patient's clinical data. The proportion of patients reporting moderate-to-severe (MS) symptoms and whether they were currently well managed were examined. Multivariable logistic regression models were applied to explore the factors correlated to undertreatment and non-treatment of symptoms.About 27% of patients reported over three MS symptoms, 16% reported over five, and 9% reported over seven. Regarding psychological distress, the prevalence of HADS-anxiety was 29% and that of PHQ-9 depression was 11%. Sixty-one percent of patients have at least one MS symptom without any treatment. Sex [odds ratio (OR) = 2.238, 95% confidence interval (95% CI) 1.502-3.336], Eastern Cooperative Oncology Group (ECOG; OR = 0.404, 95% CI 0.241-0.676), and whether currently undergoing anticancer treatment (OR = 0.667, 95% CI 0.503-0.886) are the main factors correlated with the undertreatment of symptoms. Age (OR = 1.972, 95% CI 1.263-3.336), sex (OR = 0.626, 95% CI 0.414-0.948), ECOG (OR = 0.266, 95% CI 0.175-0.403), whether currently undergoing anticancer treatment (OR = 0.356, 95% CI 0.249-0.509), and comorbidity (OR = 0.713, 95% CI 0.526-0.966) are the main factors correlated with the non-treatment of symptoms.This study shows that hospitalized patients with advanced cancer had a variety of physical and psychological symptoms but lacked adequate management and suggests that a complete symptom screening and management system is needed to deal with this complex problem.Copyright © 2022 The Author(s). Published by Elsevier Ltd.. All rights reserved.

基金：
Cancer Foundation of China
语种：
外文
PubmedID：
中科院(CAS)分区：
出版当年[2022]版：
大类 | 2 区 医学
小类 | 3 区 肿瘤学
最新[2023]版：
大类 | 2 区 医学
小类 | 2 区 肿瘤学
第一作者：
第一作者机构： [1]Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Department of Psycho-oncology, Peking University Cancer Hospital & Institute, Beijing, China.
共同第一作者：
通讯作者：
通讯机构： [1]Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Department of Psycho-oncology, Peking University Cancer Hospital & Institute, Beijing, China. [*1]Fu-Cheng Road 52, Hai-Dian District, Beijing 100142, China
推荐引用方式(GB/T 7714)：
He Y,Pang Y,Su Z,et al.Symptom burden, psychological distress, and symptom management status in hospitalized patients with advanced cancer: a multicenter study in China[J].ESMO open.2022,7(6):100595.doi:10.1016/j.esmoop.2022.100595.
APA：
He Y,Pang Y,Su Z,Zhou Y,Wang Y...&Tang L.(2022).Symptom burden, psychological distress, and symptom management status in hospitalized patients with advanced cancer: a multicenter study in China.ESMO open,7,(6)
MLA：
He Y,et al."Symptom burden, psychological distress, and symptom management status in hospitalized patients with advanced cancer: a multicenter study in China".ESMO open 7..6(2022):100595

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