Symptom management in women with recurrent ovarian cancer: Do patients and clinicians agree on what symptoms are most important?
Symptom management in women with recurrent ovarian cancer: Do patients and clinicians agree on what symptoms are most important?
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DOI：
10.1016/j.ygyno.2016.08.235
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发表时间：
2016-11-01
影响因子：
4.7
通讯作者：
Donovan, Heidi S.
中科院分区：
文献类型：
--
作者：
Hay, Casey M.;Courtney-Brooks, Madeleine;Donovan, Heidi S.
Objective.我们试图将复发性卵巢癌患者的优先症状与临床医生最常记录的症状进行比较，并检查临床医生记录的症状与随后的临床干预之间的关联。对入组WRITE症状研究（GOG 259）的患者进行的单机构回顾性图表审查，这是一项基于互联网的复发性卵巢癌症状管理的随机对照试验。作为试验的一部分，女性完成了28种症状的症状表现问卷，并选择了3种优先症状（PS）。我们将患者报告的PS与临床医生记录的症状和干预措施进行了比较。在92%的患者中记录了至少一个PS。在患者报告的150例PS中，53%从未被临床医生记录;这些症状往往与疾病或治疗状态不太直接相关。临床医生经常记录患者未确定为PS的症状;这些症状往往与疾病的生理效应和治疗毒性有关。58%的患者至少接受了一次PS干预。接受PS干预的患者在2.58次访视时记录，未接受PS干预的患者在0.50次访视时记录（p
Objective. We sought to compare symptoms identified as a priority by patients with recurrent ovarian cancer to symptoms most frequently documented by their clinicians, and examine the association between clinician documentation of symptoms and subsequent clinical intervention.Methods. Single-institution, retrospective chart review of patients enrolled in WRITE Symptoms Study (GOG 259), a randomized controlled trial of internet-based recurrent ovarian cancer symptom management. As part of the trial, women completed the Symptom Representation Questionnaire for 28 symptoms and selected 3 priority symptoms (PS). We compared patient-reported PS to clinician documentation of symptoms and interventions over the time period corresponding to study enrollment.Results. At least one PS was documented in 92% of patients. Of 150 PS reported by patients, 53% were never documented by clinicians; these symptoms tended to be less directly related to disease or treatment status. Symptoms not identified by patients as PS were frequently documented by clinicians; these symptoms tended to relate to physiologic effects of disease and treatment toxicity. 58% of patients had at least one PS intervention. PS intervened for were documented at 2.58 visits vs 0.50 visits for PS not receiving intervention (p