Patient-controlled methylphenidate for the management of fatigue in patients with advanced cancer: A preliminary report

Patient-controlled methylphenidate for the management of fatigue in patients with advanced cancer: A preliminary report
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DOI:
10.1200/jco.2003.06.156
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发表时间:
2003-12-01
影响因子:
45.3
通讯作者:
Escalante, C
Escalante, C
中科院分区:
医学1区
文献类型:
--
作者:
Bruera, E;Driver, L;Escalante, C

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目的:为了评估患者控制的哌醋甲酯cancer-related fatigue.Patients和方法的影响:在这项前瞻性开放研究中,31例晚期癌症和疲劳谁得分大于或等于4的规模为0至10哌醋甲酯5毫克口服每2小时需要7天(最大,20毫克/天)。每天评估多种症状;主要终点疲劳使用0 - 10量表测量,并在基线、第7天和第28天进行慢性疾病治疗疲劳功能评估(FACIT-F)。30名可评估患者的(+/-标准差)评分在基线和第7天之间显著改善:疲劳(0 - 10分),7.2 +/- 1.6 vs 3.0 +/- 1.9(P
Purpose: To assess the effects of patient-controlled methylphenidate for cancer-related fatigue.Patients and Methods: In this prospective open study, 31 patients with advanced cancer and fatigue who scored greater than or equal to 4 on a scale of 0 to 10 received methylphenidate 5 mg by mouth every 2 hours as needed for 7 days (maximum, 20 mg/d). Multiple symptoms were assessed daily; the primary end point, fatigue, was measured using the 0 to 10 scale, and the Functional Assessment for Chronic Illness Therapy-Fatigue (FACIT-F) was performed at baseline, day 7, and day 28.Results: The following mean (+/- standard deviation) scores for 30 assessable patients improved significantly between baseline and day 7: fatigue (0 to 10 scale), 7.2 +/- 1.6 v 3.0 +/- 1.9 (P