Assessment and Management of Symptoms for Outpatients Newly Diagnosed With Lung Cancer.
Assessment and Management of Symptoms for Outpatients Newly Diagnosed With Lung Cancer.
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DOI：
10.1177/1049909114557635
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发表时间：
2016-03
期刊：
影响因子：
--
通讯作者：
Au DH
中科院分区：
文献类型：
--
作者：
Reinke LF;Feemster LC;Backhus LM;Gylys-Colwell I;Au DH
关于肺癌诊断前后的症状评估知之甚少。这项初步研究的目的是评估诊断后2个月内的症状以及临床医生在新诊断为肺癌的退伍军人（n=20）队列中解决症状的频率。我们进行了问卷调查，然后审查了医疗记录，以确定诊断后6个月由专科诊所提供的症状评估和管理。半数患者（50%）被诊断为早期非小细胞肺癌（NSCLC），I期或II期。在基线时，45%的患者认为他们的总体症状严重。早期或晚期NSCLC或小细胞肺癌患者的症状无显著差异。在超过6个月的212次门诊访视中，70.2%发生在肿瘤科。临床医生最常处理疼痛，尽管评估因诊所而异。新诊断肺癌的退伍军人报告了显著的症状负担。尽管有充分的机会来解决病人的症状，评估存在差异的亚专科服务。在新诊断的肺癌患者中，可能需要协调的症状评估方法。
Little is known about symptom assessment around the time of lung cancer diagnosis. The purpose of this pilot study was to assess symptoms within 2 months of diagnosis and the frequency with which clinicians addressed symptoms among a cohort of Veterans (n=20) newly diagnosed with lung cancer. We administered questionnaires then reviewed medical records to identify symptom assessment and management provided by subspecialty clinics for 6 months following diagnosis. Half of patients (50%) were diagnosed with early stage non-small cell lung cancer (NSCLC), stage I or II. At baseline, 45% patients rated their overall symptoms severe. There were no significant differences in symptoms among patients with early or late stage NSCLC or small cell lung cancer. Of the 212 clinic visits over 6 months, 70.2% occurred in oncology. Clinicians most frequently addressed pain, although assessment differed by clinic. Veterans with newly diagnosed lung cancer report significant symptom burden. Despite ample opportunities to address patients’ symptoms, variations in assessment exist among subspecialty services. Coordinated approaches to symptom assessment are likely needed among patients newly diagnosed with lung cancer.
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影响因子：
2.8
作者：
Sarna, L;Brecht, ML
通讯作者：
Brecht, ML
影响因子：
45.3
作者：
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通讯作者：
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影响因子：
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作者：
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通讯作者：
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影响因子：
2.8
作者：
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通讯作者：
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影响因子：
39.2
作者：
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通讯作者：
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