Pre-screening of patient-reported symptoms using the Edmonton Symptom Assessment System in outpatient palliative cancer care

Garden Lee, Han Sang Kim, Si Won Lee, Yu Rang Park, Eun Hwa Kim, Bori Lee, Youn Jung Hu, Kyung A. Kim, Doo A. Kim, Ho Yeon Cho, Beodeul Kang, Hye Jin Choi

Research output: Contribution to journalArticlepeer-review

2 Citations (Scopus)

Abstract

Objectives: Although early palliative care is associated with a better quality of life and improved outcomes in end-of-life cancer care, the criteria of palliative care referral are still elusive. Methods: We collected patient-reported symptoms using the Edmonton Symptom Assessment System (ESAS) at the baseline, first and second follow-up visits. A total of 71 patients were evaluable, with a median age of 65 years, male (62%) and Eastern Cooperative Oncology Group (ECOG) performance status distribution of 1/2/3 (28%/39%/33%) respectively. Results: Twenty (28%) patients had moderate/severe symptom burden with the mean ESAS ≥ 5. Interestingly, most of the patients with moderate/severe symptom burdens (ESAS ≥ 5) had globally elevated symptom expression. While the mean ESAS score was maintained in patients with mild symptom burden (ESAS < 5; 2.7 at the baseline; 3.4 at the first follow-up; 3.0 at the second follow-up; p =.117), there was significant symptom improvement in patients with moderate/severe symptom burden (ESAS ≥ 5; 6.5 at the baseline; 4.5 at the first follow-up; 3.6 at the second follow-up; p <.001). Conclusions: In conclusion, advanced cancer patients with ESAS ≥ 5 may benefit from outpatient palliative cancer care. Pre-screening of patient-reported symptoms using ESAS can be useful for identifying unmet palliative care needs in advanced cancer patients.

Original languageEnglish
Article numbere13305
JournalEuropean Journal of Cancer Care
Volume29
Issue number6
DOIs
Publication statusPublished - 2020 Nov

Bibliographical note

Funding Information:
This work was supported in part by the National Research Foundation of Korea (NRF) grant funded by the Korea government (MSIT) (No. 2019R1C1C1006709 and No. 2018R1A5A2025079) and a grant of the Korea Health Technology Research and Development Project through the Korea Health Industry Development Institute (KHIDI), funded by the Ministry of Health & Welfare, Republic of Korea (No. KHIDIHI19C1015010020), a faculty research grant of Yonsei University College of Medicine (6‐2019‐0090) and Daewoong Foundation Research Grant.

Funding Information:
This work was supported in part by the National Research Foundation of Korea (NRF) grant funded by the Korea government (MSIT) (No. 2019R1C1C1006709 and No. 2018R1A5A2025079) and a grant of the Korea Health Technology Research and Development Project through the Korea Health Industry Development Institute (KHIDI), funded by the Ministry of Health & Welfare, Republic of Korea (No. KHIDIHI19C1015010020), a faculty research grant of Yonsei University College of Medicine (6-2019-0090) and Daewoong Foundation Research Grant. We are very thankful to all members in Palliative Care Center of the Yonsei Cancer Center for supporting our work. This study has a pre-print on Research Square website (https://www.researchsquare.com/article/rs-7126/v1).

Publisher Copyright:
© 2020 John Wiley & Sons Ltd

All Science Journal Classification (ASJC) codes

  • Oncology

Fingerprint

Dive into the research topics of 'Pre-screening of patient-reported symptoms using the Edmonton Symptom Assessment System in outpatient palliative cancer care'. Together they form a unique fingerprint.

Cite this