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Documenting the Symptom Experience of Cancer Patients

The Journal of Supportive Oncology
Volume 9, Issue 6, November-December 2011, Pages 216-223


doi:10.1016/j.suponc.2011.06.003 | How to Cite or Link Using DOI
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Original research

Documenting the Symptom Experience of Cancer Patients

Teresa L. Deshields PhD 

, Patricia Potter RN, PhD, FAAN, Sarah Olsen RN, Jingxia Liu PhD, Linh Dye DMGT

Siteman Cancer Center; Division of Biostatistics, Washington University School of Medicine; and Nursing Administration, Barnes-Jewish Hospital, St. Louis, Missouri

Received 11 January 2011; Accepted 9 June 2011. Available online 3 November 2011.

Abstract

Background

Cancer patients experience symptoms associated with their disease, treatment, and comorbidities. Symptom experience is complicated, reflecting symptom prevalence, frequency, and severity. Symptom burden is associated with treatment tolerance as well as patients' quality of life (QOL).

Objectives

The purpose of this study was to document the symptom experience and QOL of patients with commonly diagnosed cancers. The relationship between symptoms and QOL was also explored.

Methods

A convenience sample of patients with the five most common cancers at a comprehensive cancer center completed surveys assessing symptom experience (Memorial Symptom Assessment Survey) and QOL (Functional Assessment of Cancer Therapy). Patients completed surveys at baseline and at 3, 6, 9, and 12 months thereafter. This article describes the study's baseline findings.

Results

Surveys were completed by 558 cancer patients with breast, colorectal, gynecologic, lung, or prostate cancer. Patients reported an average of 9.1 symptoms, with symptom experience varying by cancer type. The mean overall QOL for the total sample was 85.1, with results differing by cancer type. Prostate cancer patients reported the lowest symptom burden and the highest QOL.

Limitations

The sample was limited in terms of racial diversity. Because of the method of recruitment, baseline data were collected 6–8 months after diagnosis, meaning that participants were at various stages of treatment.

Conclusions

The symptom experience of cancer patients varies widely depending on cancer type. Nevertheless, most patients report symptoms, regardless of whether or not they are currently receiving treatment. Patients' QOL is inversely related to their symptom burden.

Conflicts of interest: All authors have completed and submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest. Dr. DeShields received reimbursement for consultancy services, honoraria, development of education presentations including service on speakers' bureaus, and for travel/accommodations expenses from Lilly Oncology. All other authors have no potential conflicts of interest to disclose.


Correspondence to: Teresa L. Deshields, PhD, Siteman Cancer Center, 4921 Parkview Place, MS: 90-35-703, St. Louis, MO 63110; telephone: (314) 454-7474; fax: (314) 362-1904



The Journal of Supportive Oncology
Volume 9, Issue 6, November-December 2011, Pages 216-223
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The Journal of Supportive Oncology
Volume 9, Issue 6, November-December 2011, Pages 216-223


doi:10.1016/j.suponc.2011.06.003 | How to Cite or Link Using DOI
  Permissions & Reprints

Original research

Documenting the Symptom Experience of Cancer Patients

Teresa L. Deshields PhD 

, Patricia Potter RN, PhD, FAAN, Sarah Olsen RN, Jingxia Liu PhD, Linh Dye DMGT

Siteman Cancer Center; Division of Biostatistics, Washington University School of Medicine; and Nursing Administration, Barnes-Jewish Hospital, St. Louis, Missouri

Received 11 January 2011; Accepted 9 June 2011. Available online 3 November 2011.

Abstract

Background

Cancer patients experience symptoms associated with their disease, treatment, and comorbidities. Symptom experience is complicated, reflecting symptom prevalence, frequency, and severity. Symptom burden is associated with treatment tolerance as well as patients' quality of life (QOL).

Objectives

The purpose of this study was to document the symptom experience and QOL of patients with commonly diagnosed cancers. The relationship between symptoms and QOL was also explored.

Methods

A convenience sample of patients with the five most common cancers at a comprehensive cancer center completed surveys assessing symptom experience (Memorial Symptom Assessment Survey) and QOL (Functional Assessment of Cancer Therapy). Patients completed surveys at baseline and at 3, 6, 9, and 12 months thereafter. This article describes the study's baseline findings.

Results

Surveys were completed by 558 cancer patients with breast, colorectal, gynecologic, lung, or prostate cancer. Patients reported an average of 9.1 symptoms, with symptom experience varying by cancer type. The mean overall QOL for the total sample was 85.1, with results differing by cancer type. Prostate cancer patients reported the lowest symptom burden and the highest QOL.

Limitations

The sample was limited in terms of racial diversity. Because of the method of recruitment, baseline data were collected 6–8 months after diagnosis, meaning that participants were at various stages of treatment.

Conclusions

The symptom experience of cancer patients varies widely depending on cancer type. Nevertheless, most patients report symptoms, regardless of whether or not they are currently receiving treatment. Patients' QOL is inversely related to their symptom burden.

Conflicts of interest: All authors have completed and submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest. Dr. DeShields received reimbursement for consultancy services, honoraria, development of education presentations including service on speakers' bureaus, and for travel/accommodations expenses from Lilly Oncology. All other authors have no potential conflicts of interest to disclose.


Correspondence to: Teresa L. Deshields, PhD, Siteman Cancer Center, 4921 Parkview Place, MS: 90-35-703, St. Louis, MO 63110; telephone: (314) 454-7474; fax: (314) 362-1904



The Journal of Supportive Oncology
Volume 9, Issue 6, November-December 2011, Pages 216-223

The Journal of Supportive Oncology
Volume 9, Issue 6, November-December 2011, Pages 216-223


doi:10.1016/j.suponc.2011.06.003 | How to Cite or Link Using DOI
  Permissions & Reprints

Original research

Documenting the Symptom Experience of Cancer Patients

Teresa L. Deshields PhD 

, Patricia Potter RN, PhD, FAAN, Sarah Olsen RN, Jingxia Liu PhD, Linh Dye DMGT

Siteman Cancer Center; Division of Biostatistics, Washington University School of Medicine; and Nursing Administration, Barnes-Jewish Hospital, St. Louis, Missouri

Received 11 January 2011; Accepted 9 June 2011. Available online 3 November 2011.

Abstract

Background

Cancer patients experience symptoms associated with their disease, treatment, and comorbidities. Symptom experience is complicated, reflecting symptom prevalence, frequency, and severity. Symptom burden is associated with treatment tolerance as well as patients' quality of life (QOL).

Objectives

The purpose of this study was to document the symptom experience and QOL of patients with commonly diagnosed cancers. The relationship between symptoms and QOL was also explored.

Methods

A convenience sample of patients with the five most common cancers at a comprehensive cancer center completed surveys assessing symptom experience (Memorial Symptom Assessment Survey) and QOL (Functional Assessment of Cancer Therapy). Patients completed surveys at baseline and at 3, 6, 9, and 12 months thereafter. This article describes the study's baseline findings.

Results

Surveys were completed by 558 cancer patients with breast, colorectal, gynecologic, lung, or prostate cancer. Patients reported an average of 9.1 symptoms, with symptom experience varying by cancer type. The mean overall QOL for the total sample was 85.1, with results differing by cancer type. Prostate cancer patients reported the lowest symptom burden and the highest QOL.

Limitations

The sample was limited in terms of racial diversity. Because of the method of recruitment, baseline data were collected 6–8 months after diagnosis, meaning that participants were at various stages of treatment.

Conclusions

The symptom experience of cancer patients varies widely depending on cancer type. Nevertheless, most patients report symptoms, regardless of whether or not they are currently receiving treatment. Patients' QOL is inversely related to their symptom burden.

Conflicts of interest: All authors have completed and submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest. Dr. DeShields received reimbursement for consultancy services, honoraria, development of education presentations including service on speakers' bureaus, and for travel/accommodations expenses from Lilly Oncology. All other authors have no potential conflicts of interest to disclose.


Correspondence to: Teresa L. Deshields, PhD, Siteman Cancer Center, 4921 Parkview Place, MS: 90-35-703, St. Louis, MO 63110; telephone: (314) 454-7474; fax: (314) 362-1904



The Journal of Supportive Oncology
Volume 9, Issue 6, November-December 2011, Pages 216-223
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