Resenha
A comparison of symptom prevalence in far advanced cancer, AIDS, heart disease, chronic obstructive pulmonary disease and renal disease
Fecha
2006-01-01Registro en:
Journal of Pain and Symptom Management. New York: Elsevier B.V., v. 31, n. 1, p. 58-69, 2006.
0885-3924
10.1016/j.jpainsymman.2005.06.007
WOS:000235422300010
Autor
Solano, Joao Paulo [UNIFESP]
Gomes, Barbara
Higginson, Irene J.
Institución
Resumen
Little attention has been paid to the symptom management needs of Patients with life-threatening diseases other than cancer. in this study, we aimed to determine to what extent patients with progressive chronic diseases have similar symptom profiles. A systematic search of medical databases (MEDLINE, EMBASE, and PsycINFO) and textbooks identified 64 original studies reporting the prevalence of 11 common symptoms among end-stage patients with cancer, acquired immunodeficiency syndrome (AIDS), heart disease, chronic obstructive pulmonary disease, or renal disease. Analyzing the data in a comparative table (a grid), we found that the prevalence of the 11 symptoms was often widely but homogeneously spread across the five diseases. Three symptoms-pain, breathlessness, and fatigue- were found among more than 50% of patients, for all five diseases. There appears to be a common pathway toward death for malignant and nonmalignant diseases. the designs of symptom prevalence studies need to be improved because of methodological disparities in symptom assessment. and designs.
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