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    Prospective Study of Use of Edmonton Symptom Assessment Scale Versus Routine Symptom Management During Weekly Radiation Treatment Visits

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    Author
    Goyal, Uma D
    Riegert, Kristen
    Davuluri, Rajayogesh
    Ong, Shawn
    Yi, Sun K
    Dougherty, Shona T
    Hsu, Charles C
    Affiliation
    Univ Arizona, Dept Radiat Oncol
    Issue Date
    2020-05-08
    
    Metadata
    Show full item record
    Publisher
    AMER SOC CLINICAL ONCOLOGY
    Citation
    Goyal, U. D., Riegert, K., Davuluri, R., Ong, S., Yi, S. K., Dougherty, S. T., & Hsu, C. C. (2020). Prospective Study of Use of Edmonton Symptom Assessment Scale Versus Routine Symptom Management During Weekly Radiation Treatment Visits. JCO oncology practice, 16(9), e1029-e1035.
    Journal
    JCO ONCOLOGY PRACTICE
    Rights
    Copyright © 2021 American Society of Clinical Oncology. All rights reserved.
    Collection Information
    This item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at repository@u.library.arizona.edu.
    Abstract
    PURPOSE:During radiotherapy (RT), patient symptoms are evaluated and managed weekly during physician on-treatment visits (OTVs). The Edmonton Symptom Assessment Scale (ESAS) is a 9-symptom validated self-assessment tool for reporting common symptoms in patients with cancer. We hypothesized that implementation and physician review of ESAS during weekly OTVs may result in betterment of symptom severity during RT for certain modifiable domains.METHODS:As an institutional quality improvement project, patients were partitioned into 2 groups: (1) 85 patients completing weekly ESAS (preintervention) but blinded to their providers who gave routine symptom management and (2) 170 completing weekly ESAS (postintervention group) reviewed by providers during weekly OTVs with possible intervention. To determine the independent association with symptom severity of the intervention, multivariate logistic regression was performed. At study conclusion, provider assessments of ESAS utility were also collected.RESULTS:Compared with the preintervention group, stable or improved symptom severity was seen in the postintervention group for pain (70.7% v 85.6%; P = .005) and anxiety (79.3% v 92.9%; P = .002). The postintervention group had decreased association (on multivariate analysis) with worsening severity of pain (OR, 0.13; P < .001), nausea (OR, 0.25; P = .023), loss of appetite (OR, 0.30; P = .024), and anxiety (OR, 0.19; P = .005). Most physicians (87.5%) and nurses (75%) found ESAS review useful in symptom management.CONCLUSION:Incorporation of ESAS for OTVs was associated with stable or improved symptom severity where therapeutic intervention is more readily available, such as counseling, pain medication, anti-emetics, appetite stimulants, and anti-anxiolytics. The incorporation of validated patient-reported symptom-scoring tools may improve provider management.
    Note
    12 month embargo; first published online 8 May 2020
    ISSN
    2688-1527
    EISSN
    2688-1535
    PubMed ID
    32384015
    DOI
    10.1200/JOP.19.00465
    Version
    Final published version
    ae974a485f413a2113503eed53cd6c53
    10.1200/JOP.19.00465
    Scopus Count
    Collections
    UA Faculty Publications

    entitlement

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