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Patient-reported experience and outcome measures during treatment for gastroesophageal cancer.
Sundbom, Magnus; Ekfjord, Lena; Willman, Maria; Hedberg, Jakob; Randeniye, Stephan; Christensen, Marianne; Kildal, Morten.
Afiliación
  • Sundbom M; Department of Surgical Sciences, Uppsala University, Uppsala, Sweden.
  • Ekfjord L; Department of Surgery, University Hospital, Uppsala, Sweden.
  • Willman M; Department of Surgery, University Hospital, Uppsala, Sweden.
  • Hedberg J; Department of Physiotherapy, University Hospital, Uppsala, Sweden.
  • Randeniye S; Department of Surgical Sciences, Uppsala University, Uppsala, Sweden.
  • Christensen M; Department of Surgery, University Hospital, Uppsala, Sweden.
  • Kildal M; Department of Surgical Sciences, Uppsala University, Uppsala, Sweden.
Eur J Cancer Care (Engl) ; 29(2): e13200, 2020 Mar.
Article en En | MEDLINE | ID: mdl-31829480
OBJECTIVE: Gastroesophageal cancer has high mortality, and continuous assessment of patient-reported data is salient for optimisation of supportive care. We aimed to evaluate our multidisciplinary concept with respect to patient-reported variables. METHODS: At diagnosis and later during the treatment, three areas of patient-reported measures were evaluated: the given information and care, fatigue (Multidimensional Fatigue Inventory [MFI-20]), dysphagia (Ogilvie dysphagia score) and weight loss. RESULTS: Of 130 outpatients, planned for a surgical procedure and given a contact nurse (CN), 106 responded. During treatment, 81% of the patients were satisfied with their CN. The given information was considered very good or good by >90% and easily understood. Half of the patients reported need for supportive care, which was rated good by 85%. All dimensions of the MFI-20 test, except mental fatigue, worsened during the treatment period. At diagnosis, 61% of the patients experienced eating problems, leading to 7% weight loss. Although dysphagia improved, weight loss reached 13% at the end of treatment. CONCLUSION: A multidisciplinary concept can be of value in giving appropriate and understandable information, leading to high satisfaction with the provided care. However, as fatigue and weight loss increased during the treatment period, patients need structured multidisciplinary support.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias Gástricas / Neoplasias Esofágicas / Trastornos de Deglución / Satisfacción del Paciente / Fatiga Aspecto: Patient_preference Límite: Female / Humans / Male País/Región como asunto: Europa Idioma: En Revista: Eur J Cancer Care (Engl) Asunto de la revista: ENFERMAGEM / NEOPLASIAS Año: 2020 Tipo del documento: Article País de afiliación: Suecia Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias Gástricas / Neoplasias Esofágicas / Trastornos de Deglución / Satisfacción del Paciente / Fatiga Aspecto: Patient_preference Límite: Female / Humans / Male País/Región como asunto: Europa Idioma: En Revista: Eur J Cancer Care (Engl) Asunto de la revista: ENFERMAGEM / NEOPLASIAS Año: 2020 Tipo del documento: Article País de afiliación: Suecia Pais de publicación: Reino Unido