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Relationship between dyspnoea and related factors in patients with cancer: a cross-sectional study.
Matsuda, Yoshinobu; Hasuo, Hideaki; Narita, Keiichi; Matsuoka, Hiromichi; Morita, Ryo; Kiuchi, Daisuke; Ikari, Tomoo; Hori, Tetsuo; Okazaki, Koya; Sakai, Kiyohiro; Aiki, Sayo; Okabayashi, Hiroko; Oyamada, Shunsuke; Ariyoshi, Keisuke; Tokoro, Akihiro; Fukunaga, Mikihiko.
Afiliación
  • Matsuda Y; Department of Psychosomatic Internal Medicine, National Hospital Organization Kinki-Chuo Chest Medical Center, Sakai, Japan matsuda.yoshinobu.tx@mail.hosp.go.jp.
  • Hasuo H; Department of Psychosomatic Medicine, Kansai Medical University, Hirakata, Japan.
  • Narita K; Graduate School of Medicine, Kyoto University, Kyoto, Japan.
  • Matsuoka H; Department of Psycho-Oncology, National Cancer Center Hospital, Tokyo, Japan.
  • Morita R; Department of Respiratory Medicine, Akita Kosei Medical Center, Akita, Japan.
  • Kiuchi D; Department of Palliative Medicine, National Cancer Center Hospital, Tokyo, Japan.
  • Ikari T; Department of Palliative Medicine, Tohoku University Graduate School of Medicine, Sendai, Japan.
  • Hori T; Department of Clinical Oncology and Palliative Medicine, Mitsubishi Kyoto Hospital, Kyoto, Japan.
  • Okazaki K; Department of Respiratory Medicine, Hyogo Prefectural Amagasaki General Medical Center, Amagasaki, Japan.
  • Sakai K; Department of Psychosomatic Medicine, Kindai University Faculty of Medicine Hospital, Osakasayama, Japan.
  • Aiki S; Department of Palliative Care, National Hospital Organization Osaka National Hospital, Osaka, Japan.
  • Okabayashi H; Department of Respiratory Medicine, Kanagawa Cardiovascular and Respiratory Center, Yokohama, Japan.
  • Oyamada S; JORTC Data Centre, NPO, Tokyo, Japan.
  • Ariyoshi K; JORTC Data Centre, NPO, Tokyo, Japan.
  • Tokoro A; Department of Psychosomatic Internal Medicine, National Hospital Organization Kinki-Chuo Chest Medical Center, Sakai, Japan.
  • Fukunaga M; Department of Psychosomatic Medicine, Kansai Medical University, Hirakata, Japan.
BMJ Support Palliat Care ; 13(e3): e1126-e1132, 2024 Jan 08.
Article en En | MEDLINE | ID: mdl-38557730
ABSTRACT

OBJECTIVES:

Dyspnoea is a common and distressing symptom in patients with cancer. We aimed to analyse the association between dyspnoea and related factors and to estimate their causal relationship.

METHODS:

A cross-sectional study was conducted. Patients with cancer with dyspnoea and a mean Numerical Rating Scale (NRS) of ≥3 over 24 hours were enrolled at 10 institutions in Japan from December 2019 to February 2021. The outcomes included dyspnoea, cough and pain NRS over 24 hours, Eastern Cooperative Oncology Group Performance Status, Hospital Anxiety and Depression Scale, Somatosensory Amplification Scale, opioids for dyspnoea and respiratory failure. Path analyses were conducted to estimate the direct and indirect paths with reference to dyspnoea and related factors.

RESULTS:

A total of 209 patients were enrolled and 208 patients were included in the analysis. Cough worsened dyspnoea (ß=0.136), dyspnoea increased emotional distress (ß=1.104), emotional distress increased somatosensory amplification (ß=0.249) and somatosensory amplification worsened cough (ß=0.053) according to path analysis.

CONCLUSION:

There may be a vicious circle among dyspnoea and related factors cough worsened dyspnoea, dyspnoea increased emotional distress, emotional distress increased somatosensory amplification and somatosensory amplification worsened cough. When treating dyspnoea in patients with cancer, managing these factors aimed at interrupting this vicious circle may be useful. TRIAL REGISTRATION NUMBER UMIN Clinical Trials Registry (UMIN000038820).
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias Límite: Humans Idioma: En Revista: BMJ Support Palliat Care Año: 2024 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias Límite: Humans Idioma: En Revista: BMJ Support Palliat Care Año: 2024 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Reino Unido