Symptom Levels in Care-Seeking Bangladeshi and Nepalese Adults With Advanced Cancer
Three-fourths of patients with advanced cancer are reported to suffer from pain. A primary barrier to provision of adequate symptom treatment is failure to appreciate the intensity of the symptoms patients are experiencing. Because data on Bangladeshi and Nepalese patients' perceptions of their...
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| Veröffentlicht in: | Journal of global oncology Jg. 3; H. 3; S. 257 - 260 |
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| Sprache: | Englisch |
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American Society of Clinical Oncology
01.06.2017
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| ISSN: | 2378-9506, 2378-9506 |
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| Abstract | Three-fourths of patients with advanced cancer are reported to suffer from pain. A primary barrier to provision of adequate symptom treatment is failure to appreciate the intensity of the symptoms patients are experiencing. Because data on Bangladeshi and Nepalese patients' perceptions of their symptomatic status are limited, we sought such information using a cell phone questionnaire.
At tertiary care centers in Dhaka and Kathmandu, we recruited 640 and 383 adult patients, respectively, with incurable malignancy presenting for outpatient visits and instructed them for that single visit on one-time completion of a cell phone platform 15-item survey of questions about common cancer-associated symptoms and their magnitudes using Likert scales of 0 to 10. The questions were taken from the Edmonton Symptom Assessment System and the Brief Pain Inventory instruments.
All but two Bangladeshi patients recruited agreed to study participation. Two-thirds of Bangladeshi patients reported usual pain levels ≥ 5, and 50% of Nepalese patients reported usual pain levels ≥ 4 (population differences significant at
< .001).
Bangladeshi and Nepalese adults with advanced cancer are comfortable with cell phone questionnaires about their symptoms and report high levels of pain. Greater attention to the suffering of these patients is warranted. |
|---|---|
| AbstractList | Three-fourths of patients with advanced cancer are reported to suffer from pain. A primary barrier to provision of adequate symptom treatment is failure to appreciate the intensity of the symptoms patients are experiencing. Because data on Bangladeshi and Nepalese patients' perceptions of their symptomatic status are limited, we sought such information using a cell phone questionnaire.
At tertiary care centers in Dhaka and Kathmandu, we recruited 640 and 383 adult patients, respectively, with incurable malignancy presenting for outpatient visits and instructed them for that single visit on one-time completion of a cell phone platform 15-item survey of questions about common cancer-associated symptoms and their magnitudes using Likert scales of 0 to 10. The questions were taken from the Edmonton Symptom Assessment System and the Brief Pain Inventory instruments.
All but two Bangladeshi patients recruited agreed to study participation. Two-thirds of Bangladeshi patients reported usual pain levels ≥ 5, and 50% of Nepalese patients reported usual pain levels ≥ 4 (population differences significant at
< .001).
Bangladeshi and Nepalese adults with advanced cancer are comfortable with cell phone questionnaires about their symptoms and report high levels of pain. Greater attention to the suffering of these patients is warranted. Three-fourths of patients with advanced cancer are reported to suffer from pain. A primary barrier to provision of adequate symptom treatment is failure to appreciate the intensity of the symptoms patients are experiencing. Because data on Bangladeshi and Nepalese patients' perceptions of their symptomatic status are limited, we sought such information using a cell phone questionnaire.PURPOSEThree-fourths of patients with advanced cancer are reported to suffer from pain. A primary barrier to provision of adequate symptom treatment is failure to appreciate the intensity of the symptoms patients are experiencing. Because data on Bangladeshi and Nepalese patients' perceptions of their symptomatic status are limited, we sought such information using a cell phone questionnaire.At tertiary care centers in Dhaka and Kathmandu, we recruited 640 and 383 adult patients, respectively, with incurable malignancy presenting for outpatient visits and instructed them for that single visit on one-time completion of a cell phone platform 15-item survey of questions about common cancer-associated symptoms and their magnitudes using Likert scales of 0 to 10. The questions were taken from the Edmonton Symptom Assessment System and the Brief Pain Inventory instruments.METHODSAt tertiary care centers in Dhaka and Kathmandu, we recruited 640 and 383 adult patients, respectively, with incurable malignancy presenting for outpatient visits and instructed them for that single visit on one-time completion of a cell phone platform 15-item survey of questions about common cancer-associated symptoms and their magnitudes using Likert scales of 0 to 10. The questions were taken from the Edmonton Symptom Assessment System and the Brief Pain Inventory instruments.All but two Bangladeshi patients recruited agreed to study participation. Two-thirds of Bangladeshi patients reported usual pain levels ≥ 5, and 50% of Nepalese patients reported usual pain levels ≥ 4 (population differences significant at P < .001).RESULTSAll but two Bangladeshi patients recruited agreed to study participation. Two-thirds of Bangladeshi patients reported usual pain levels ≥ 5, and 50% of Nepalese patients reported usual pain levels ≥ 4 (population differences significant at P < .001).Bangladeshi and Nepalese adults with advanced cancer are comfortable with cell phone questionnaires about their symptoms and report high levels of pain. Greater attention to the suffering of these patients is warranted.CONCLUSIONBangladeshi and Nepalese adults with advanced cancer are comfortable with cell phone questionnaires about their symptoms and report high levels of pain. Greater attention to the suffering of these patients is warranted. Purpose: Three-fourths of patients with advanced cancer are reported to suffer from pain. A primary barrier to provision of adequate symptom treatment is failure to appreciate the intensity of the symptoms patients are experiencing. Because data on Bangladeshi and Nepalese patients’ perceptions of their symptomatic status are limited, we sought such information using a cell phone questionnaire. Methods: At tertiary care centers in Dhaka and Kathmandu, we recruited 640 and 383 adult patients, respectively, with incurable malignancy presenting for outpatient visits and instructed them for that single visit on one-time completion of a cell phone platform 15-item survey of questions about common cancer-associated symptoms and their magnitudes using Likert scales of 0 to 10. The questions were taken from the Edmonton Symptom Assessment System and the Brief Pain Inventory instruments. Results: All but two Bangladeshi patients recruited agreed to study participation. Two-thirds of Bangladeshi patients reported usual pain levels ≥ 5, and 50% of Nepalese patients reported usual pain levels ≥ 4 (population differences significant at P < .001). Conclusion: Bangladeshi and Nepalese adults with advanced cancer are comfortable with cell phone questionnaires about their symptoms and report high levels of pain. Greater attention to the suffering of these patients is warranted. |
| Author | Love, Richard Reed Adibuzzaman, Mohammad Ahamed, Sheikh Iqbal Paudel, Bishnu D. Nahar, Shamsun Uddin, Miftah Dowla, Rumana Ferdousy, Tahmina Salim, Reza Ahsan, Golam Mushih Tanimul |
| Author_xml | – sequence: 1 givenname: Richard Reed surname: Love fullname: Love, Richard Reed organization: Richard Reed Love, Tahmina Ferdousy, and Reza Salim, Amader Gram Cancer Care and Research Center, Khulna and Rampal; Shamsun Nahar, Bangabandhu Sheikh Mujib Medical University; Rumana Dowla, Bangladesh Palliative and Supportive Care Foundation, Dhaka, Bangladesh; Bishnu D. Paudel, National Academy of Medical Sciences, Kathmandu, Nepal; and Mohammad Adibuzzaman, Golam Mushih Tanimul Ahsan, Miftah Uddin, and Sheikh Iqbal Ahamed, Marquette University, Milwaukee, WI – sequence: 2 givenname: Tahmina surname: Ferdousy fullname: Ferdousy, Tahmina organization: Richard Reed Love, Tahmina Ferdousy, and Reza Salim, Amader Gram Cancer Care and Research Center, Khulna and Rampal; Shamsun Nahar, Bangabandhu Sheikh Mujib Medical University; Rumana Dowla, Bangladesh Palliative and Supportive Care Foundation, Dhaka, Bangladesh; Bishnu D. Paudel, National Academy of Medical Sciences, Kathmandu, Nepal; and Mohammad Adibuzzaman, Golam Mushih Tanimul Ahsan, Miftah Uddin, and Sheikh Iqbal Ahamed, Marquette University, Milwaukee, WI – sequence: 3 givenname: Bishnu D. surname: Paudel fullname: Paudel, Bishnu D. organization: Richard Reed Love, Tahmina Ferdousy, and Reza Salim, Amader Gram Cancer Care and Research Center, Khulna and Rampal; Shamsun Nahar, Bangabandhu Sheikh Mujib Medical University; Rumana Dowla, Bangladesh Palliative and Supportive Care Foundation, Dhaka, Bangladesh; Bishnu D. Paudel, National Academy of Medical Sciences, Kathmandu, Nepal; and Mohammad Adibuzzaman, Golam Mushih Tanimul Ahsan, Miftah Uddin, and Sheikh Iqbal Ahamed, Marquette University, Milwaukee, WI – sequence: 4 givenname: Shamsun surname: Nahar fullname: Nahar, Shamsun organization: Richard Reed Love, Tahmina Ferdousy, and Reza Salim, Amader Gram Cancer Care and Research Center, Khulna and Rampal; Shamsun Nahar, Bangabandhu Sheikh Mujib Medical University; Rumana Dowla, Bangladesh Palliative and Supportive Care Foundation, Dhaka, Bangladesh; Bishnu D. Paudel, National Academy of Medical Sciences, Kathmandu, Nepal; and Mohammad Adibuzzaman, Golam Mushih Tanimul Ahsan, Miftah Uddin, and Sheikh Iqbal Ahamed, Marquette University, Milwaukee, WI – sequence: 5 givenname: Rumana surname: Dowla fullname: Dowla, Rumana organization: Richard Reed Love, Tahmina Ferdousy, and Reza Salim, Amader Gram Cancer Care and Research Center, Khulna and Rampal; Shamsun Nahar, Bangabandhu Sheikh Mujib Medical University; Rumana Dowla, Bangladesh Palliative and Supportive Care Foundation, Dhaka, Bangladesh; Bishnu D. Paudel, National Academy of Medical Sciences, Kathmandu, Nepal; and Mohammad Adibuzzaman, Golam Mushih Tanimul Ahsan, Miftah Uddin, and Sheikh Iqbal Ahamed, Marquette University, Milwaukee, WI – sequence: 6 givenname: Mohammad surname: Adibuzzaman fullname: Adibuzzaman, Mohammad organization: Richard Reed Love, Tahmina Ferdousy, and Reza Salim, Amader Gram Cancer Care and Research Center, Khulna and Rampal; Shamsun Nahar, Bangabandhu Sheikh Mujib Medical University; Rumana Dowla, Bangladesh Palliative and Supportive Care Foundation, Dhaka, Bangladesh; Bishnu D. Paudel, National Academy of Medical Sciences, Kathmandu, Nepal; and Mohammad Adibuzzaman, Golam Mushih Tanimul Ahsan, Miftah Uddin, and Sheikh Iqbal Ahamed, Marquette University, Milwaukee, WI – sequence: 7 givenname: Golam Mushih Tanimul surname: Ahsan fullname: Ahsan, Golam Mushih Tanimul organization: Richard Reed Love, Tahmina Ferdousy, and Reza Salim, Amader Gram Cancer Care and Research Center, Khulna and Rampal; Shamsun Nahar, Bangabandhu Sheikh Mujib Medical University; Rumana Dowla, Bangladesh Palliative and Supportive Care Foundation, Dhaka, Bangladesh; Bishnu D. Paudel, National Academy of Medical Sciences, Kathmandu, Nepal; and Mohammad Adibuzzaman, Golam Mushih Tanimul Ahsan, Miftah Uddin, and Sheikh Iqbal Ahamed, Marquette University, Milwaukee, WI – sequence: 8 givenname: Miftah surname: Uddin fullname: Uddin, Miftah organization: Richard Reed Love, Tahmina Ferdousy, and Reza Salim, Amader Gram Cancer Care and Research Center, Khulna and Rampal; Shamsun Nahar, Bangabandhu Sheikh Mujib Medical University; Rumana Dowla, Bangladesh Palliative and Supportive Care Foundation, Dhaka, Bangladesh; Bishnu D. Paudel, National Academy of Medical Sciences, Kathmandu, Nepal; and Mohammad Adibuzzaman, Golam Mushih Tanimul Ahsan, Miftah Uddin, and Sheikh Iqbal Ahamed, Marquette University, Milwaukee, WI – sequence: 9 givenname: Reza surname: Salim fullname: Salim, Reza organization: Richard Reed Love, Tahmina Ferdousy, and Reza Salim, Amader Gram Cancer Care and Research Center, Khulna and Rampal; Shamsun Nahar, Bangabandhu Sheikh Mujib Medical University; Rumana Dowla, Bangladesh Palliative and Supportive Care Foundation, Dhaka, Bangladesh; Bishnu D. Paudel, National Academy of Medical Sciences, Kathmandu, Nepal; and Mohammad Adibuzzaman, Golam Mushih Tanimul Ahsan, Miftah Uddin, and Sheikh Iqbal Ahamed, Marquette University, Milwaukee, WI – sequence: 10 givenname: Sheikh Iqbal surname: Ahamed fullname: Ahamed, Sheikh Iqbal organization: Richard Reed Love, Tahmina Ferdousy, and Reza Salim, Amader Gram Cancer Care and Research Center, Khulna and Rampal; Shamsun Nahar, Bangabandhu Sheikh Mujib Medical University; Rumana Dowla, Bangladesh Palliative and Supportive Care Foundation, Dhaka, Bangladesh; Bishnu D. Paudel, National Academy of Medical Sciences, Kathmandu, Nepal; and Mohammad Adibuzzaman, Golam Mushih Tanimul Ahsan, Miftah Uddin, and Sheikh Iqbal Ahamed, Marquette University, Milwaukee, WI |
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| References | B2 B3 B4 Cleeland CS (B5) 1994; 23 B1 7989952 - J Clin Oncol. 1994 Dec;12(12):2751-5 8080219 - Ann Acad Med Singapore. 1994 Mar;23(2):129-38 1714502 - J Palliat Care. 1991 Summer;7(2):6-9 6218464 - Pain. 1982 Nov;14(3):303-10 |
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| Title | Symptom Levels in Care-Seeking Bangladeshi and Nepalese Adults With Advanced Cancer |
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