The Edmonton Symptom Assessment System 25 Years Later: Past, Present, and Future Developments

Routine symptom assessment represents the cornerstone of symptom management. Edmonton Symptom Assessment System (ESAS) is one of the first quantitative symptom assessment batteries that allows for simple and rapid documentation of multiple patient-reported symptoms at the same time. To discuss the h...

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Vydané v:Journal of pain and symptom management Ročník 53; číslo 3; s. 630 - 643
Hlavní autori: Hui, David, Bruera, Eduardo
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: United States Elsevier Inc 01.03.2017
Elsevier Limited
Predmet:
Anesthesia & Perioperative Care
Clinical assessment
Clinical research
Clinical trial
Computerized medical records
Documentation
dyspnea
Electronic health records
Evaluation
fatigue
Future
Health records
Health services
Historical development
Hospitalization
Humans
Languages
Management development programmes
Measures
Medical records
Medical screening
Multiple symptoms
neoplasms
Nephrology
Oncology
pain
Pain Medicine
Palliative care
Patient communication
Patients
personalized medicine
Quantitative psychology
Severity of Illness Index
surveys and questionnaires
Symptom Assessment
Symptom management
symptom assessment
fatigue
pain
Clinical trial
dyspnea
surveys and questionnaires
neoplasms
palliative care
personalized medicine
ISSN:0885-3924, 1873-6513, 1873-6513
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Popis
Shrnutí:Routine symptom assessment represents the cornerstone of symptom management. Edmonton Symptom Assessment System (ESAS) is one of the first quantitative symptom assessment batteries that allows for simple and rapid documentation of multiple patient-reported symptoms at the same time. To discuss the historical development of ESAS, its current uses in different settings, and future developments. Narrative review. Since its development in 1991, ESAS has been psychometrically validated and translated into over 20 languages. We will discuss the variations, advantages, and limitations with ESAS. From the clinical perspective, ESAS is now commonly used for symptom screening and longitudinal monitoring in patients seen by palliative care, oncology, nephrology, and other disciplines in both inpatient and outpatient settings. From the research perspective, ESAS has offered important insights into the nature of symptom trajectory, symptom clusters, and symptom modulators. Furthermore, multiple clinical studies have incorporated ESAS as a study outcome and documented the impact of various interventions on symptom burden. On the horizon, multiple groups are actively investigating further refinements to ESAS, such as incorporating it in electronic health records, using ESAS as a trigger for palliative care referral, and coupling ESAS with personalized symptom goals to optimize symptom response assessment. ESAS has evolved over the past 25 years to become an important symptom assessment instrument in both clinical practice and research. Future efforts are needed to standardize this tool and explore its full potential to support symptom management.
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ISSN:0885-3924
1873-6513
1873-6513
DOI:10.1016/j.jpainsymman.2016.10.370