Journal
LEUKEMIA RESEARCH
Volume 37, Issue 7, Pages 731-736Publisher
PERGAMON-ELSEVIER SCIENCE LTD
DOI: 10.1016/j.leukres.2013.02.009
Keywords
Leukemia; Symptom assessment; Pain; Palliative care; Supportive care; Psychosocial oncology
Categories
Funding
- Canadian Institutes of Health Research [MOP-84317]
- Ontario Ministry of Health and Long Term Care
- Rose Family Chair in Supportive Care, Faculty of Medicine, University of Toronto
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We examined the symptoms and referral rates to specialized palliative care and psychosocial oncology services of patients with acute leukemia. The Memorial Symptom Assessment Scale (MSAS) was completed by 249 adult patients with acute leukemia. Patients reported a median of 9 physical and 2 psychological symptoms, and those with intense lack of energy, difficulty sleeping and pain were more likely to report intense worrying/sadness (P < 0.001). No patients with moderate-severe pain were referred for specialized symptom control and only 13% of those with severe worrying/sadness were referred to psychiatry/psychology within one month of the assessment. Patients in this population have a substantial symptom burden; further research is needed to determine the benefit of early referral to specialized supportive care services. (C) 2013 Elsevier Ltd. All rights reserved.
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